Critical Thinking to Achieve Positive Health Outcomes

Margaret Lunney, RN, PhD, Professor and Graduate Programs Coordinator, College of Staten Island, Staten Island, NY, Doctoral Faculty, Graduate Center, City University of New York, New York, NY, USA.

• Contributors ixPreface xixAcknowledgments xxiiiHow to Use this Book xxvPart I: Strategies for Critical Thinking to Achieve Positive Health Outcomes 31 Use of Critical Thinking to Achieve Positive Health Outcomes 52 Diagnostic Reasoning and Accuracy of Diagnosing Human Responses 233 Guiding Principles for Use of Nursing Diagnoses and NANDA-I, NOC, and NIC 394 Application of the Guiding Principles and Directions for Use of NANDA-I, NOC, and NIC 55Part II: Case Study Application of Strategies 735 Case Studies with a Primary Focus on Problem Diagnoses and Associated Outcomes and Interventions 775.1 Woman Admitted for Diagnostic Testing of a Lung Nodule 785.2 Adaptation to the Pain of a Fractured Hip 835.3 Acute Presentation of an Elderly Woman with Cancer 875.4 Substance Abuse Crisis Associated with Stress Overload 915.5 Communication of Perceptions and Mechanical Ventilation 965.6 Preparing for Orthopedic Surgery with Other Health Problems 1005.7 Helping a School Child with Asthma 1055.8 Birth of a 25-week Neonate 1105.9 Emergency Care for a Seriously Burned Man 1155.10 Dilemma of Addressing Overlapping Diagnoses in Acute Care 1195.11 The Hypermetabolic State 1245.12 Low Accuracy Nursing and Medical Diagnoses Can Lead to Harm 1295.13 Cardiac Disease and Self Management 1335.14 Woman with a Neurological Problem 1375.15 Orthopedic Care of a Woman with Total Hip Replacement 1435.16 Using Orem’s Theory for Care of a Woman with Terminal Cancer 1475.17 Cardiac Disease and Anticoagulation Therapy 1515.18 Diabetes Self Management when Other Family Members Need Care 1575.19 Impetus of Diabetic Crisis to Improve Self Management 1615.20 Self Management of Diabetes and Stress 1655.21 Telephone Nurse Advice and an AIDS-Related Crisis 1715.22 Woman who Experienced a Significant Childhood Loss 1765.23 Young Woman Whose Mother is Dying 1815.24 Rehabilitation of a Male with a Young Family after a Stroke 1865.25 Elderly Woman Who Thinks She Should Not be Discharged 1915.26 Elderly Man Who is Angry 1945.27 Homeless Woman’s Reaction to Loss 1975.28 Family Stress and Alzheimer’s Disease 2005.29 Family Struggling with Ostomy Care at Home 2065.30 Nonparticipation in Rehabilitation with a Colostomy 2115.31 Man with Urinary Incontinence After Prostate Surgery 2165.32 Palliative Care and the Outcome of Comfort 2205.33 Hospice and Palliative Care 2255.34 Two-Year-Old Bess’s Response to Parents’ Divorce 2295.35 Challenges in Helping a Person to Accept Long-Term Care 2345.36 Woman with a History of Being Battered 2385.37 Woman in Labor with Complications 2435.38 Integration of Neuman’s Systems Model in Postpartum Nursing 2475.39 Business Woman with Stress in Her Personal Life 2526 Case Studies with a Primary Focus on Risk Diagnoses and Associated Outcomes and Interventions 2576.1 Role of Nurses in the Protection of Children 2586.2 Responses to Mechanical Ventilation 2636.3 Family Caregiving at End of Life 2686.4 Man with Renal Calculi and Stent Placement 2736.5 Helping a Man with Low Literacy 2776.6 Self Management of Chronic Illness and Financial Status 2836.7 Case Management for Homeless Man with Severe Pancreatitis 2866.8 Psychiatric Care of an Adult Male with Poor Impulse Control 2916.9 Response to a Diagnosis of Chronic Illness When Confounded by Other Life Events 2967 Case Studies with a Primary Focus on Health Promotion Diagnoses and Associated Outcomes and Interventions 3017.1 Support of a Mexican-American Woman in Postpartum Care 3027.2 Parenting of a Child with Spina Bifida 3077.3 Woman Who Experienced Early Childhood Trauma 3117.4 Living with Multiple Health Problems 3177.5 Response to Limitations Associated with Cardiac Disease 3217.6 Living with Chronic Obstructive Pulmonary Disease 3258 Case Studies with a Primary Focus on Strength Diagnoses and Associated Outcomes and Interventions 3298.1 Mother Breastfeeding Her Newborn 3308.2 Nursing Communication for Continuity of Care 334AppendicesA Webliography 337B Assessment Tool: Functional Health Patterns 339C The Lunney Scoring Method for Rating Accuracy of Nurses’ Diagnoses of Human Responses 347D Nursing Diagnosis Accuracy Scale (NDAS) 355Index 359