Nursing diagnosis is a clinical judgment about the response of individuals, families or communities to existing or potential health problems and life processes, and it is the basis for nurses to choose nursing measures to achieve the expected results. These results should be the responsibility of nurses.
Describe the health status (existing or potential) of the nursing object in concise words. Specific words such as "change", "obstacle", "lack" and "ineffectiveness" are mainly used to describe the change of health status, but they cannot express the degree of change. This is a clear and correct name expression. In order to express the significance of diagnosis and its difference from other diagnoses simply and clearly.
Demonstration method:
Fold a statement: P only, for health diagnosis.
(1) Existence: Health data shows the existence of health problems.
(2) Potential: health information shows that there are harmful factors to the nursing object, and problems will occur if nursing measures are not taken. The form of the statement is "danger".
(3) Possibility: There are suspicious factors, but there are no strong data to support them, or the related reasons are unknown. The form of the statement is: "It is possible ...".
(4) Health: It describes that individuals, families or communities have the potential to develop to a higher level of health. The presentation methods are: "potential promotion" and "effective implementation".
Fold two-part statement: PE formula. If the skin integrity is damaged, it is related to long-term bed rest.
Fold three statements: PSE formula: P (problem) is the name of nursing diagnosis, S (symptom or sign) includes the results of laboratory examination, and E (cause) is the relevant factor.