Question

1. You are a nurse admitting a patient to the hospital from the emergency department (ED) with shortness of breath and recent weight loss. After receiving a report from the ED nurse, you ready the patient's room according to unit specifications and collect the necessary equipment and forms. When the patient arrives, she is using oxygen via a nasal cannula and seems to be comfortable. As you begin your admission activities and paperwork, you note that her shortness of breath slightly increases as she answers your questions. Accompanying the patient is her daughter, who comments, "This is the fourth time she's been admitted to this hospital in the past year. The patient and her daughter demonstrate a close, loving relationship. The daughter not only encourages her mother, but also sets boundaries regarding her mother's anxiety. (Learning Objectives 1 and 3) a. What data in this scenario are pertinent? b. Which conditions within the case study could be addressed by nursing diagnoses? C. Which conditions within the case study would be addressed by a medical diagnosis? d. How are medical diagnoses, collaborative diagnoses, and nursing diagnoses different? e. Compare how a medical diagnosis is written versus a nursing diagnosis.

Answer 1

a.The data which is pertinent to the scenario are the patient's current chief complaints.

b.The condition which can be addressed in nursing diagnosis are chronic obstructive pulmonary disease (because shortness of breath and weight loss can be seem in this condition), pneumonia, rarely tuberculosis (chance of infection)

c.The medical diagnosis will address the condition of chronic obstructive pulmonary disease as this is the fourth time in a year.

d.Medical diagnosis are the one made by the primary care provider after completely assessing the patient. Colloborative diagnosis is made on the basis of patient actual problem and focusing on it.The nursing diagnosis is one which can focus on multiple factors of the patient problems and find a solution for it.

e.The medical diagnosis is formulated from the actual cause of the disease wheras the nursing diagnosis is a collection of all actual problem of the patient and finding a solution for it.