[Daytonite]

Everyone. . .the OP also posted this very same thing (word for word) on the General Nursing Discussion Forum. I did not see it until tonight and answered it for her.

"There is no way that anyone can answer your question for you. The selection of a nursing diagnosis is not necessarily dependent on the medical diagnosis. It is dependent on the symptoms that the patient is having, not upon their medical diagnosis. The medical diagnosis can only point you in the direct of possible nursing diagnoses that you could use. This saves you time in looking for nursing diagnoses to go with your patient's symptoms if you are not familiar with the definitions and symptoms of the various nursing diagnoses. However, the patient still has to have the symptoms that match with that nursing diagnosis. You haven't mentioned one symptom that your patient has so there is no way to evaluate whether or not your choice of nursing diagnoses is correct.

The first step in care planning is to make a thorough assessment of your patient and pull out the list of all your abnormal findings. Those abnormal findings, or symptoms, become the basis that support any nursing diagnoses you choose. As a student, you need to use a nursing diagnosis book as a reference to do this. Just like a medical diagnosis has a list of symptoms associated with it, each nursing diagnosis also has a list of symptoms associated with it. These will be listed in a nursing diagnosis book."

Since this OP is a nursing student, the point of any care plans that are done is that the steps of the nursing process are being followed. That said, it is impossible to answer the OP because the information needed has not been supplied. You cannot tack a nursing diagnosis onto a patient based upon their medical diagnosis. Without the proper supporting patient symptoms it's like trying to put a square peg in a round hole.

Let me put it another way, no doctor is going to (medically) diagnose a patient without having first done a proper assessment and determination of the patient's symptoms. If he is going to ask a colleague which diagnosis to use for a patient, his colleague is going to want to know what the patient's symptoms are. Make sense?