Why Nursing Diagnosis
- The identification and classification of nursing phenomena began in 1973 with the First National Conference on Nursing Diagnosis.
- General and specialty standards are written around the six steps of the nursing process.
- It is defined in most state nursing practice acts as a legal responsibility of nursing.
- Promotes research in nursing.
Nursing Case Management
- Case management: A health delivery process whose goals are to provide quality healthcare, decrease fragmentation, enhance the client’s quality of life, and contain costs.
- Managed care: A concept designed to control the balance between cost and quality of care. Individuals receive care based on need, which is determined by coordinators of the provider-ship.
- Case manager: The individual responsible for negotiating with multiple healthcare providers to obtain a variety of services for the client.
- Critical pathways of care (C P C’s): The tools for provision of care in a case management system.
- C P C’s
- Determine which categories of care will be provided, by what date, and by whom.
- Nurses may be identified as case managers and are ultimately responsible for ensuring that C P C goals are achieved within the designated time dimension.
- C P C’s may be standardized because they are intended to be used with uncomplicated cases.
Role of the nurse in psychiatry
- Assist with the client’s successful adaptation to stressors within the environment.
- Goals are directed toward change in thoughts, feelings, and behaviors that are age-appropriate/congruent with local and cultural norms.
- The nurse is a valuable member of the interdisciplinary team.
Concept Mapping
- A diagrammatic teaching and learning strategy that shows interrelationships among medical and nursing diagnoses, assessment data, and treatments
- Practical, realistic, and time-saving
- Enhance critical-thinking skills
- Based on the components of the nursing process
- Helps students develop a holistic view of their clients
