Psychological Diagnosis

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The first cone on nursing diagnosis was held in 1973 to identify nursing knowledge and establish a classification system to be used for computerization. At this conference, the National Group for Classification of Nursing Diagnosis was founded; this group was later renamed the North American Nursing Diagnosis Association (NANDA). In 1984, NANDA established a Diagnosis Review Committee (DRC) to develop a process for reviewing and approving proposed changes to the list of nursing diagnoses. The American Nurses Association (ANA) officially sanctioned NANDA as the organization to govern the development of a classification system for nursing diagnosis in 1987. However, the ANA also recognizes the Omaha system and the Home Health Classification system as two additional nursing diagnosis systems currently in use.(Gloria, 2012) The purpose of the NANDA diagnosis list is three fold. First, it provides nurses with a common frame of reference and standardizes language that improves communication among nurses, helps organize research, and is useful in educating new practitioners. Second, nursing diagnoses provide a classification system to describe the scientific foundation of nursing practices major criterion necessary for nursing to be recognized as a separate profession, differentiated from medicine and other health care professions. Third, the NANDA diagnosis system has the potential for computer use and may, in the future, provide nomenclature for the reimbursement of nursing activities, not unlike DRGs and ICDs do for medicine.(Lynda, ,2009) NANDA defines psychosocial as diagnoses that promote optimal mental and emotional health and social functioning. Psychosocial nursing diagnoses are often used with patients who have diseases like depression, bipolar diseases, anorexia, bulimia, substance abuse, alcohol abuse, have attempted or are thinking of suicide, have death or dying issues, coping and self-esteem issues or behavioral issues. Self-esteem has to do with one's own worth, capability, significance and success in life. Psychosocial also has to do with the positive and negative connections between people or groups of people and the way in which those connections are exhibited (Gloria,2012), Coping and stress tolerance are included and have to do with how patients deal with life events and life processes. Therefore this paper will focus on explaining three NANDA approved nursing diagnosis that revolve around patients with psychosocial issues and what signs these clients would portray, explaining these signs subjectively and objectively. Bipolar disorder is also known as manic-depressive disorder, it is defined as a psychological state in which a person experiences a mood disorder causing radical alterations in their moods which can vary from manic highs to depressive lows, elevated depressions and manic are some of the common experiences encountered people suffering from this disorder.it is vital to know that there are two prominent categories namely, Bipolar 1 and Bipolar 2,category 1 is characterized by high depressive manic cycles, it has been observed that a person suffering from this dis order sleeps only for a couple of hours which in turn fosters depression and thus aggravating instincts of anger and irritability. On the flip side Bipolar 2 patients are exemplified hypomania and variations of depressive cycles, another aspect as we discuss the dynamics of bipolar disorder is cyclothymia, it is usually a prior indication that the patient might develop bipolar dis order in subsequent years of his life. Bipolar disorder does not affect mood only, the body, mind and feelings are affected as well, The disease therefore produces intense psychological pressure, affecting one’s ability to cope with daily life.(Gloria, 2012) The causes of Bipolar disorder cannot be clearly defined, it is therefore no accurate to suggest or state that the hereditary predisposition has a pivotal role to play in occurrence of this disorder, most of...
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