中国医生:您是否需要护理诊断?
各位大夫,我相信,你们绝大多数没见过下列的护理诊断清单;我知道,你们会问,护士还 要什么“诊断”?甚至,可能还会有人从鼻子里轻蔑地“哼”一声。但是,我想说,这215 个护理诊断,都是美国护士每天面对患者做出的临床判断,也是他们能够独立解决的健康问 题,以及能够独立满足的患者需要。他们会根据这些护理诊断,付诸12000多项护理行动并 给医院带来真金白银的收入。中国护士还不会做。
为了中国医生美好未来,我需要您告诉我:
1.看过清单,您的感想是什么?
2.从医疗角度,中国医生帮助患者解决大概%多少的“护理诊断”?
3.您认为,中国护士是否应当解决这些健康问题?
4.您认为,中国护士做这些,能否降低并发症风险?
5.您认为,中国护士做这些,能够改善医患关系?
6.您认为,中国护士做这些,是否有助于解放医生的时间和精力? 您需要花一些时间。谢谢!
领域1:健康促进Health Promotion
类别1:健康察觉Health Awareness
娱乐活动缺失(00097) Deficient Diversional Activity
静态生活方式(00168bigot) Sedentary Lifestyle
类别2:健康管理Health Managementantispyware
社区健康缺失(00215)Deficient Community Health
危险倾向的健康行为(00188)Risk-Prone Health Behavior
无效性健康维护(00099)Ineffective Health Maintenance
准备妥增进免疫状态(00186)Readiness for Enhanced Immunization Status
无效性保护能力(00043)Ineffective Protection
无效性自我健康管理(00078)Ineffective Self-Health Management
准备妥增进自我健康管理(00162)Readiness for Enhanced Self-Health Management
家庭治疗计划处置失当(00080) Ineffective Family Therapeutic Regimen Management
领域2:营养 Nutrition
subprocess类别1 :摄食Ingestion
母乳不足(00216)Insufficient Breast Milk
无效性婴儿哺喂模式(00107)Ineffective Infant Feeding Pattern
营养失衡:少于身体需要(00002)Imbalanced Nutrition: Less Than Body Requirements
营养失衡:多于身体需要(00001)Imbalanced Nutrition: More Than Body Requirements
准备妥增进营养(00163)Readiness for Enhanced Nutrition
风险性营养失衡:多于身体需要(00003)Risk for Imbalanced Nutrition:More Than Body Requirements
吞咽障碍(00103)Impaired Swallowing
类别2:消化Digestion
目前没有
类别3:吸收Absorption
目前没有
类别4:代谢 Metabolism
风险性不稳定血糖浓度(00179)Risk for Unstable Blood Gluco Level
新生儿黄疸 (00194)Neonatal Jaundice
风险性新生儿黄疸(00230) Risk for Neonatal Jaundice
风险性肝脏功能障碍(00178) Risk for Impaired Liver Function
类别5:水化 Hydration
风险性电解质失衡(00195) 新东方网络课程Risk for Electrolyte Imbalance
准备妥增进体液平衡(00160) Readiness for Enhanced Fluid Balance
体液容积缺失 (00027) Deficient Fluid Volume
体液容积过量 (00026) Excess Fluid Volume
风险性体液容积缺失(00028) Risk for Deficient Fluid Volume
风险性体液容积失衡(00025) Risk for imbalance Fluid Volume
领域 3tourist: 排泄与交换 Elimination and Exchange
类别1:泌尿功能Urinary Function
功能性尿失禁(00020) Functional Urinary Incontinence
满溢性尿失禁(00176)Overflow Urinary Incontinence
反射性尿失禁(00018)Reflex Urinary Incontinence
压力性尿失禁(00017)Stress Urinary Incontinence
急迫性尿失禁(00019)Urge Urinary Incontinence
风险性急迫性尿失禁(price tag什么意思00022)Risk for Urge Urinary Incontinence
排尿型态障碍(00016lunar new year是什么意思)Impaired Urinary Elimination
准备妥增进排尿型态(00166)Readiness for Enhanced Urinary Elimination
尿潴留(00023)Urinary Retention
类别2:胃肠功能 Gastrointestinal Function
便祕(00011) Constipation
感受性便祕(00012)Perceived Constipation
风险性便祕(00015)Risk for Constipation
腹泻(00013)Diarrhea
胃肠能动性失常(00196)Dysfunctional Gastrointestinal Motility
风险性胃肠能动性失常(00197)Risk for Dysfunctional Gastrointestinal Motility
排便失禁(00014)Bowel Incontinence
类别3:皮肤功能 Integumentary Function
目前没有
类别 4:呼吸功能 Respiratory Function
气体交换障碍(00030)Impaired Gas Exchange
领域4:活动/休息Activity/Rest
类别1:睡眠/休息Sleep/Rest
失眠(00095) Insomnia
睡眠剥削(00096) Sleep Deprivation
准备妥增进睡眠型态(00165) Readiness for Enhanced Sleep
睡眠型态紊乱(00198) Disturbed Sleep Pattern
类别 2:活动 /运动 Activity /Exerci
风险性废用症候群(00040) Risk for Disu Syndrome
床上移动功能障碍(00091) Impaired Bed Mobility
身体活动功能障碍(00085) Impaired Physical Mobility
轮椅移动功能障碍(00089) Impaired Wheelchair Mobility
移位能力障碍(00090) Impaired Transfer Ability
步行障碍(00088) Impaired Walking
类另1J 3:能量平衡Energy Balance
能量场紊乱(00050) Disturbed Energy Field
疲惫(00093) Fatigue
漫游(00154) Wandering
类另ij 4:心血管/肺部反应 Cardiovascular/Pulmonary Respons
活动无耐力(00092) Activity Intolerance
风险性活动无耐力(00094) Risk for Activity Intolerance
低效性呼吸型态(00032) Ineffective Breathing Pattern
心输出量减低(00029) Decread Cardiac Output
风险性胃肠灌流失效(00202up in the air) Risk for Ineffective Gastrointestinal Perfusion 风险性肾脏灌流失效(00203) Risk for Ineffective Renal Perfusion
自主性换气障碍(00033) Impaired Spontaneous Ventilation
周边组织灌流失效(00204) Ineffective Peripheral Tissue Perfusion
风险性心脏组织灌流减少(00200) Risk for Decread Cardiac Tissue Perfusion 风险性脑组织灌流失效(00201) Risk for Ineffective Cerebral Tissue Perfusion 风险性周边组织灌流失效(00228) Risk for Ineffective Peripheral Tissue Perfusion 呼吸机戒断反应功能失常(00034) Dysfunctional Ventilatory Weaning Respon 类别5:自我照顾Self-care
持家能力障碍(00098) Impaired Home Maintenance
准备妥增进自理(00182) Readiness for Enhanced Self-Care
沐浴自理能力缺失(00108) Bathing Self-Care Deficit
穿着自理能力缺失(yancy00109) Dressing Self-Care Deficit
进食自理能力缺失(kef00102) Feeding Self-Care Deficit