Standard 2. Diagnosis - PowerPoint PPT Presentation

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Standard 2. Diagnosis

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Standard 2. Diagnosis The registered nurse analyzes the assessment data to determine the diagnosis or the issues. Definition and Purpose Diagnosis uses standard ... – PowerPoint PPT presentation

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Title: Standard 2. Diagnosis


1
Standard 2. Diagnosis
  • The registered nurse analyzes the assessment data
    to determine the diagnosis or the issues.

2
Definition and Purpose
  • Diagnosis uses standard language to name health
    problems in order to
  • Develop a plan of care and evaluate its outcomes
  • Communicate with healthcare providers
  • Differentiate among and educate healthcare
    practitioners
  • Organize research to develop disciplines body of
    knowledge
  • Organize practice quality evaluation and
    improvement
  • System for reimbursement for healthcare services

3
Types of Diagnoses Used in Nursing
  • Statements of actual or potential response to a
    health problem experienced by a patient, family,
    or community.
  • Terms used to identify the genetic and
    pathological conditions, illnesses, and syndromes
    that cause patients signs and symptoms.
  • Terms used to identify health problems
    encountered within communities and system
    problems within healthcare organizations.

4
Diagnostic Processes
  • Use of clinical judgment
  • Analysis of assessment data
  • Knowledge of potential diagnoses
  • Use of pattern recognition and deductive
    reasoning to match data to best diagnosis
  • Confirmation of diagnosis based on collection of
    additional data and reassessment
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