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Related Concept Videos

Documentation of Nursing Diagnosis01:10

Documentation of Nursing Diagnosis

1.3K
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
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Nursing Diagnosis01:22

Nursing Diagnosis

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Following assessment, a nursing diagnosis is the next step in the nursing process. It begins after the nurse has collected and recorded the patient data. The purpose of diagnosing is to identify how the client responds to actual or potential health processes, identify factors that bestow or that cause health problems, the etiologies, and identify resources or strengths the individual, group, or community can draw on to prevent or resolve problems.
The nursing diagnosis focuses on evidence-based...
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Formulating and Validating Nursing Diagnosis II01:25

Formulating and Validating Nursing Diagnosis II

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Nursing diagnoses represent a problem validated by major defining characteristics. There are four categories of nursing diagnoses: problem-focused, risk, health promotion or wellness, and syndrome. The anatomy of a nursing diagnosis includes three components: problem statement or diagnostic label, defining characteristics, and related factors.
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...
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Formulating and Validating Nursing Diagnosis I01:26

Formulating and Validating Nursing Diagnosis I

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A nursing diagnosis is written when the nurse recognizes a cluster of essential patient data indicating health problems treated with independent nursing interventions. The standardized terminologies of a nursing diagnosis help nurses identify and treat patients' problems. Every electronic health record that uses nursing diagnosis must employ standard diagnostic terminology. Developing an efficient, individualized care plan begins with accurate nursing diagnoses.
There are thirteen domains...
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Strategies for Assessing and Addressing Confounding01:25

Strategies for Assessing and Addressing Confounding

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Confounding is a critical issue in epidemiological studies, often leading to misleading conclusions about associations between exposures and outcomes. It occurs when the relationship between the exposure and the outcome is mixed with the effects of other factors that influence the outcome. Given that, addressing confounding is of high importance for drawing accurate inferences in research.
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
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Diagnostic and Statistical Manual of Mental Disorders (DSM)01:27

Diagnostic and Statistical Manual of Mental Disorders (DSM)

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The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
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Related Experiment Video

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Troubleshooting FoCUS Image Acquisition: Patient Positioning, Transducer Manipulation, and Image Optimization
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When the Unknown Is Unknowable: Confronting Diagnostic Uncertainty.

Giulia Faison1,2,3, Fu-Sheng Chou4, Chris Feudtner5,6

  • 1Loma Linda University School of Medicine, Department of Pediatrics, Loma Linda, California.

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Summary

Medical uncertainty in neonatology often focuses on prognosis for premature infants. This case shows that when diagnosis is impossible, shifting focus to prognosis and support improves communication and infant care.

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Area of Science:

  • Neonatology
  • Medical Ethics
  • Clinical Communication

Background:

  • Neonatal literature frequently discusses medical uncertainty in predicting morbidity for extremely premature infants.
  • Limited attention has been given to cases with unknown or unattainable diagnoses.
  • This highlights communication challenges stemming from a lack of knowledge about a patient's condition.

Purpose of the Study:

  • To explore the relationship between diagnostic and prognostic uncertainty in neonatology.
  • To challenge the assumption that diagnostic uncertainty inevitably leads to prognostic uncertainty.
  • To emphasize the importance of shifting focus from diagnosis to prognosis and support when diagnostic efforts become detrimental.

Main Methods:

  • Case study analysis
  • Application of epidemiologic and clinical reasoning
  • Exploration of physician's role in communication and support

Main Results:

  • Diagnostic uncertainty does not necessarily equate to prognostic uncertainty.
  • Abandoning a burdensome quest for diagnosis in favor of prognosis can improve infant quality of life.
  • A shift in the physician's role towards support and meaning-making is crucial.

Conclusions:

  • Effective communication in neonatology requires acknowledging and managing uncertainty.
  • Focusing on prognosis and providing support can enhance clarity, understanding, and empathy.
  • Physicians should prioritize the infant's quality of life over a definitive diagnosis when necessary.