How Do You Write A Nursing Diagnosis?
A nursing diagnosis refers to standardized nursing language developed by the North American Nursing Diagnosis Association (NANDA) to allow registered nurses to identify patient issues in a way that can be consistently communicated across clinical settings. Nursing diagnoses identify issues that can be appropriately addressed by nurses, as opposed to medical diagnoses that reflect physician-related issues. According to A Texas Resource for Advocates of Nursing Education, an online resource for nurses, most well-written nursing diagnoses have three parts. Perform a nursing assessment to identify pertinent patient issues. Your assessment may include an interview with the patient and/or significant others, a physical examination, a review of the patient’s medical record, and/or consultation with other health care providers. You may also include findings from patient monitors, vital signs, laboratory tests, and other diagnostic studies. Briefly scan the NANDA list of approved nursing diagno
