Last week, I hinted on the concept of the “nursing
diagnosis” in order to better understand the nursing interventions. However, this week we are going to dive more
deeply into the world of the nursing diagnosis.
The nursing diagnosis is the nurse’s clinical judgment about a client’s
response to actual or potential health condition or needs (American Nursing
Association, 2015).
For the condition of a patient with meningococcal
meningitis, there can be many nursing diagnoses’ related to the condition they
are in now, or what conditions they may develop. Last week I listed some important nursing
diagnoses, but now I am going to quickly summarize the 5 I think are most important
to the care of meningococcal meningitis (Ackley, B., Ladwig, G. 2014).
1. Risk for
ineffective cerebral tissue perfusion
o
With the inflammation of the meninges, there is
increased pressure on the brain. This
can decrease the availability for blood to reach the brain, which is crucial in
the proper functioning of the brain.
2. Risk for infection
transmission
o
A patient experiencing symptoms of this disease
can put others around them as risk, including the doctors and nurses that care
for this patient.
3. Risk for delayed
growth and development
o
With possible irreversible damage to the brain,
or contaminated blood, there is a higher risk for debilitating effects down the
road for the patient.
4. Impaired mobility
o
Impaired mobility could be related to the damage
that is done to the central nervous system, or the damage that is done to the
neuromuscular system (loss of limbs).
5. Risk for confusion
o
When there is an infection hindering the brain,
patients are at an increased risk for confusion.
The nursing diagnosis is the foundation for your nursing
care. However your care is based off of
the condition of your patient. With the
basic nursing diagnosis you add what the diagnosis is related to and what
evidence you have from your patient that is making you infer this diagnosis. Then you think about what the plan is, what
you want the outcome to be, and what nursing intervention you are going to
implement in order to achieve this outcome.
It goes a little something like this…
Nursing Diagnosis: Risk for Infection Transmission
Is this an actual, or a potential nursing diagnosis?
(Meaning, can this happen right now? Or will this happen in the future?)
|
Actual
|
Related to? (Meaning, why are they a risk for Infection
transmission?)
|
Person to person transmission of the bacterium.
|
Plan?
|
Limit the transmission of the bacterium to healthy
individuals.
|
Outcome?
|
No transmission of the bacterium to people in contact with
the patient.
|
Nursing Interventions?
|
·
Show family members how to properly wear
protective equipment when visiting the patient.
·
Administer antibiotics at scheduled times.
·
Place mask on patient when moving them through
the hospital.
|
(Nurse Labs, 2015)
Here is a website that discusses the nursing diagnosis and how it fits into the entire nursing process. http://www.nursingworld.org/EspeciallyForYou/What-is-Nursing/Tools-You-Need/Thenursingprocess.html
BIBLIOGRAPHY
Ackley, B., Ladwig, G., (2014) Nursing Diagnosis Handbook.
Elseiver, 10th edition. Page
75.
American Nurses Association. (2015). The Nursing Process. Retrieved
from http://www.nursingworld.org/EspeciallyForYou/What-is-Nursing/Tools-You-Need/Thenursingprocess.html
Nurse Labs. (2015). Bacterial Meningitis. Retrieved from http://nurseslabs.com/bacterial-men
ingitis/
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