Translating nursing diagnosis into ICD code.
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Biomedical subjects
Publications and source records attributed to B C Rottkamp.
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Urination dysfunction is a problem commonly associated with stroke. However, the types of urination abnormalities have yet to be adequately classified. An exploratory, descriptive study was conducted to determine the definition and classification of urination dysfunctions amenable to nursing diagnosis and therapy. A model was constructed for this study that enumerated psychological, social and biological factors and their relationships to urination dysfunction. An abstracting form was developed for obtaining relevant data from discharged patients' records. The sample consisted of thirteen stroke patients discharged from a rehabilitation service. Tabular presentations and comparisons suggested patient characteristics that are pertinent to the diagnosis and treatment of urination dysfunction. This study was an initial step in formulating a theory about urination dysfunction.
This study addresses the issue of individualized instruction, viewing preferences for instructional approaches as an instance of aptitude-treatment interaction. In such interaction, diabetic patients' needs were held to affect their preference for either a structured or unstructured approach to instruction for self-management. Forty-six adult diabetic patients completed the Personality Research Form E and ranked four types of instructional approaches as portrayed in descriptive statements. Need levels of patients preferring structured and unstructured instruction were compared by means of t tests. Results indicated that one of the four composite-need scales, the need for control, significantly (P = 0.003) differentiated structured and unstructured groups. Congruence between certain needs and preferred instructional approaches was thus demonstrated.
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A valid taxonomy legitimizes the elements that make up the taxonomy and increases trust in its generalizability and predictability. There is a concern that the NANDA Taxonomy is not a valid taxonomic structure. Despite on-going work to validate individual nursing diagnoses, there is little research that focuses on validation of groups of diagnoses (taxons) within the NANDA taxonomy. This last article in a series of four will familiarize the readers with why, what, and how a taxonomy of nursing diagnoses can be validated. This article highlights assessment of the validity and reliability of a taxonomy, compares the process of taxonomic validation to the research process, and explores examples of validation design.
Ten spinal cord-injured patients at a rehabilitation center were randomly assigned to two groups: one group received behavior modification training in body positioning, the other group received customary body positioning nursing care. Body positioning behaviors were modified through demonstration of body positions and shaping of body position moves with attention from the nurse as the positive reinforcer. Following treatment, the behavior modification group showed significant change in increased frequencies of daily changes of position and patient-initiated changes of position; in decreases assistance needed for change of position, and in decreased frequencies of intervals of prolonged skin pressure. There was no significant change in frequency of face lying or participation in ward activities of daily living. Replications of the study are needed for confirmation of findings.