Listed below are some examples for your nursing diagnoses that I would suggest:
1. Ineffective Tissue Perfusion (Cardiopulmonary) r/t decreased circulating blood volume aeb death resulting from compression of vital areas within the brainstem that control respiratory, vasomotor, and cardiac function.
2. Decreased Cardiac Output r/t altered stroke volume aeb arrhythmias (tachycardia), decreased BP, cold, clammy skin, decreased peripheral pulses, pale, grayish color of skin, and adventitious lung sounds in RLL and LLL.
*The aeb factors listed in #1 was another "fancy" way of stating many of the same aeb factors listed in #2!
The reason why I'm suggesting these nursing diagnoses is because of the fact that your patient was declared brain dead and was going to be an organ donor. Since this is the case, to me the most important intervention would be to maintain adequate circulation and profusion to the organs. So that was my line of thinking. Since I'm not sure of your patient's actual symptoms, I made some up some to use in the examples.
Some additional info when doing care plans
--If your using a Nursing Diagnosis Handbook
and you determine what your nursing diagnosis is, there are related to factors listed pertaining to that particular diagnosis. These r/t factors explain what the patient's "problem" is.
Okay, let's clarify this a little bit better. For example, using our example of the nursing diagnosis of Decreased Cardiac Output, the r/t factor ("problem") is the patient's altered stroke volume. (Read up on what stroke volume is and the factors that encompass it and the effect on cardiac output). Trust me, it'll make more sense after you read it!). The result of this altered stroke volume is decreased cardiac output. Hence, our nursing diagnosis. Hope this makes more sense.
Okay, so here's some more additional info: aeb are those symptoms that are specific to your patient and support your nursing diagnosis. It's like making a hypothesis and using specific facts that support your theory.
So again, we will use our example of decreased cardiac output (hypothesis) and list the symptoms (specific facts) that our patient is experiencing: Decreased BP, tachycardia, cold, clammy skin, decreased peripheral pulses, etc. These specific symptoms under our aeb helps to support our nursing diagnosis. Hopefully, this will now be easier to understand.
It is very important to make your symptoms specific to your patient. For you will use these later on to evaluate your patients progress and to determine whether to continue with the current plan of care or revise it.
Okay, I've got to conclude this and get off my "soapbox" as I spent about 3 hours on this and I was supposed to be working on my resume!!
Take care and if you have anymore questions or need help, please PM me and I'll be glad to help!!