The professional caregiver is able to autonomously and independently define and revise nursing diagnoses. | The professional caregiver is able to: - involve the patient/client and relevant others in developing nursing diagnoses (e.g. through questioning),
- apply a care diagnosis system,
- cluster and organise gathered data to formulate nursing diagnoses,
- identify high-risk and low-risk care problems regarding care diagnoses,
- initiate data collection and determine which data should be collected
- regarding carrying out the care diagnosis,
- recognise the patient's self-care deficits (e.g. deficits in the patient’s physical condition, knowledge, skills and motivation),
- recognise deviations from the patient’s normal physical condition and involve it in the care diagnosis (e.g. dyspnoea, oedema, tachypnoea, tachycardia, oliguria),
- recognise deviations from the patient’s/client’s mental and psychological condition and involve it in the care diagnosis (e.g. confusion, anxiety),
- recognise deviations from the patient’s/client’s social life and involve it in the care diagnosis (e.g. social isolation),
- recognise complications after treatments that lead to additions and changes in the nursing diagnosis (e.g. pharmacological treatment),
- define actual and potential nursing diagnoses related to physical status (e.g. weight of the patient/client),
- define actual and potential nursing diagnoses related to mental and social status (e.g. poor income, living alone),
- consider risk factors in the patient’s/client’s behaviour regarding care and therapy and the influence of the nursing diagnosis (e.g. noncompliance with pharmacological treatment, insufficient knowledge of disease),
- consider changes in the patient/client that are caused by their disease and how this impacts the nursing diagnosis,
- collaborate with other professions regarding the patient’s/client’s needs based on the nursing diagnosis (e.g. for extension of medical treatment),
- define short-term and long-term objectives based on the nursing diagnosis,
- revise nursing diagnoses regularly,
- perform the documentation of nursing diagnoses (see also CA.A.2).
| The professional caregiver is able to: - explain legal regulations and consequences regarding nursing diagnoses (see also CA.B.3),
- explain their own behaviour with regard to involving patients/clients in the development of the nursing diagnosis,
- describe concepts of nursing diagnoses (e.g. Nursing Interventions Classification, Nursing-Sensitive Outcomes Classification, ePA©),
- name sectors of care diagnoses (e.g. excretion, liquids, social interaction),
- list relevant data to be gathered for nursing diagnoses,
- list self-care deficits in different bio-psycho-social health conditions and diseases (e.g. children, older people, chronic diseases),
- describe symptomatology of chronic diseases (e.g. COPD, dementia, diabetes),
- describe symptomatology of acute diseases (e.g. heart infarction, stroke, loss of blood after accidents, shock),
- list side-effects and complications of pharmacotherapy (e.g. NSAIDs, anticoagulants, blood pressure-lowering agents) (see also CA.3.2),
- name classification and forms of nursing diagnoses,
- describe pathogenesis of frequently chronic diseases (e.g. COPD, dementia, diabetes),
- name complications that influence nursing diagnoses (e.g. acute changes in the patient’s/client’s condition),
- list complications of different forms of treatment (e.g. operative vs. conservative treatment for spine disorders),
- explain the aetiology and risk factors related to nursing diagnoses,
- name psychological and social factors influencing the client’s/patient’s ability to self-care (e.g. factors that influence health, adaptation to stress, defence mechanisms, ways of coping with stress, effect of culture on health, social
- level, family background, social problems in relation to health, attitudes and behaviour),
- list classifications of nursing diagnoses and types of complex nursing diagnoses (e.g. NANDA, ICNP),
- describe theories of loss, bereavement and death (e.g. five stages according to Kübler-Ross),
- list and describe basic emotions (e.g. fear/panic, anger/rage, joy/ecstasy).
|
