Nama : FAZA HISBA AFIFA

NIM : 131511133014
Mata Kuliah : EIN 2
Judul Tugas : RESUME NURSING DIAGNOSIS I
Pertemuan Ke :3
Tanggal mengumpulkan : 21 SEPTEMBER 2016

Dengan ini saya menyatakan bahwa tugas berikut adalah hasil karya saya sendiri. Apabila
dengan sengaja terdapat kesamaan (plagiarisme) dalam pengerjaannya. Saya bersedia
untuk mengulang pengerjaan portofolio sebagaimana ditetapkan bersama dengan PJMK
BAE 112.

Surabaya, 21 September 2016

(Faza Hisba Afifa)

NIM:131511133014

Tugas terlampir telah direview dan ditelaah

Nama Dosen Pengampu :

NIP/NIK :

Hasil Review :

Nilai Tugas (0100) :

Tanda Tangan Dosen

 Nursing Diagnosis
- The international classification of desease taxonomy (ICD-10) = physician
- Diagnostic and statistical manual of mental disorder (DSM-V) = psychologist

Carpenito = she is nurses, and created a diagnosis book

She said Diagnosis is the careful, critical study of something to determining its nature

North American Nursing Diagnosis Association (NANDA), 1990:

Nursing diagnosis is a clinical judgment about individual, family, or community responses
to actual or potential health problems/life process. Nursing diagnosis provides the basis for
selection of nursing interventions to achieve outcomes for which the nurse is accountable

Component of diagnosis are :

1. NANDA = definition and classification
2. NIC = nursing interventions classification
3. NOC = nursing outcomes classification
Types of diagnosis nursing :
1. Health promotion diagnosis -> concerning motivation and desire to increase well-
being and to actualize human health potential.
2. Syndrome Diagnosis -> concerning a specific cluster of nursing diagnoses that occur
together, and are best addressed together and through similar interventions
Label of diagnosis nursing
For labeling the diagnosis we must :
- Descriptor or modifier
and
- Focus of the diagnosis, or the key concept of the diagnosis

Modifier Diagnostic Focus

Ineffective = Airway Clearance
Risk for = Overweight
Readiness for = Upgrading the Knowledge
Impaired = Memory
Ineffective = Coping

- There are some exception in labeling of diagnosis nursing is only one word (ex:
constipation (00011))
Note for indicators of diagnosis nursing :
Problem-focused nursing diagnoses contain defining characteristics and related
factors.
Health promotion diagnoses generally have only defining characteristics
Risk diagnoses must have risk factors
Nursing diagnosis format
_____ [nursing diagnosis] related to ______ [cause/related factors] as evidenced by
____________ [symptoms/defining characteristics].

To make diagnosis of nursingmust need :

1. Must understanding the critical concepts, is important to nursing practice: breathing,
elimination, thermoregulation, physical comfort, self-care, and skin integrity
2. Make significant and sufficient assessment: patient history, physical examination,
diet, activity, perception, etc.
3. If necessary check the diagnostic data: laboratory data, X-ray, etc
4. Must have knowledge and experiences