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Nursing Diagnosis

Nursing Diagnosis

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...

Guidelines for Writing Outcome

Guidelines for Writing Outcome

When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...

Psychosis: Goals of Pharmacotherapy

Psychosis: Goals of Pharmacotherapy

Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.

Nursing Interventions II: Selecting and Classifying the Nursing Interventions

Nursing Interventions II: Selecting and Classifying the Nursing Interventions

Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:

Documentation of Nursing Diagnosis

Documentation of Nursing Diagnosis

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...

Ethical Issues

Ethical Issues

Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:

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Related Experiment Video

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Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index

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Prognosis-Based Definitions for Potentially Inappropriate Treatment: Still Flawed, If Not Futile.

Stephen D Brown, Jonathan M Marron, Joel E Frader

The Journal of Clinical Ethics

|November 14, 2024

Summary

Policies on limiting life-sustaining medical treatment (LSMT) may lead to rationing concerns. Careful policy development can mitigate biases and discrimination, particularly for patients with severe neurological impairments.

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Area of Science:

Medical Ethics
Healthcare Policy

Background:

Professional organizations have policies on limiting life-sustaining medical treatment (LSMT).
These policies often define thresholds for determining when LSMT may be inappropriate or nonbeneficial.

Purpose of the Study:

To critically analyze professional organizational policies on limiting LSMT.
To examine the criteria for limiting LSMT and the conditions under which overriding patient preferences might be acceptable.
To evaluate the Society of Critical Care Medicine's prognosis-based approach to defining nonbeneficial treatment.

Main Methods:

Critical analysis of professional organizational policies.
Examination of the Society of Critical Care Medicine's approach to nonbeneficial treatment.

Main Results:

The prognosis-based definition of nonbeneficial treatment, while influential, shares similarities with healthcare rationing.
This approach raises concerns about potential institutional and practitioner biases.
Concerns include the risk of discrimination against individuals with severe neurological impairments or prolonged technological dependence.

Conclusions:

The identified concerns regarding bias and discrimination are valid and may be unavoidable.
Policies can be improved by incorporating diverse conceptions of harm into the ethical considerations for defining inappropriate LSMT.