Critical Thinking Flow Sheet for Nursing Students Medical Diagnosis (Disease): ___________________________________________________________
Pathophysiology
Pathophysiology has to do with how disease has altered the normal physiological processes of the body. To understand this you must first know what the normal anatomy and physiology of a body part or body system is. Next, determine how disease has altered that. The normal anatomy and physiology of this organ/body system affected by this disease is: The way the anatomy and/or physiology has been changed in this disease is:
s a result of these changes, the person experiences specific signs and symptoms that ser!e as clues that healthcare personnel look for in detecting that something might be wrong with a body organ or body symptom.
Signs and Sy
pto
s (Defining Characteristics)
The same symptoms that fit the definition of a medical diagnosis will be the same symptoms you will use to define nursing diagnoses. The difference is that you will separate each of the symptoms in order to re"combine them in other ways to fit the definition of !arious nursing diagnoses. N N# calls symptoms defining characteristics. $ymptoms can also be any abnormal data you collect during your assessment process. patient with this medical diagnosis %or disease& will ha!e the following signs and symptoms: Nursing #iagnoses that ha!e this symptom %defining characteristic& are:
'hen a patient seeks help, it is primarily their signs and symptoms that healthcare personnel are treating. (ach type of healthcare practitioner has a different focus in the care they gi!e. (ach type of healthcare practitioner is restricted by their license by what they can treat and how they go about it.
Medical Treat
ent (Treat
ent !y "icensed Doctors)
Treatment is aimed at the symptoms. $e!eral types of modalities or methods might be ordered or employed. )any different healthcare professionals may be called into ser!ice to pro!ide these treatments. $ome of the commonly ordered therapies include medications, surgery, physical therapy, respiratory therapy, dietary counseling, speech therapy, radiation, laboratory testing and many, many others. Physicians will often address any restrictions on #*s % cti!ities of #aily *i!ing& that patients must obser!e as part of their treatment orders. Tests ordered to help diagnose, treat or monitor the progression of this disease: $ymptom being tested for Normal findings bnormal findings
)edications/+, -luids that may be ordered to treat this disease:
$ymptom being treated
Normal dosage
Precautions/side effects
Therapies that may be ordered to treat this disease:
$ymptoms being treated
The specifics of the treatment
Problems that might occur with the treatment
.estrictions on #*s that may be ordered %eating, toileting, mo!ement and positioning, sleep&:
.easoning for the restriction:
/ther healthcare professionals that may be called upon for their expertise to collaborate in the care of these patients:
$ymptoms or problems they will treat: