Nursing careplan HELP with nursing Dx =)

Published Nov 6, 2008

27 Posts

so i'm writing my first care plan by myself and i'm having a bit of trouble coming up with a nursing diagnosis. We gather all the information on the patient but we don't actually get to assess them ourselves until tomorrow, but i need to have something to show my instructor tomorrow.

My pt is a 79 year old male with alizheimer's, seizure disorder, hypothyroidism. he presented in ER with rectal bleeding. his Medical DX is obstructing inflammatory process in left colon. He had a surgery scheduled for tomorrow but it has now been cancelled and he has an oncologist consult instead. There are also polyps present stating they may be lymphoma. He is on antiboitoics so i can't use risk for infection. his S/S that i got from his chart are diarrhea with urgency, poor skin turgor, diverticulosis, lymphoma, submucosal lesions, hemorrhois, reflux, thyroid dsyfunction and seizures. Any suggestions? Any help would be so very much appreciated!!

PS-I was thinking risk for injury due to the fact that he is an older gentleman with Alzheimer's and seizures, but he does have full ROM and isn't at risk for falls according to the scale. His wife also assists him. Thanks guys!!!