I am doing a concept map on a patient with ESRD I have 4 collaberative problems of DM, Hypokalemia, Arial Fib, and anemia. I have 4 nursing diagnosis of
1.) Excess Fluid Volume R/T advanced disease process AEB JVD, dyspnea, crackles. Pt reports being, "tired all the time".
2.) Nutrition imbalanced, less than body requirements R/T Dietary Restrictions AEB Albumin 2.4, BGL 47, states, "This food has no taste and there isn't enough of it to feed a bird.
3.) Fatigue R/T ineffective O2 transport, secondary to anemia AEB c/o s.ob. with movement and inability to carry out basic ADL'st, HR increases more than 20 bpm with ambulation, HCt -low, HGB-low ,...
4.) Anxiety R/T severity/chronicity of her illness and uncertanty of her illness course AEB "I take care of my spouse..... I am usually the only one caring for him. Now how am I gonna take care of him?"
There was no skin breakdown, and the pt's wbc count was good so there is not much room for risk of infection
But, I need one more. It ought to be easy with all the collaborative problems listed, but I am stumped. Anyone else have any idea's?
Help is always greatly appreciated!!