Build a diagnosis and intervention code set following the six steps of the nursing process recommended by the ANA (1991): assessment, diagnosis, outcome identification, planning, implementation and evaluation.
Each step will appear on each screen. Choose a selection from the table to advance to the next step in the nursing process. As you advance, your diagnosis and intervention codes will be built and appear in the box below, replacing the question marks that serve as placeholders.
Developed by Seth Wolpin and Richard Bull from accumethods.com.
Step 1. Assessment: Select a Component
Letter
Concept
Definition
Activity Cluster of elements that involve the use of energy in carrying out musculoskeletal and bodily actions.
Activity
Cluster of elements that involve the use of energy in carrying out musculoskeletal and bodily actions. (2)
Bowel/Gastric Cluster of elements that involve the gastrointestinal system.
Bowel/Gastric
Cluster of elements that involve the gastrointestinal system. (2)
Cardiac Cluster of elements that involve the heart and blood vessels.
Cardiac
Cluster of elements that involve the heart and blood vessels. (2)
Cognitive/Neuro Cluster of elements that involve the cognitive, mental, cerebral, and neurological processes.
Cognitive/Neuro
Cluster of elements that involve the cognitive, mental, cerebral, and neurological processes. (3)
Coping Cluster of elements that involve the ability to deal with responsibilities, problems, or difficulties.
Coping
Cluster of elements that involve the ability to deal with responsibilities, problems, or difficulties. (7)
Fluid Volume Cluster of elements that involve liquid consumption.
Fluid Volume
Cluster of elements that involve liquid consumption. (2)
Health Behavioral Cluster of elements that involve actions to sustain, maintain, or regain health.
Health Behavioral
Cluster of elements that involve actions to sustain, maintain, or regain health. (4)
Medication Cluster of elements that involve medicinal substances.
Medication
Cluster of elements that involve medicinal substances. (1)
Metabolic Cluster of elements that involve the endocrine and immunological processes.
Metabolic
Cluster of elements that involve the endocrine and immunological processes. (2)
Nutritional Cluster of elements that involve the intake of food and nutrients.
Nutritional
Cluster of elements that involve the intake of food and nutrients. (3)
Physical Regulation Cluster of elements that involve bodily processes.
Physical Regulation
Cluster of elements that involve bodily processes. (1)
Respiratory Cluster of elements that involve breathing and the pulmonary system
Respiratory
Cluster of elements that involve breathing and the pulmonary system (2)
Role Relationship Cluster of elements involving interpersonal, work, social, family, and sexual interactions.
Role Relationship
Cluster of elements involving interpersonal, work, social, family, and sexual interactions. (5)
Safety Cluster of elements that involve prevention of injury, danger, loss, or abuse.
Safety
Cluster of elements that involve prevention of injury, danger, loss, or abuse. (4)
Self-Care Cluster of elements that involve the ability to carry out activities to maintain oneself.
Self-Care
Cluster of elements that involve the ability to carry out activities to maintain oneself. (5)
Self-Concept Cluster of elements that involve an individual's mental image of oneself.
Self-Concept
Cluster of elements that involve an individual's mental image of oneself. (4)
Sensory Cluster of elements that involve the senses including pain.
Sensory
Cluster of elements that involve the senses including pain. (3)
Skin Integrity Cluster of elements that involve the mucous membrane, corneal, integumentary, or subcutaneous structures of the body.
Skin Integrity
Cluster of elements that involve the mucous membrane, corneal, integumentary, or subcutaneous structures of the body. (2)
Tissue Perfusion Cluster of elements that involve the oxygenation of tissues, including the circulatory and vascular systems.
Tissue Perfusion
Cluster of elements that involve the oxygenation of tissues, including the circulatory and vascular systems. (1)
Urinary Elimination Cluster of elements that involve the genitourinary system.
Urinary Elimination
Cluster of elements that involve the genitourinary system. (2)
Life Cycle Cluster of elements that involve the life span of individuals.
Life Cycle
Cluster of elements that involve the life span of individuals. (3)
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