Nursing diagnosis

  1. First, I apologise if I am in the wrong place. I am a bit computer illiterate, and am not sure how to navigate yet.

    I have a student question.


    I have a final exam due tomorrow. I am first quarter. For my exam, I had to do an assessment, and list two nursing diagnosis. I do not know how to write the diagnosis.


    my patient presented with loss of balance, disturbed vision, severe head pain.

    He had already been diagnosed with diabetic neuropathy, and COPD.

    He has never had any hospitalizations or surgery.

    He is independent, his house is tidy and neat. His stress reduction technique is to take a long drive. However....

    He drinks at least 12 beers per day, has no appetite, forces himself to eat at least one meal per day, usually dinner that he prepares himself.

    He now needs a walker for balance, has fallen several times. He was just recently diagnosed with 2 brain tumors on the cerebellum secondary to lung and liver cancer.


    I know that he is at risk for falls, due to the loss of balance and drinking.

    I have no clue how to write a diagnosis... can you help me please to put it in perspective. ??

    Thank you...
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  2. 28 Comments

  3. by   TazziRN
    Potential for bodily injury due to poor balance caused by excess alcohol ingestion.
  4. by   TazziRN
    Oh.........:groupwelcome: !
  5. by   Liebchen
    Thank you.

    Would I also list the balance as the reason for a fall risk as well, but related to his illness? If that makes sense.
  6. by   Liebchen
    And thank you again, I have learned so much from allnurse, you guys are like a textbook. I need to wrap you all up and take you to class with me.
  7. by   TazziRN
    Hmm.......

    Potential for injury R/T to poor balance due to neurological changes.

    Potential for decrease in ability to balance due to excessive alcohol intake.
  8. by   TazziRN
    I think you'd get kicked out for cheating if you did that!
  9. by   Liebchen
    I think you are right, but right now, while I am in stress overload mode, I am questioning my ability to go on anyway.

    One day at a time, I suppose I will make it, eventually.
  10. by   Liebchen
    What about his inability to open and take his meds, due to his vision problems and his lack of coordination?
  11. by   TazziRN
    Medication non-compliance due to poor vision and lack of fine finger coordination.
  12. by   Liebchen
    This is like learning a new language. I can't wait to learn it.

    thank you so much
  13. by   TazziRN
    Most welcome!!! PM me after your test and let me know how you did.
  14. by   Liebchen
    Will do...

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