We are doing our first care plans this week and I want to make sure I am going in the right direction. Any advice would be GREATLY appreciated, as I feel like we've been thrown in the water with no life preserver and I am not sure what to do!
Okay, my patient (61 F) has Diabetes, and has had it since she was pregnant with her first child. She has a lot of complications that have gradually developed over the years, but by talking with her, I don't get the impression that it is due to her negligence of care, rather I think it's just the progression of the disease. She eats the correct diet, takes her insulin and medications on time, etc.
Anyway, so there's that. Her existing complications include hypertension, renal insufficiency, Charcot's joint Disease, Diabetic retinopathy and diabetic neuopathy, erosive esophagitis w/ ulcers. She was admitted with nausea, vomiting and diarhea, all of which was resolved after receiving an enema. She was diagnosed with gastroparesis. Soooooo,
nursing diagnosis -- I DON'T KNOW! I am trying so hard to figure this out, I have all 4 books in front of me, and I can't figure this out. I know that it means "decreased gut motility", but I can't find that as a nursing diagnosis, so I know that can't be right to just write that in. Would it be nausea, vomiting or diarrhea? but which is most important to choose it to be the nursing diagnosis?
Please, I don't want anyone to do my work, but if someone can help me, give me a little shove in the right direction, it will save me so much frustration.
I thank you so much.