Nursing Students General Students
Published Jan 28, 2003
memphispanda, RN
810 Posts
Pt is 89, diagnosed with prostate cancer that has metasticized to the bone and elsewhere. He is on palliative/comfort care only. Family is having a difficult time deciding on placement following discharge from hospital.
1. Chronic pain r/t (insert long patho of pain here) AEB facial grimacing, groaning
2. Alteration in family process r/t illness of family member AEB blah blah blah
3. Risk for impaired skin integrity r/t immobility
4. Risk for infection r/t depression of immune system (pt was treated with strontium)
I know they aren't the best diagnoses ever, but I am having a really hard time with this because of the comfort measures only. I am wondering if maybe there is a better diagnosis for the family issues? Thanks for taking the time to look!
FullMoonMadness
190 Posts
Those sound good. How about some psycosocial dx.
1) Fear/Grieving r/t impending death aeb expressions of guilt,anger or sorrow
2)powerlessness r/t loss over control of life decisions aeb witdrawal or decreased participation inadl's
these both came from my Mosby book.Good luck with your careplan
Thanks! I especially like the second one. I think I may tweak it and use it instead of the family process one. (We have to have 4).