Acute Pain Nursing Diagnosis
Contents
What are examples of acute pain?
How is acute pain different from chronic pain? – Pain is generally considered acute when it lasts fewer than three months. Acute pain typically starts suddenly in response to an injury — a cut, bruise, burn, broken bone, or pulled muscle, for example.
- Acute pain can also be caused by a fever or infection, labor contractions, and menstrual cramps.
- Pain that lasts for three months or longer is considered and can be caused by conditions such as arthritis, back problems, shingles, migraines, and neuropathy (a condition that can result from diabetes and cause numbness or tingling, pricking sensations or muscle weakness).
Sometimes acute pain becomes chronic. A sports injury that isn’t diagnosed and treated properly can lead to long-term damage to joints or muscles. Certain injuries can cause nerve damage that leads to ongoing pain. Even postoperative pain that isn’t managed correctly can lead to chronic pain.
How do you make a nursing diagnosis?
NANDA International standardizes nursing terminology, specifically nursing diagnoses. Nurses use collected patient data to formulate nursing diagnoses or determine health problems better managed by physicians (medical diagnoses) or collectively with other health care professionals (collaborative problems).
Nursing diagnoses are made up of three components: problem statement, the etiology/related factors, and defining characteristics/risk factors. The problem statement pertains to the patient’s current health problem and needed nursing interventions. Nursing diagnoses are made up of three components: problem statement, the etiology/related factors, risk factors, and defining characteristics.
The etiology, or related factors, identifies probable causes of the health problem, and/or the conditions involved in the development of the problem. Defining characteristics are the groups of signs and symptoms that indicate the presence of a particular diagnostic label.
An example of a written nursing diagnosis using all three components is as follows: “Ineffective airway clearance (problem statement) related to bronchial airway inflammation (etiology/related factor) as evidenced by coarse rhonchi to bilateral apices heard on auscultation (defining characteristics).” Risk factors can be used in place of defining characteristics and encompass the patient’s vulnerability toward their health problem.
An example would be something such as, “Risk for infection as evidenced impaired skin integrity.” A problem-focused diagnosis is the patient’s problem that is present at the time of the nursing assessment. This nursing diagnosis is based on the signs and symptoms present in this assessment.
- Examples are decreased cardiac output and impaired gas exchange.
- Problem-focused nursing diagnoses include three components: (1) nursing diagnosis, (2) related factors, and (3) defining characteristics.
- This nursing diagnosis identifies interventions needed to decrease the risk related to a patient’s problem.
There are no etiological factors (related factors) for risk diagnoses. The components of a risk nursing diagnosis include (1) risk diagnostic label and (2) risk factors. An example of a risk diagnosis would be “Risk for infection as evidenced by a suppressed inflammatory response.” The purpose of this kind of nursing diagnosis is to improve individual patient, family, or community health and well-being.
Examples include readiness for enhanced family coping. Components of a health promotion diagnosis generally include only the diagnostic label or a one-part statement. An example would be something such as Readiness for Enhanced Family Coping. These diagnoses are used when the patient is experiencing multiple health problems forming a pattern that are responsive to similar nursing interventions.
Syndrome Diagnoses are written as a one-part statement requiring only the diagnostic label. Examples include decreased cardiac output or decreased tissue perfusion. To write a problem-focused diagnostic statement, use the problem-etiology-symptom (PES) method.
- Start with the diagnosis itself, followed by the etiologic factors (related factors in an actual diagnosis), then identify the major signs/symptoms (defining characteristics) that are appearing in the patient.
- This is for an actual diagnosis, not a risk diagnosis.
- An example would be: (Impaired physical mobility) related to (decreased muscle control) as evidenced by (the inability to control lower extremities).
For risk diagnoses, there are no related factors (etiological factors) as you are identifying a vulnerability in a patient for a potential problem; the problem is not yet present. Therefore, you identify the risk factors that predispose the individual to a potential problem.
What is acute pain in simple nursing?
Acute Pain Pathophysiology – Acute pain is a sudden discomfort that typically lasts three to six months. It can serve as a warning of disease, illness, or traumatic event. Some examples include: a burn, cut, or broken bone. Acute pain might be mild and last just a moment, or it might be severe and last for weeks or months.
- Nociceptive pain (pain caused by tissue injury) may be somatic or visceral
- Somatic pain receptors are located in the skin, subcutaneous tissue, fascia and other connective tissues.
- Visceral pain is due to an obstruction of a hollow organ or deep connective tissue
What are nursing diagnosis in order of priority?
In this section of the NCLEX-RN examination, you will be expected to demonstrate your knowledge and skills of establishing priorities in order to:
Apply knowledge of pathophysiology when establishing priorities for interventions with multiple clients Prioritize the delivery of client care Evaluate the plan of care for multiple clients and revise plan of care as needed
Actual needs and problems take priority over wellness, possible risk and health promotion problems and short term acute patient care needs and problems typically take priority over longer term chronic needs.
What is an example of a Nanda statement?
How do I write a diagnostic statement for risk, problem-focused and health promotion diagnoses? | NANDA International Knowledgebase How do I write a diagnostic statement for risk, problem-focused and health promotion diagnoses? When writing a diagnostic statement using the Problem-etiology-symptom (PES) method, we are conveying a lot of information to our colleagues. We start with the diagnosis itself, followed by the etiologic factors (related factors in an actual diagnosis).
Finally, we identify the major signs/symptoms (Defining characteristics) that are appearing in the patient, in the case of actual diagnoses. In the case of risk and health promotion diagnoses, no etiologic factors apply, so we identify risk factors that predispose a patient to a potential problem for risk diagnoses, or evidence that suggests a potential for health promotion (Defining characteristics) for a health promotion diagnosis.
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PROBLEM-FOCUSED DIAGNOSIS Problem-Focused Diagnosis related to _ (Related Factors) as evidenced by _ (Defining Characteristics).
Problem-Focused Diagnosis Example: Anxiety related to situational crises and stress (related factors) as evidenced by restlessness, insomnia, anguish and anorexia (defining characteristics). RISK DIAGNOSIS The correct statement for a NANDA-I nursing diagnosis would be: Risk for _ as evidenced by _ ( Risk Factors ). Risk Diagnosis Example: Risk for infection as evidenced by inadequate vaccination and immunosuppression (risk factors). HEALTH PROMOTION DIAGNOSIS Health Promotion Diagnosis Example: Readiness for enhanced self-care as evidenced by expressed desire to enhance self-care.
For risk diagnoses, there are no related factors (etiological factors), since we are identifying a vulnerability in a patient for a potential problem; the problem is not yet present. Therefore we identify the risk factors that predispose the individual to a potential problem.Because health promotion diagnoses do not require a related factor, there is no “related to” in the writing of this diagnosis.
