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What is a nursing diagnosis? Definition of Nursing Diagnosis A nursing diagnosis is the part of the nursing process, is clinical judgment about individual, family, or community responses to actual or potential health/life processes.  Nursing diagnosis are developed based on data obtained during nursing assessment. Nursing diagnosis provide the basis for selection of nursing interventions to achieve outcomes for which the nurse is accountable

 Nursing Diagnosis Have two related meanings:

  • Nursing diagnosis is an action: the process of analyzing assessment data to arrive at a nursing diagnosis!
  • Nursing diagnosis is a label that describes the patient’s response to an actual or potential health problem

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NCP Nursing care plans for Breast Cancer. Common nursing diagnosis found in nursing care plan for patient with Breast Cancer: Acute pain, Body image disturbance related to significance of loss of part or all of the breast, Anxiety, Fear, Imbalanced nutrition: Less than body requirements, Impaired physical mobility, Impaired skin integrity, Ineffective coping, Ineffective role performance, Risk for infection,        Risk for spiritual distress, Bathing or hygiene self-care deficit, Energy field disturbance

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Patient teaching and home healthcare guidance for patient with Cerebral Contusion be sure the patient understands all medications, including the dosage, route, action, adverse effects, and the need for routine laboratory monitoring for convulsants. Teach the patient and caregiver the signs and symptoms that necessitate a return to the hospital. Teach the patient to recognize the symptoms and signs of post injury syndrome, which may last for several weeks. Explain that mild cognitive changes do not always resolve immediately. Provide the patient and significant others with information about the trauma clinic and the phone number of a clinical nurse specialist in case referrals are needed. Stress the importance of follow-up visits to the physician’s office. Patient with cerebral contusion may present with a variety of physical and cognitive disabilities, depending on the severity of the injury. Individuals may need treatment by physical, occupational, or speech therapists; neuropsychologists; vocational counselors; and/or social workers. Care for those experiencing moderate to severe Cerebral Contusion progresses along a continuum of care, beginning with acute hospital care and inpatient rehabilitation to sub acute and outpatient rehabilitation, as well as home- and community-based services.

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NCP Nursing care plans for Cerebral Contusion. Common nursing diagnosis found in nursing care plan for patient with Cerebral Contusion:  Acute pain, Anxiety, ineffective cerebral tissue Perfusion, Disturbed sensory perception: Kinesthetic, tactile, disturbed thought processes, impaired verbal communication, Ineffective coping, Risk for deficient fluid volume, Risk for infection, Risk for injury, Risk for post trauma syndrome

Nursing Intervention and Rationale Nursing Care Plan for Cerebral Contusion

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Nursing Diagnosis For Cerebral Contusion determine from the data that nurses collect from nursing assessment and from diagnostic test. If patient unconscious nursing assessment obtained from family, friends, and emergency personnel, if necessary

Nursing Assessment Nursing care plans for Cerebral Contusion

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