Understanding the Foundational PES Framework
The most widely used format for problem-focused nursing diagnoses is the PES model, which includes the Problem, Etiology, and Symptoms [1]. The Problem is the diagnostic label, the Etiology identifies the probable cause, and the Symptoms are the evidence [1].
The Best Example Unpacked: 'Acute Pain'
A common and clear example using the PES format is related to 'Acute Pain' [1, 2]. A complete statement might be:
"Acute Pain related to surgical incision as evidenced by patient's verbal report of a pain scale rating of 8/10, facial grimacing, and guarding of the affected area." [1]
Why This Example is a Model
This example is effective because it uses a clear label, specifies the cause, and includes both subjective and objective data [1]. It represents a patient response that nursing interventions can address [1, 2].
Comparing Types of Nursing Diagnoses
Beyond problem-focused diagnoses, NANDA-I also defines Risk, Health Promotion, and Syndrome diagnoses [1, 2].
Table: Types of Nursing Diagnoses
Diagnosis Type | Definition | Format | Example |
---|---|---|---|
Problem-Focused | Exists at the time of assessment. | 3-part (PES) | Acute Pain r/t surgical incision aeb pain rating 8/10. |
Risk | Potential problem based on vulnerabilities. | 2-part (Problem + Risk Factors) | Risk for Infection r/t compromised skin integrity. |
Health Promotion | Motivation to increase well-being. | 1-part (Label) | Readiness for Enhanced Knowledge. |
Syndrome | Cluster of diagnoses occurring together. | 1-part (Label) | Post-Trauma Syndrome. |
Steps for Formulating Your Own Accurate Diagnosis
Formulating a diagnosis involves assessment, identifying problems, constructing the statement using the correct format (like PES), prioritizing, and validating with the patient [1].
Common Mistakes for Nursing Students to Avoid
It's important not to confuse nursing diagnoses with medical diagnoses [1]. Using standardized NANDA labels correctly and ensuring the problem and etiology are distinct are also crucial [1].
Conclusion
The best example of a nursing diagnosis, like the 'Acute Pain' scenario, follows the PES structure for problem-focused diagnoses, including a NANDA-I label, etiology, and evidence [1, 2]. Mastering this format is key for effective patient care [1]. More information on standardized nursing terminology can be found via {Link: NANDA International website https://nanda.org/publications-resources/publications/nanda-international-nursing-diagnoses/} [1].