Assignment Task
Nursing Diagnosis
This is where you present your actual and potential diagnosis. Remember these are based on the data that you have gathered. In this section you need to structure both actual and potential nursing diagnosis using the North American Nursing Diagnosis Association’s Taxonomy of Nursing Diagnosis (NANDA). We discussed and developed these within each lecture throughout the semester (first year). There is a link to the Nursing Diagnosis textbook available on the LMS in the online resources tab. Remember an actual diagnosis reflects immediate and currently present signs and symptoms, while the potential diagnosis is based on risk factors that might develop into an actual problem for the patient.Priority/Actual Problem One: This is your actual nursing diagnosis. Consider how you identified this. Link it back to your data collection NANDA statement linked to the above identified priority/actual problemSMART Goal: This is where you need to present you SMART goals you have identified to address the actual and potential nursing diagnosis. Remember that your SMART goals should be specific, measurable, achievable, realistic and time bound (SMART). Again, you need to link this back to the data that you collected in your initial assessment. You should have one SMART goal for your actual nursing diagnosis and one SMART goal for your potential nursing diagnosis.Independent Nursing Intervention Rationale and Supportive Evidence Expected Outcome (RUMBA format)This is where you document information about the two interventions that you have implemented to address this priority/actual problem. You must include one (1) independent and one (1) collaborative nursing intervention to help resolve the patient’s actual problem. You can present these with sub heading and address each individually.In this section you are encouraged to link back to the literature. Consider best practice guidelines. Remember nursing interventions, those requiring a medical order are only to be discussed once for e.g. administration of medications, IV fluids. Evidenced-based rationales with reference to the current literature areto be provided for each nursing intervention.
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