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Nurses in community settings are seeing more health care consumers who are medically stable and who are asking for assistance in areas such as exercise, stress reduction, nutrition, and illness and accident prevention. These requests can be characterized as concerns of health maintenance or health promotion. Two nursing diagnoses, altered health maintenance and health-seeking behaviors (specify), enable the practitioner to address these concerns in clinically useful ways. Through case studies and comparative tables, the differences between these two diagnoses is clarified to enable nurses to identify, treat, and evaluate efforts made to enhance health-oriented behaviors.

Seventy-three graduates of a pediatric nurse practitioner program were followed 6-30 months after training, with employment fairly equally divided between agency and private practice settings. Pediatric time released by nurse practitioner was used to handle more visits to devote more time to selected patients. Quality of care under either circumstance was considered good.

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