You may have noticed that in "the real world"...
1. ...nurses on the clinical units do not have a big textbook tucked in their pockets to explain to them how they should think. And…
2. ...things move way too fast for working nurses to refer to lists of “comprehensive, research-based, standardized” diagnoses and associated authorized outcomes and interventions. This is obviously because…
3. ...nurses have multiple, often unstable patients. Things move fast and can go “sideways” (catty-whompus, dirty-side-up, etc.) very quickly. So bedside nursing is a lot more like RODEO than it is dressage!
2. ...things move way too fast for working nurses to refer to lists of “comprehensive, research-based, standardized” diagnoses and associated authorized outcomes and interventions. This is obviously because…
3. ...nurses have multiple, often unstable patients. Things move fast and can go “sideways” (catty-whompus, dirty-side-up, etc.) very quickly. So bedside nursing is a lot more like RODEO than it is dressage!
Let's be very clear here. We all owe a great debt to NANDA-I . Prior to their work to clarify nursing diagnoses, it was almost impossible to gather data about the effectiveness of nursing care. Their standardized nursing language has made it possible to conduct nursing research, proving that our contributions to health care are cost-effective because they actually improve patient outcomes. This is vital in a day and age when there is tremendous pressure to minimize hospital costs. Sadly, the trend in the past has been to cut the number of nurses at the bedside. Thanks to NANDA-I, nurse researchers have proven that nursing is the irreplaceable profession. Similarly, NANDA-I has made sure that standardized nursing language is part of all electronic health records. So there are very important reasons you are being asked to learn and use NANDA-I, NIC and NOC in nursing school.
But, if you came here to learn how to do "formal" care plans...
Unfortunately you won't get direct help here with formal NANDA-I nursing thoughts. The reason is that all 216 of them are not just comprehensive, research-driven and standardized, they are also licensed (i.e., if used on a website without permission, the webmaster gets letters from lawyers and it becomes a big mess.) But that is actually GOOD NEWS. It means you are free to use your own good sense. As well, it explains how nurses develop their own system of clinical logic.
But... before you go through your text book looking for just the "right words" for your diagnosis...
... you have to have done the requisite thinking about your patients. That is where this site may help you.