Simplified Guide to Write a Nursing Diagnosis Assignment in College

By Evans Jun 15 2021

A nursing diagnosis assignment is a course requirement in medical school. As a regular assignment, it could be given as mid-term evaluation tests or end-semester examinations. You are required to demonstrate considerable learning skills, including understanding concepts, bodies of knowledge, theories, and application in real-world scenarios. Read on this article to learn about a nursing diagnosis and how to write one. 

Introducing Nursing Diagnosis

NANDA-I defines nursing diagnosis as a clinical judgment about a person, family, or community's responses to potential or actual health life/problem process. It offers a ground for choosing nursing interventions to get results for which a nurse is responsible.

The main elements of a nursing diagnosis include:

·         Etiology

·         Defining risk factors or characteristics

·         Problem and its definition

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A perfect example of a nursing diagnosis might be:

Ineffective breathing patterns associated with pulmonary hypoplasia as proved by intermittent abdominal breathing, need for oxygen support, tachypnea, intercostal retractions, and intermittent subcostal.

Why Nursing Diagnosis is Essential

As previously mentioned, a nursing diagnosis is a judgment founded on an inclusive nursing assessment. It is based on the patient's health and situation assessment, allowing physicians to see the patient from a wide-angle.

It can also increase patient quality care, safety, and reimbursement from Medicaid, Medicare, and private health insurance.

It is a practical teaching tool that sharpens critical thinking and problem-solving skills for nursing students.

Nanda Diagnosis

NANDA diagnosis assists in strengthening a nurse's awareness, professional role, and abilities.

The organization was formed in 1982, and it develops, disseminates, refines, and researches the nursing terminology of nursing diagnosis. Previously known as the North American Nursing Diagnosis Association, NANDA was renamed NANDA International in 2002 to incorporate its worldwide membership.

Its mission is to:

·         Contribute to patient safety through the collaboration of evidence-based terminology and clinical practice, and clinical decision making

·         Be an energetic and supportive network of nurses dedicated to improving the quality of nursing care

·         Fund research through its foundation

·         Primary Forms of Nursing Diagnoses

Types of Nursing Diagnosis

Generally, there are four kinds of nursing diagnosis, namely:

Problem-Focused Diagnosis

It is the patient problem presented during a nursing assessment. Typically, the problem is evident throughout the patient's hospitalization or numerous shifts. You can resolve it during a change depending mainly on the medical and nursing care.

It has three main components:

·         Related factors

·         Nursing diagnosis

·         Defining characteristics

Some of the examples of problem-focused diagnoses include:

·         Impaired gas exchange

·         Chronic functional constipation

·         Reduced cardiac output

Problem-focused diagnosis is the most common diagnosis and easiest to identify since it is founded on the patient's symptoms.

Risk Nursing Diagnosis

It applies when risk factors need intervention from a medical practitioner before the actual problem developing.

Perfect nursing diagnosis examples include the following:

·         Risk for ineffective childbearing process

·         Risk for imbalanced fluid volume

Usually, this diagnosis requires nursing judgment and clinical reasoning.

Health Promotion Diagnosis

This type of diagnosis aims to improve the overall well-being of a person, community, or family.

Its nursing diagnosis examples include:

·         Sedentary lifestyle

·         Readiness for improved hope

·         Readiness for enhanced family processes

Syndrome Diagnosis

A group of nursing diagnoses happening in a sequence or could be addressed through identical nursing interventions.

Its examples include:

·         Reduced cardiac output

·         Lowered cardiac tissue perfusion

·         Ineffective peripheral tissue perfusion

Writing a NANDA Nursing Diagnosis Assignment

To write your nursing diagnosis assignment effectively, you should understand its main components. These components include:

·         Problem and definition (diagnostic label): It describes the patient's health problem or response for which nursing therapy is given concisely. It has two parts: the focus of the diagnosis and qualifier. The qualifier is a word that has been added to a diagnostic label to give more meaning, restrict, or specify the diagnostic statement.

·         Etiology (related factors): It describes the reasons for the underlying problem or condition. The related factors guide the suitable nursing intervention.

·         Defining characteristics: These are signs and symptoms for applying a particular diagnostic label.

Risk and problem-focused diagnoses have the most parts, making them the most challenging nursing diagnoses to write.

NANDA-I recommends the following ways:

Problem-focused Diagnosis

Problem-focused diagnosis related to …………………………. (Related Factors) as proved by ………………… (Defining Characteristics).

Risk Diagnosis

The correct statement for a NANDA-I nursing diagnosis would be Risk for ………………………. as proved by …………………. (Risk Factors).

PES Format

Another method of writing your diagnostic statement is using problem, etiology, and defining characteristic (PES format). Diagnostic statements could be one-part, two-part, or three-part statements.

·         One-part nursing diagnosis statement: Health promotion nursing diagnoses are written as one-part statements because related factors are the same; motivated to realize a higher degree of wellness through related factors improve your diagnosis.

·         Two-part nursing diagnosis statement: Usually, possible nursing diagnoses and risk have two-part statements. The first part is the diagnostic label, while the second one is the validation for a nursing diagnosis or risk factors. Please note that signs and symptoms don't exist here.

·         Three-part nursing diagnosis statement: A problem-focus or an actual nursing diagnosis have a three-part statement. The three-part nursing diagnosis statement is also referred to as the PES format since it has the problem, etiology, and signs and symptoms.

NANDA Nursing Diagnosis List

The section below is a database or a NANDA nursing diagnosis list that could help you to develop a nursing care plan:

·         Acute pain

·         Activity intolerance

·         Anxiety

·         Constipation

·         Chronic pain

·         Deficient fluid volume

·         Decreased cardiac output

·         Deficient knowledge

·         Diarrhea

·         Fatigue

·         Grieving

·         Fear

·         Excess fluid volume

·         Hyperthermia

·         Hypothermia

·         Hopelessness

·         Imbalanced nutrition

·         Impaired gas exchange

·         Impaired urinary elimination

·         Impaired tissue integrity

·         Ineffective airway clearance

·         Risk for falls

·         Risk for infection

·         Risk for injury

·         Risk for unstable blood glucose levels

·         Relocation stress syndrome

·         Disturbed body image

Nursing Diagnoses Classification

NANDA-1 adapted the Taxonomy II following collaboration and consideration with the National Library of Medicine regarding the healthcare terminology code. Taxonomy II has three levels: nursing diagnoses, classes, and domains.

Currently, there are thirteen domains and forty-seven classes:

Domain 1- Health Promotion

·         Health management

·         Health Awareness

Domain 2- Nutrition

·         Digestion

·         Ingestion

·         Absorption

·         Hydration

·         Metabolism

Domain 3- Elimination/ Exchange

·         Respiratory function

·         Integumentary function

·         Gastrointestinal function

·         Urinary function

Domain 4- Activity/Rest

·         Activity/exercise

·         Self-care

·         Cardio-vascular pulmonary response

·         Energy balance

Domain 5 – Perception/ Cognition

·         Cognition

·         Communication

·         Orientation

·         Attention

Domain 6- Self-perception

·         Body image

·         Self-esteem

·         Self-concept

Domain 7- Role Relationship

·         Caregiving roles

·         Role performance

·         Family relationships

Domain 8- Sexuality

·         Reproduction

·         Sexual function

·         Sexual identity

Domain 9- Stress tolerance/coping

·         Post-trauma response

·         Neuro-behavioral stress

·         Coping response

Domain 10- Life Principles

·         Beliefs

·         Values

Domain 11- Safety/Protection

·         Physical injury

·         Infection

·         Environmental hazards

·         Thermoregulation

·         Violence

·         Defensive processes

Domain 12- Comfort

·         Social comfort

·         Environmental comfort

·         Physical comfort

Domain 13- Growth/Development

·         Development

·         Growth

How Does a Nursing Diagnosis Differ from Collaborative Problems and Medical Diagnosis?

Typically nursing diagnosis is handled through specific nursing interventions. On the other hand, advanced healthcare practitioners or physicians make a medical diagnosis.

The nursing diagnosis could be spiritual, psychosocial, physical, or mental. It pays attention to the patient's overall care while the medical diagnosis entails the medical aspect of your patient's condition. A medical diagnosis doesn't change if the health condition is resolved and remains part of your patient's health history forever.

https://www.youtube.com/watch?v=HlZguwNDF8U

https://www.youtube.com/watch?v=HlZguwNDF8U

Collaborative problems could be resolved or worked on through both medical or nursing interventions. Generally, nurses will monitor the issues while the medical experts get diagnostic tests or prescribe medications.

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