What is health diagnosis?

Nursing diagnosis is a clinical judgment about the response of individuals, families or communities to existing or potential health problems and life processes. It is the basis for nurses to choose nursing measures to achieve the expected results, and these results should be the responsibility of nurses. Basic elements-Nursing diagnosis includes four basic elements: diagnostic name, definition, diagnostic criteria and related factors. 1. Diagnostic name: 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 show the degree of change. 2. Definition: express the meaning of diagnosis and its difference from other diagnoses simply and clearly. 3. Diagnostic criteria: it is the clinical judgment criteria for making this diagnosis. These standards are a sign, or a symptom, or a group of symptoms and signs, and may also be risk factors, and these standards are the reactions that individuals or groups actively express or observe. This can be subjective or objective, and there are two kinds of subjective data and objective data: the main data must appear in the short-term diagnosis; Auxiliary data may appear during diagnosis. 4. Related factors: refers to changes in health status or other problems caused by clinic or individuals. And these are usually "related" to nursing diagnosis. Due to the natural differences and uniqueness of human individuals, the related factors vary from person to person due to different conditions. Relevant factors can be pathophysiology (biological or mental), treatment-related, situation (environment or individual) and maturity. 65,438+028 The nursing diagnosis confirmed by Nantah:-The classification method of human response mode adopted by Nantah. The 128 nursing diagnosis classification of the human response pattern classification method is as follows: 1. Exchange malnutrition: exceeding physical needs. Malnutrition: below the body's needs; Malnutrition: may exceed physical needs. Risk of infection, risk of temperature change, hypothermia, hyperthermia, and ineffective thermoregulation. Constipation, constipation, constipation, diarrhea, incontinence. Urination changes, stress incontinence, reflex incontinence, urge incontinence and functional incontinence. Complete urinary incontinence (urinary retention) changes in tissue perfusion (kidney, brain, heart and lung, gastrointestinal tract, peripheral blood vessels) (changed tissue perfusion (kidney, brain, heart, lung and stomach test lnal, peripheral)) The risk of excessive fluid volume (insufficient fluid volume) and insufficient fluid volume) decreased cardiac output (deer). A. Invalid airway clearance invalid breathing pattern. Failure to maintain spontaneous breathing, ventilator dependence (ventilator Y offline response dysfunction, DVWR), injury risk (asphyxia risk), trauma risk (trauma risk), aspiration risk (aspiration risk) and protection change. Impaired tissue integrity (oral mucosal changes) impaired skin integrity (risk of impaired skin integrity). Reduce the disturbance of internal energy field of adaptability II. Speech communication disorder III. Relationships, social barriers and social isolation are all in danger of being isolated. ) Role obstacle (change of role performance) Parents' incompetence (change of parenting style) has the risk of parents' incompetence (change of parenting style). The risk of parent-child attachment change (infant/child att8chfi6llt), sexual dysfunction, family process change, and caregiver role tension. Risk of Caregiver's Role Tension Family Role Change: Alcoholism (Changing Family Process) Parental Role Conflict (Parental Role Conflict). Changed sexual pattern four. Paying attention to mental pain and improving mental health: the potential of improving psychological happiness. choose Invalid individual coping, regulatory obstacle, defensive coping, invalid denial. Invalid family coping: disability; Ineffective family coping: compromise; The potential for growth. Community coping: the potential to enhance the community coping ability (ineffective community coping ability). The ineffective management of the treatment plan (individual) conforms to the treatment plan. (Personal) Non-compliance) (Specitfy) (specitfy) Compliance with treatment plan is invalid (family) (treatment registration management is invalid: ((family) Compliance with treatment plan is invalid (community)). (Invalid treatment plan management: community) Abide by treatment plan and effectively manage treatment plan (individual) selection conflict (specific). (Decision Conflict) (Particularity) Seeking Health Behavior (Particularity) (Particularity) VI. Movement (impaired physical activity) has the risk of peripheral vascular and neurological dysfunction (risk of peripheral vascular dysfunction), perioperative trauma (risk related to surgical positioning) and activity intolerance. Fatigue is in danger of activity intolerance, sleep disorder and lack of various activities. Damage to family maintenance management, changes in health maintenance, defects in feeding and self-care and dysphagia. Invalid breastfeeding (interruption of breast milk 1 abandonment 1 abandonment) Effective breastfeeding (ineffective infant sucking mode) Bathing/hygiene self-care defect (dressing/grooming self-care defect) Toilet self-care defect (toilet self-care defect) Growth and development change, environmental change stress syndrome has the risk of infant behavior disorder. Unorganized baby behavior promotes baby behavior (potential). Seven. Perception. Body image disorder, self-esteem disorder, chronic low self-esteem, situational low self-esteem. Personal identity disorder (specific) (vision, hearing, kinesis, taste, pottery) perceptual change (specific), smell) unilateral sensory loss (unilateral denial) despair (honesty) powerlessness (powerlessness) VIII. Cognitive (lack of knowledge) (specificity) environmental interpretation is damaged, sudden confusion, progressive confusion, changes in thinking process, and memory impairment. 9. Feeling pain (pain) Chronic pain (chronic pain) Dysfunctional sadness (premonitory sadness) Violence risk: the risk of self-injury (post-traumatic reaction) to yourself or others. Rape-trauma syndrome Rape-trauma syndrome: repetition-trauma syndrome: compound reaction Rape-trauma syndrome: Rap- trauma syndrome: silent anxiety (fear).