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Are these Nursing Diagnoses right? why or why not??


a potential diagnosis: risk for infection r/t surgical procedures

an actual diagnosis: fear r/t surgical removal of the ovaries as manifested by he client verbalizing that she is afraid to undergo an operation and very nervous

I hate writing things up as a Nursing Diagnosis. It would be so much simplier just to write up that the Pt is scared.
Anyway what you have written is a diagnosis of sorts.

But from the actual potential and actual diagnosis youv'e written up the top I would put "Anxiety related to knowledge deficit related to surgery."

That's the correct nursing diagnosis. The other ways are Medical diagnosis. And as I keep on getting told "You are a Nurse caring for a patient from a Nure's prospective. Think like one. Not a Doctor!"

It also can depend on what Country your in and the Care Factlity you work at to how they want things written up. What they find is an acceptable Nursing Diagnosis.

Hope this helps. It' staken me a long time to get my head into that space too.

It is all crap doublespeak to try to make nurses into doctors...but if you don't put the aeb in there, they will get you for it.

Um....not a diagnosis...but a subjective description. There are diagnoses for fear, anxiety, etc...but a diagnosis is an identification of a disease or disorder.

My ICD9 coder isn't pulling anything up for the two 'diagnoses' you mentioned.

Try this one out from NANDA:

1. Risk for infection r/t invasive procedures

2. Anxiety related to threat to or change in health status as evidenced by increased apprehension and expression of concern [regarding surgical procedure]

The first diagnosis is OK, but I remember nursing school and the instructors didn't much like the "high risk for" diagnoses unless they were one of the add on's, or at the very bottom of the care plan.

The second diagnosis could be more technical: fear r/t impending bilateral oophorectomy as evidenced by pt verbalizing her fear and nervousness.

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