HOW DOES A NURSE MAKE A DIAGNOSIS?

DIAGNOSIS

One’s individual responsibility is a major requirement in understanding what kind of a person makes a good nurse. This type of profession involves dealing with people who are sick i.e. mentally or health-wise, those that require care and those that are in need of advice. It is a field, which requires one to deal with the pressure and emotions that come with the daily operations of the job. Great individual nurses should possess critical thinking skills in choosing a nursing care plan to come up with the correct medication after making a diagnosis. One of the many common questions is whether nurses make diagnoses.

A nursing diagnosis is part of the nursing process, which is a clinical judgment that tries to determine the nature of a cause of a disease. The North American Nursing Diagnosis Association (NANDA) is the organization that defines, distributes and integrates standard nursing diagnoses worldwide. The NANDA International system of nursing diagnosis provides for four categories i.e.

ACUTE DIAGNOSIS

It is a clinical judgment about human responses or experience to health conditions e.g. Sleep deprivation

RISK DIAGNOSIS

Describes responses to health and life conditions that develop in. Vulnerable person and is supported by risk factors that contribute to increased vulnerability.

HEALTH PROMOTION DIAGNOSIS

This type of diagnosis deals with the clinical judgment about a person’s desire to increase their wellbeing.

SYNDROME DIAGNOSIS

Is a clinical judgment describing a specific cluster of nursing diagnoses that are best diagnosed and addressed through similar ways?

Nursing and medical diagnosis differ from each other. Judgment done by a professional nurse who identifies the client’s risk or syndrome response to a problem or condition uses medical diagnosis for clinical judgment. What are some of the steps in avoiding errors when developing a nursing diagnosis?

Developing a nursing diagnosis is a critical step; therefore, there should be an accurate and complete collection of data. Use of organizational framework helps in clustering data cues and conducting thorough analysis and validation of data. In addition, not forgetting to write the nursing diagnosis correctly is a great way of avoiding errors when coming up with one.

Some of the disadvantages of using these steps are that nurses are afraid that the diagnosis steps they undertake will not fit the client’s situation. It is so that much of the freight comes from them being ridiculed by other medical practitioners.

Inappropriate diagnosis will also bring the nurse liable for judgment for the errors they undertake.

Overcoming these barriers related to nursing diagnoses by making sure the nurse. Is familiar with the language to communicate more effectively. Health agencies and administrators should be supportive of the use of this process ensuring that there is enhanced communication between clinical and medical leaders to increase the developments of nursing diagnosis.

 

EXAMPLES OF NURSING VALUES

Nursing Values

Critical elements that nurses should possess as it influences the way a patient in a healthcare facility recovers. Nursing is known by many as the country’s largest healthcare job career with many registered nurses working due to high employability rates. Nurses work within the front lines of responding to patient illnesses and conditions. Care does not measure the success of the patients only or behavior in the upkeep of the patients but with their recovery time as well. The decisions that physicians and nurses make around diagnosis can be seen in a patients’ recovery time which is vital to every patient in a hospital facility.

They can defined as personal preferences that people learn, and organize into systems. It determine attitudes and behaviors. They are part of ethics systems that evaluate a person’s moral behaviors.

Also Read: What kind of a person makes a good nurse

An individual’s values often impact one’s values. A person’s social group, culture, education or even past experiences can influence the normal behavior of a nurse. One’s personal values can be consistent with their professional values thereby impacting them in their choice of profession. Most nursing associations have a code of ethical obligations and behaviors which are specific to nursing. It is imperative for nurses to internalize professional values in developing and sustaining a professional identity. It is essential for nurses to better articulate their values to promote professional nursing behavior and demonstrate the values of nursing to achieve better healthcare outcomes.

One researcher, Horton emphasized the importance of understanding professional nursing values, therefore, uniting and empowering the profession.

Prospective students who see their career advancing in nursing need to understand that it involves nurturing. Helping and caring for those who are around them. Nursing is one of the most fulfilling and rewarding career paths many students can opt to follow. Most nursing schools instill core values in students which will carry them into their ongoing careers.

Some of the values that nurses should possess include:

Nurses should be compassionate, he or she should possess good communication skills to also communicate with each other together as a team both to doctors as well as patients.

Empathy is one of the nursing values which nurses need to have. Their ability to understand, be aware of whatever is going on around them. Show sensitivity and understand the thoughts, feelings, and experiences of the patient and their family members.

Great nurses show unconditional love for their jobs through dedication in waking up every day and achieving their goals. They must have that inner drive to want to show a difference in the lives of other people. some of these motivations can be from inspirational talks from either your doctor, family members, having a chronic hunger for knowledge with unmatched feelings to help others and by being committed to the nursing profession.

Showing accountability, responsibility, patience for customer service and have good communication. To exchange thoughts and information is vital to the importance of the nursing process. Great communication with patients, families and the staff is a critical nursing value to this profession.

Critical thinking is another nursing value example since nurses are often involved in making critical and appropriate clinical decisions which help resolve patient healthcare issues. Critical thinking involves having an organized cognitive process that helps nurses in exploring and challenging decisions. To take risks based on their knowledge in the face of difficult problems.

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IS A NURSE OR A PHYSICIAN ASSISTANT BETTER?

Nursing or Physician? – Today, physician assistants are increasingly hired to provide primary care to patients as most healthcare facilities hire them to cut costs and for the provision of care in most marginalized areas.

IS THERE ANY TRAINING REQUIRED FOR ONE TO BECOME A PHYSICIAN ASSISTANT?

Training occurs through a Master’s degree program where the students are required to have a bachelor’s degree with high academic records as a prerequisite. He or she should have passed courses such as human anatomy, biology, chemistry, and mathematics. Some of the schools also require them to have many hours of volunteering and work.

The same structure used in medical schools is the same as that found in the PAs program. Half of the program is spent undertaking courses while the other half doing many rotations in clinical settings. Learning is usually most of the scientific foundations of the human anatomy, medicine, physiology, human health, and pharmacology. A lot of clinical skills is also learned during this period such as counseling and the diagnosis of patients. For one to qualify to be a physician assistant, he or she must pass the Physician Assistant National Certifying Examination that is provided by the National Commission of Physician Assistants. One is expected to complete all the assignments to be able to pass.

THE DIFFERENCES

Both Nurses and physician assistants have advanced degrees and provide care to their patients whenever they are hospitalized. One of the key differences between the two professions is seen in the different ways they approach patient care. The training they receive around the different practice models used to prepare them for clinical practice. Nurse practitioners train in accordance with the nursing model, physician assistants attend programs that are more in-line with the medical model, so, therefore, they emerge with different lookouts and philosophies about patient care.

The other difference is that nursing model taught in nursing schools emphasizes more holistically at patients and their outcomes, giving attention to a patient’s mental and emotional needs as much as their physical problem whereas the medical model places greater attention to disease and patient approach is by looking at the anatomy and physiological systems that comprise the human body. Whatever nurses do is totally different from what the physician attendants do. Their graduate program is totally different as nurses choose a specific patient population focus as a primary specialty. It might be pediatrics, women’s health, etc. Physician assistants more often specialize in an area of medicine, like internal medicine.

Nurse practitioners work in a wide variety of settings where direct physician oversight is rarely part of their routine. These settings include hospitals, private clinics, skilled nursing facilities, and even schools whereas physician assistants work in collaboration with a selected doctor, therefore, working under direct supervision. The better job is for you to choose and align them with your set goals.

HOW MUCH DO NURSING HOMES USUALLY COST OUT-OF-POCKET?

Nursing cost – Most of these facilities have nurses who are the primary caregivers. They play a vital role in the caring for our loved ones though have tight schedules. Many are equipped with latest skills required in psychiatry, pediatrics, labor, as they are now teaching that in most learning institutions ensuring nurses are prepared with the right skills after completion.

A majority of people who stay in these facilities are the elderly. Staff who reside there are care parents in most facilities as their individual responsibilities are the first vital skill they possess when they begin learning. Many of the patients suffer from serious health problems. Juggling one’s emotions and the physical pressures to care and treat patients are some but of the few responsibilities, they should possess. Nursing homes are vital to the elderly community as they provide 24 hrs 7 days a week nursing care to the elderly. These homes also provide short-term stays for other patients with illnesses or injuries, those coming out of surgery, others who require therapy be it physical or occupational.

Many people knew nursing homes back when they were poorhouses or almshouses, which first came into existence in the US after the first English settlers, settled in their country in the Seventeenth Century. At that time, they housed the poor, elderly, mentally ill and the orphans because they did not have a place to sleep nor eat.

Nurses in these facilities require to have done a national licensing exam and pass before they can begin working. So, what are the benefits of having your elderly or patient living here?

BENEFITS

1. These facilities offer safety to the patients. Ensures patients do not engage themselves in dangerous activities.

2. Care by the staff on duty as nurses are on standby twenty-four hours seven days a week.

3. Patients also have the privilege of choosing their own rooms, furniture, etc.

4. Nutritional care with regular meals provided for on a daily basis.

5. Nursing homes offer peace of mind to most families as they can rest easy knowing that their parents or relatives and are not lonely as nurses are taking care of them.

It is highly noted that living costs for the elderly are growing rapidly. The cost of care can cripple a family financially without correctly for future planning. To minimize straining, planning is vital whether you are to procure the services today, next month or even after two years to come. Having an insurance cover generally makes it easy as the provider covers the costs.

 

The average cost for a private nursing home room in the year 2016 cost around $92,376 annually. Which is damn expensive! Costs vary depending from person to person, the geographical area of the nursing facility, costs per day etc. If you cannot manage such a payment plan, then Medicare is a necessity, as it will cover at least a portion of the stay. A Medicaid is also another option if the costs of a stay exhaust their assets.

BEING NON-JUDGMENTAL IN NURSING

NON-JUDGMENTAL

As a nurse, your sole mission is providing care and offering treatment to patients who should be in a non-judgmental way regardless of who the care is for. This type of treatment helps promote a patient’s welfare thereby improving patients physical, mental, emotional healthcare.

Many patients often face discrimination in many hospitals and healthcare settings. Some of the patients feel vulnerable than others because of the harmful judgments and discrimination they face hindering the quality of care that patients need to take at various health centers. A judgmental nurse is often considered unethical and unprofessional since they are in direct violation of what they are supposed to be working on as a nurse.

Nurses are always known to offer kindness, nonjudgmental care to all patients whatever the race, physical disability of the patient as they accept all the aspects of a patient. They should offer holistic care as it recognizes other patient needs be it cultural or spiritual with which medicine alone cannot meet.

Nurses often work in various health settings. Some end up becoming military nurses or anesthetists whereas others find themselves in mental health facilities where they are expected to understand that their roles as psychiatric nurses help them comprehend and appreciate the kind of job they are taking. Often, psychiatric nurses require to have no room for judgment on the type of patients they are dealing with. Becoming non-judgmental toward these nurses is a core attitude that most of these nurses are expected to have and develop effectively as they continue with their experience.

The kind of attitude expected of the nurses needs not be a judgmental one. With the right mindset, acceptance of a client’s condition is one of the ways of becoming non-judgmental. Having a total non-judgmental attitude is, however, not possible since health professionals today have their own beliefs and putting yourself not in a judgmental manner is not possible at that moment or time.

Non-judgmental in nursing is an obligation by the person hence the attitude depicted by a person does not affect nursing care. One should note that becoming a non-judgmental person does not mean that someone is ignoring other differences but is removing some of the feelings associated to better treat the patient. Nurses who offer judgmental care have a professional responsibility which is important in increasing one’s competency.

Some of the judgmental attitudes that hurt patients include religion, culture, nationality, age, gender, a person’s HIV status, drug substance use, obesity and many more. In the provision of holistic care, having an awareness of the patient you are working with contributes immensely to achieving the right goal. Understanding a patient’s experiences and needs help to extend beyond a person’s physical healing and emotional well-being. A nurse who is more aware of the requirements of a patient hence understanding some of the treatments that may conflict with their religion for example. Nurses should strive to have the competence and cultural skills that can help provide care to a wide community range of people ensuring that you have the ability in asking the right set of questions.

Non-judgmental in nursing revolves around three core conditions which are empathy, having a positive acceptance of people and showing genuineness. The beginning of a nurse relationship needs to be based on some of the three core conditions discussed above. It is, therefore imperative to build a relationship that is good, respectful and trustworthy by many people.

Nurses who can reflect their own actions and words after checking up on their patients are required to evaluate their responses to the patients i.e. if they were supportive and can relate and understand whatever motivates his or her patients.