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I don t know an example for your patient, because I don t have nearly enough information about your patient to tell you that. But, I can give you an example of a full nursing diagnosis statement: Activity intolerance related to imbalance between oxygen supply and demand secondary to COPD as manifested by tachypnea, shortness of breath and O2 Sat of 85 after ambulating to restroom. The three parts are problem, etiology, and signs/symptoms, often abbreviated as PES. In the above example, the problem is activity intolerance. The etiology is imbalance between oxygen supply and demand. The signs/symptoms are tachypnea, SOB, and O2 Sat of 85 after ambulating to restroom. The part that says, "Secondary to COPD" is a piece that may sometimes be included when the related-to factor is a direct result of the medical diagnosis. YOU CANNOT use a medical diagnosis as the etiology. Instead, the etiology is *secondary* to the medical diagnosis. This portion is not necessary, and many nursing diagnoses will have nothing to do with a medical diagnosis, so they won t include the "secondary to" portion. You can find a list of nursing diagnoses (the "problem" portion) here: http://en.wikipedia.org/wiki/User:Nanoxyde/List_of_nursing_diagnoses NOTE: With a risk-for diagnosis, you only use the problem and etiology portion. You don t use signs/symptoms, because you are not saying there s an actual problem yet, just a risk that the client will have an actual problem. So, for example: Risk for falls r/t unsteady gait and antihypertensive medication regimen.
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Anyone who works in a hospital should be vaccinated and they are. Yes, they can get sick from anyone in the hospital then transfer that illness to others. We don t want that happening.
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