need help w/nursing dx's!!!!

misti_z · Sep 21, 2001

Well I can think of two right off the top of my head...

1. If no HD until thrombectomy of graft or line placement the patient will have a problems with fluid and lytes.

2. Knowledge deficit..how did that graft clot? Improper care?

Good luck!!

P_RN, ADN, RN · Sep 21, 2001

OK what needs doing FOR your patient?

Knowledge deficit?

Potential for injury?

Alteration in fluid balance?

Remember that the diagnosis has to be supported......AS EVIDENCED BY.....usually another nursing diagnosis.

So Potential for injury as evidenced by.......

Now look it up in your book (Mi Ja Kim's is my fave) or look it up on the web...(google.com) is my fave there.

I typed in "NANDA nursing diagnosis hemodialysis"

and came up with at least 34 sites.

AS EVIDENCED BY

And big old congrats on the upcoming graduation.

studentnurse_02 · Sep 21, 2001

thanks for the help!

BrandyBSN · Sep 21, 2001

Risk for injury related to potential for clot migration

-could cause a CVA

Risk for injury r/t bleeding disorder secondary to overuse of anti-clotting medications.

Fear r/t change in physical status secondary to potential organ failure.

Risk for fluid volume deficit secondary to possible bleeding complications.

Those are just a few that I can think of... however I had clinicals from 7-4, and 6-10, so my brain is not at the top of the food chain right now

Hope those help!

BrandyBSN

Lisamulti · Sep 21, 2001

What was Md's exact DX? sometimes I pull from that--To be free from pain is always one--how was PT-INR'S? can pull from that too to maintain proper clot time---hope some help---

LE

trishfish · Sep 21, 2001

1. Altered Tissue Perfusion

2. Potential For Infection

3. Knowledge Deficit

4. Body Image Disturbance (maybe:) )

5. Fear

6. Anxiety

This is what I could come up with.

Where in TN are you? I live in Southern Middle TN.

Tricia

kewlnurse · Sep 21, 2001

ARRRGHHHHHHHHHHHHHH!!!!!

i ABSOLUTLY WILL NOT USE "KNOWLEDGE DEFECIET" for nsg dx. I absolutly hate that dx. I don't care if they are dumber than a lint ball, there is always a better dx, thats an easy way out. Fluid and lyte balance are good ones. Anxiety r/t surgical procedure is another, wait, your a student, look it up, knowbody ever gave me the anwers. The floor i used to work on had students, I would help them find the answer but never gave it to them, think about what body systems are involved. report back with the answers

frustratedRN · Sep 21, 2001

and in school we were taught to always use knowledge defecit. all patients have that regardless of the medical diagnosis.

never use it in practice tho...thats what the teaching part of the charting is for.

Mito · Sep 21, 2001

The nursing Dx also stems from the patients behaviours (ie. lab results, assessment) use these as a starting point to guide your Dx. It can be very diffucult to come up with some of them if you havn't seen the pt.

Mito

ADN 2002 · Sep 21, 2001

We're supposed to use knowledge deficit on all our pt's regardless of what they already know (I guess the instructors feel that there's always something else that can be taught...) Right now I'm working on a paper and am struggling to find something I could have taught this woman that just had her 3rd child and had no other problems (I was assigned to postpartum) - after 3 kids I think she probably knows the postpartum routine by now...ya know? :rolleyes:

catlady, BSN, RN · Sep 21, 2001

I have to write care plans on 49 residents, so I don't think much of *any* of the NANDA diagnoses, but I have to live with them. Knowledge deficit may sound cheesy, but it's going to get you an education care plan and that is one of the things JCAHO is looking for. I do knowledge deficits on all my new admissions.