Having problems with doing nursing diagnosis and care plan

Nursing Students General Students

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I am just learning about doing nursing diagnosis and care plans

The one that i am trying to come up with is

Self Care Deficit (Dressing/grooming)r/t inability to perform dressing or grooming skills for self

is this written correctly I need to complete 2 more related to this the client is wheelchair bound is able to propel around with some assistance but has impaired vision.

Any help appreciated

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Specializes in Medical and general practice now LTC.

Moved to the general nursing student discussion forum.

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Specializes in med/surg, telemetry, IV therapy, mgmt.

there is a sticky thread on writing care plans:

self care deficit (dressing/grooming)r/t inability to perform dressing or grooming skills for self

no, this diagnostic statement is not written correctly. the "r/t" part of the nursing diagnostic statement refers to the cause, or etiology, of the problem. so, you must state what the reason for the dressing and grooming self-care deficit is. the inability to perform specific dressing and grooming skills is evidence, or proof, that this problem exists, but not the cause of it. the reasons that nanda (north american nursing diagnosis association) lists for this diagnosis are:

  • cognitive impairment

  • decreased motivation

  • discomfort

  • environmental barriers

  • fatigue

  • musculoskeletal impairment

  • neuromuscular impairment

  • pain

  • perceptual impairment

  • severe anxiety

  • weakness

how do you know which your patient has? by assessing the patient and reading what the doctor and other healthcare professionals have to say and have diagnosed about the patient. you also take into account their medical diseases and conditions and their pathophysiologies.

i need to complete 2 more nursing diagnoses related to this the client who is wheelchair bound and is able to propel around with some assistance but has impaired vision.

as i explain in the thread i referred you to above, all diagnoses are based upon symptoms that the patient has. you are referring to two things: mobility and sight. what are the problems the patient has with mobility and sight? see
impaired physical mobility
(
[color=#3366ff]impaired physical mobility
),
impaired wheelchair mobility
, and
disturbed sensory perception: visual
(
[color=#3366ff]disturbed sensory perception specify: visual, auditory, kinesthetic, gustatory, tactile, olfactory
). it helps to have a nursing diagnosis reference book.

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