*These are factors that contribute to problem and outcomes.
+ Refer to appropriate sections of the database and relevant research of the findings in current literature. Data in the third column could be local, state, or national statistics.
Refer to text (pg. 420-423) for additional examples.
3. Community Health Nursing Diagnoses:
Based on your subjective and objective assessment findings above for both Weeks 1 and 2, write TWO priority community health nursing diagnoses.
You must use this format as outlined in your text page 413 (do NOT use NANDA):
Health Risk/problem of (specific injury, illness, or potential of, complication of, etc) among (specific population) related to (supporting evidence from your assessment findings).
Your CHN Dx MUST be something that a community/public health nurse can do something about. See example below.
Note: Poverty is NOT a CHN dx!
Remember do NOT use NANDA Nursing Dx
For example: Risk of asthma complications among children in SE Dallas County related to observations of overcrowded living conditions, lack of public transportation (may result in inability to access health care), high number of animals observed living in homes, poverty indications (may result in lack of access to medications).
Community Health Nursing Diagnoses #1
We invited three wards - a medical ward, a surgical vascular ward and an elderly care ward - to take part in a pilot. Each had motivated ward managers with a good track record for change projects. Qualified nurses on the wards were asked to complete the risk assessment for each patient on admission and then weekly thereafter. Each individual patient score was amalgamated onto a weekly ward ‘master copy’ and scores were totalled for both individual patient and each risk. These documents were accessible to all members of the multidisciplinary team, with reassessment if there was any change in patients’ individual conditions.
NICE Evidence Search | standard nursing risk assessments
Developing the tool
As a result of these findings, we decided to investigate whether introducing a hospital-based risk-assessment tool would improve safety. A small working party was set up to investigate how improvements to patient assessment could be made. Until this point, nursing assessment had been influenced by using a reactive, problem-solving framework rather than taking a proactive approach.
Judy Waterlow MBE, now in her seventies, designed and researched her pressure ulcer risk assessment tool in 1985, while working as a Clinical Nurse Teacher. The tool was originally designed for use by her students.
Judy officially retired on medical grounds in 1988, due to the increasing severity of her rheumatoid arthritis, she has continued her efforts to improve nurse education and patient care with her work for the Tissue Viability Society, serving on the Committee and organising the TVS Regional Study Days for 13 years, Challenging Arthritis, the NHS Expert Patient Programme and latterly as a Musgrove Hospital Partner. The Partners are a group of unpaid volunteers who work with hospital staff in various ways within the hospital, where their personal expertise and experience can be of value.
This dedication to her profession both in hospital and in the community was recognised by the award of the MBE in the Queen’s Birthday Honours list published on June 14th 2008.• The definition, defining characteristics, risk factors, related factors, suggested NOC outcomes, client outcomes, suggested NIC interventions, interventions with rationales, geriatric interventions (when appropriate), home care interventions, culturally competent nursing interventions where appropriate, client/family teaching and World Wide Web sites (when available) for client education for each alphabetized nursing diagnosis. Also includes a pain assessment guide and equianalgesic chart.