Nursing Medical Diagnosis

Question: Discuss about theNursingfir Medical Diagnosis. Answer: Introduction In clinical settings, distinctions remain in terms of nursing diagnosis and medical diagnosis. A medical diagnosis takes into consideration the actual disease happenings or the medical condition that underpins important aspect of the pathophysiology. Contrarily a nursing diagnosis is responsible for dealing with the human responses to potential or actual health problems as well as life processes and comprise of the clinical judgment regarding an individual, family or community. Nursing diagnosis is a crucial part of the nursing process and the data are generally procured from the nursing assessment that is conducted in due course of the nursing intervention. During my professional practice I came across a number of experiences relevant to my practicing field that accounted for definite competency as stated in the Competency Profile of the Licensed Practical Nurses put forward by the College of Licensed Practical Nurses of Alberta. In this context I would like to present a condition where I worked in conformity with the major competency area marked D that accounts for Communication and Interpersonal Skills. Further effective communication that falls under the competency D1 was followed. The CLPNA competency for Communication and Interpersonal Skills encompass a number of virtues among which effective communication is considered as a vital one (clpna.com, 2017). One significant learning experience was gathered by me through a long term care facility care provision where a patient suffering from progressive dementia was admitted. The patient was reportedly not having the capability of caring independently for himself because of cognitive decline and possesses additional symptom of urinary incontinence. Further impaired communication in conjunction with altered mental status was also evident in the patient. Mr. X was a patient of 80 years old man having a history of dementia. The issue pertaining to frequent incontinence in case of Mr. X made it urgent to engage into therapeutic communication so as to foster activities of daily living (ADL) care as well as frequent skin hygiene. In an effort to improve communication, I performed certain nursing intervention procedures that emphasized on improving communication, encouraging independence in self care, ensuring safety and preventing violence and aggression. Among the potent intervention, communic ation skills training relevant to dementia care have been identified to significantly improve the quality and well being of the people having dementia thereby enhancing the scope of positive interaction. Observing the symptoms of the patient, I found that usage of short, simple words and phrases and indulging in slow and soft speaking ability was an effective way of focusing the patients attention thereby allowing him to follow basic instructions. I made sure to call him by his name only at every meeting to increase his familiarity and consistent identification with himself. I stressed on lending one piece of information at a time and reviewed what has been discussed with the patient. I ensured that the surrounding environment in which the patient dwells in the clinical setting is well lit. Moreover I also tried to shift the topic of discussion to a more familiar and safer one whenever I found the patient to be aggressive (Eggenberger, Heimerl Bennett, 2013). The initiatives and therapeutic nursing interventions that I adopted in treating the dementia patient helped me to undertake suitable approaches that were congruent to the patients needs and accounted for offering holistic solutions to the throbbing challenges encountered during daily living. Thus, my interventional approach corroborated well with the effective communication, a competency stated in the CLPNA guideline. The client centered communication carried out through active listening responses; verbal responses have been detected as effective modes of therapeutic communication strategies. Hence, the methods adopted are found to be of importance in terms of providing respite through effective communication (Arnold Boggs, 2015). In the chosen CLPNA competency, I feel that my proficiency may be categorized into the good category. The reason behind my claiming may be attributed to my thorough understanding the competency related to the theory as well as in scenarios pertaining to nursing practice. I expressed respect, empathic behavior, warmth as well as self disclosure in a specific manner to harbor effective communication that in turn helped to yield holistic outcomes in keeping with the symptoms of the patient. All these virtues have been mentioned in empirical research findings (Riley, 2015). The effective communication skills that I followed in order to express my competency in terms of communication and interpersonal skills will help me to provide better care provision for the patients under requisite care facility by means of utilizing both verbal and non-verbal techniques for addressing barriers involving cognitive, developmental, cultural, functional, emotional, social, spiritual, mental aspects. Critical thinking ability may be integral in this respect to foster therapeutic nurse-client relationship in compliance with the professional standards, guidelines, legislations and regulations relevant to nursing practice. References Arnold, E. C., Boggs, K. U. (2015).Interpersonal relationships: Professional communication skills for nurses. Elsevier Health Sciences. Clpna.com,. (2017). Competency Profile for Licensed Practical Nurses. Retrieved 2 February 2017, from https://www.clpna.com/wp-content/uploads/2013/02/doc_Competency_Profile_for_LPNs_3rd_Ed_2015_COMPLETE.pdf Eggenberger, E., Heimerl, K., Bennett, M. I. (2013). Communication skills training in dementia care: a systematic review of effectiveness, training content, and didactic methods in different care settings.International Psychogeriatrics,25(03), 345-358. Riley, J. B. (2015).Communication in nursing. Elsevier Health Sciences.