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diagnosis

The naming of a disease or problem after the facts about a person have been gathered and studied.

dy-ug-NOH-sis noun

Word parts

What it means

A conclusion about what is wrong. A medical diagnosis, made by a provider, names a disease, such as pneumonia. A nursing diagnosis names the client's response to a health problem that nurses can treat, such as impaired gas exchange or risk for falls. Writing nursing diagnoses is the second step of the nursing processNUR-sing PRAH-sesThe step-by-step method nurses use to plan and give care: assess, diagnose, plan, implement and evaluate.Full entry , after assessment.

For the nurse

Nurses do not make medical diagnoses, but they collect the data that lead to them and report findings that suggest a change. A nursing diagnosis guides the plan of carePLAN uv KAIRA written plan that lists a client's problems, goals and the nursing actions to reach them.Full entry .

At a glance

Spanishdiagnóstico
Also writtenDx, diagnoses

Related terms

assess

To gather information about a client by looking, listening, asking, measuring and examining.

nursing process

The step-by-step method nurses use to plan and give care: assess, diagnose, plan, implement and evaluate.

plan of care

A written plan that lists a client's problems, goals and the nursing actions to reach them.

clinical judgment

The way a nurse notices, makes sense of and acts on information about a client to decide on the best care.

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