Nursing Diagnosis Notes

NURSING DIAGNOSIS LABELS

Problem: nursing diagnosis label a concise term/phrase

PES System (3 part nursing diagnosis)

that represents a pattern of related cues. The ND is taken from the official NANDA list

Etiology: related to phrase related cause or contributor to

the problem

Symptoms: as evidenced by defining characteristics

phrase symptoms identified during assessment Client has a human response to a health condition/life process Supported by symptoms and related factors

Actual Nursing Diagnosis

Risk Nursing Diagnosis

Imbalanced Nutrition: more than body requirements R/T excessive intake in relation to metabolic needs AEB 20% over ideal for height and frame, concentrating food intake at the end of the day Client is vulnerable to developing the human response to a health condition/life process Supported by risk factors Symptoms and related factors are not available (no problems as of yet) Risk for imbalanced nutrition: more than body requirements: concentrating food at the end of the day A clinical judgment of a persons motivation and desire to increase well-being and actualize human health potential as expressed by a readiness to enhance specific health behaviors such as nutrition and exercise Supported by symptoms and related factors Health promotion focuses on being as healthy as possible (reason for health behavior is a positive) while prevention focuses on preventing a disease or problem (negative) Effective Breastfeeding R/T basic breastfeeding knowledge AEB appropriate infant weight pattern for age Describes human responses to levels of wellness in a person that have a readiness for enhancement Supported by symptoms Always begins with Readiness for enhanced Readiness for enhanced communication, able to speak and write a language and express thoughts and feelings Group of signs and symptoms that usually occur together a distinct clinical picture Supported by symptoms and related factors Post-Trauma syndrome R/T physical abuse AEB alienation, anger, anxiety, and depression

Health Promotion Nursing Diagnosis

Wellness Nursing Diagnosis

Syndrome Nursing Diagnosis