The use of standardized nursing terminologies continues to be imperative in nursing fraternity. In essence, it is a segment of nursing informatics that seeks to classify diagnostic assessment, intervention, and the outcomes by applying the evidence-based nursing technique (McGonigle & Mastrian, 2015). The standardized nursing terminologies entail the concepts that are embedded in the DIKW segment of nursing. In fact, both of them have a direct relationship. Various patient scenarios form a critical background for the application of these nursing concepts. A patient comes to the hospital with some symptoms. The vital signs reveal 90/60mm/hg.39.9 centigrade temperature. She has congested lungs and the evident edema in her legs and abdomen. There is an apparent weight gain. She complains of dizziness and fatigue. There is also a general malaise. She has been referred from a health center in the neighborhood. There is no proper record of her initial treatments. She has been accompanied by her 32-year-old son. Consequently, the following paper uses various patient scenarios to identify the NANDA, NIC, and NOC elements. It further describes in detail the data, information, knowledge and wisdom that acted as a form of guidance in the management process as well as provides the insights into the gained knowledge.

NANDA, NIC, and NOC Elements

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The standardized nursing terminologies are the crucial concepts in the process of diagnosis of any ailments. It is fundamental to note that clinical information is critical in upholding the healthcare management. In essence, the NANDA-1 classification is applicable worldwide. It is used in the identification of human responses to the diverse challenges of health that characterize the life process of an individual (McGonigle & Mastrian, 2015). Consequently, NANDA entails various diagnostic labels. In this instance, the symptoms are critical in diagnosing the congenital heart failure codes 0003.There are the defining features of congestive heart failure. In essence, a nurse considers the defining characteristics of a patient who comes in. For instance, the above described is a case of a female patient aged 68 years. She is showing the signs of lungs congestion. A further diagnosis reveals that she has edema of feet and the abdomen, fatigue is among other symptoms. The most significant symptom is the presence of rapid and irregular heartbeats. It is because the heart seems to pump faster to convey the blood supply to other body parts. The present distinct coding of the congestive heart failure is DC0003 (Walker & Avant, 2011). It is vital to note that the diagnostic label has its benefits. First, it provides clarity because the labeling occurs across the classification. It also improves reliability. The form of classification is also significant in the diagnostic decision-making process. Moreover, there is consistency and standardization.

The second concept is Nursing Intervention Classification. It involves a comprehensive method of standardized classification. In most instances, it focuses on nursing interventions. The concept seeks to classify both the intervention into independent and dependent groups (McGonigle & Mastrian, 2015). It also identifies the nursing activities, and the appropriate means on intervention. It is fundamental to note that the NIC has an estimated 554 interventions that fall into different domains. They are used in organizing and planning the patient care. They are also used to generate the critical interventions. NIC is also imperative in examining the diverse patient details. The CHF in adults is an example of a disease that nurses have developed its appropriate classification. On the one hand, it is vital to note that there exists chemotherapeutic and home-based care nursing intervention. The therapeutic refers to the appropriate pharmacological drugs that nurses administer to a patient. On the other hand, the home-based intervention refers to the natural strategies using home elements that an individual can use to manage a condition. For instance, the patient will use both mechanisms. NIC indicates that the patients with congestive heart failure should take non-steroidal anti-inflammatory drugs. These include Motrin and Aleve, among others. There are the instances when an individual can use tylenmol and calcium channel blockers. The female patient can also take nutritional supplements, such as salt substitutes and hormonal therapies. The other interventions would require that the patient stops the intake of alcohol and tobacco. He should also seek to maintain a healthy weight. He should exercise frequently and control any high blood pressure symptoms.

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NOC seeks to evaluate the impact of interventions. In other words, after a patient has been diagnosed and given medication, what are the levels of outcomes? It questions the extent of response of a patient to a particular intervention. There are 490 outcomes and each one of them has a defined indicator (Johnson, 2015). In this scenario, one desires to see the outcome of the female patient with congestive heart failure. One critical feature of the outcome is to see a decline in the patients edema. The other point regards the stabilization of the vital signs. The patient should also show the positive response in both the respiratory and circulatory systems of the body. One must also be careful to observe the side effect of each medication that was administered. It is critical to note there were three terminologies used together in the management of the presented patient scenario. The son holds the answer to the proper report of the home-based intervention outcomes. Nevertheless, upon discharge, the nurse on duty may perform intermittent visits to ensure the well being of the patient. It is fundamental to note that the nature of outcome determines the choice to stop or continue with the intake of various intervention strategies.

Data, Information, Knowledge, and Wisdom

The concept of DIKW has been fundamental in guiding the whole process. In essence, each of the elements has a significant role in the ultimate fulfillment of patients outcome. The first set is the Data. It is the basic constituent of the DIKW model. In most instances, it emanates as discrete data (Thede & Schwiran, 2011). In essence, they are a product of the observation that an individual makes. It is significant to highlight that one may not make a valuable conclusion from them. For example, when the female patient came to the hospital, the edema was evident. One could also notice her general fatigue. She was also overweight. These are the significant data that act as the primary source of subsequent process of decision making. One must observe that they are the factors that describe the person. In this case, the medical diagnosis of the individual (ICD-9) and the diagnosis is #428.0 (Thede & Schwiran, 2011). The congestive heart failure is unspecified. One is not aware of her living status. Evidently, the single segment of datum creates no significant meaning.

The second aspect is the information. It includes the procedural means of giving some attributes to the data. It emanates from the combination of different data elements. The aim is to create a valuable picture of the situation. It is vital to note that the construct answers the questions such as who, where, what, among others. For instance, in case of the patient scenario under focus, the availability of information that ICD-9 diagnosis of the patient who is living alone gives an opportunity for one to make deductions regarding the risk factors that propagate the congestive heart failure. Consequently, it is easy to make a decision, especially when it comes to nursing interventions. The third segment is the aspect of knowledge. In essence, it refers to the information that has been synthesized (Moen & Knudsen, 2013). Consequently, one can define the relationship and interactions between various aspects. It is vital to note that knowledge accrues from diverse assumptions and theories of scientific discipline that guide the understanding of a particular condition. Knowledge provides answers into aspects, such as the pathogenesis of the condition and the response to the administered medication, among other dimensions. The current information that has been generated from information is not enough to reach a valid conclusion. For instance, one would need to know the history of the patient. It can include if she has used precious medication, and any side effects, among others. Such knowledge would be helpful in indicating the way forward for the patient.

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Finally, synchronizing the pieces leads to the attainment of wisdom. It means there should be the significant utilization of knowledge to manage the condition. The aim is to attain a solution to the human problem. Wisdom implies that one applies the knowledge, but, while considering other factors, such as setting and wisdom. It guides the nurse to recognize the situation at hand. Consequently, the nurse makes a decision based on the available resources, the patient values, the mission and vision of the hospital, among others. For instance, the choice to administer the drugs is defined by the patients current condition. The nurses recognize the need for privacy and confidentiality in life of the patient. Moreover, the modes intervention consider the clients religious beliefs.


The discussion reveals that both the stand terminologies and the DIKW concepts are not distinct. They are interrelated in the process of healthcare administration. They are both the segments of nursing informatics. While they have different roles, the aim is the same to ensure a better patient outcome. Consequently, nurses in the hospital setting must consider embracing their implementation.

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