so..this is my last care plan ever and I'm a little stumped for nursing diagnosis. I have a 11mo who was diagnosed about a month ago with ALL. For these care plans we have to write psychosocial nursing diagnosis based on their developmental task (i.e. trust v mistrust). Our instructor wants them to be PATIENT focused, not parent focused so, it makes it a little more difficult. With this said she does not like impaired parent/infant attachment as this is more parent focused than infant. The nursing diagnosis that I have come up with for this particular patient are
1.) Risk for infection r/t immunosuppressed state secondary to leukemia and side effects of chemotherapy
2.) Risk for injury r/t thrombocytopenia
3.) Risk for disorganized infant behavior r/t prolonged hospitalization, unfamiliar environment, stranger anxiety and painful procedures.
Let me know what you guys think or if you have any suggestions. I hate that they are all risk for but, his breathing pattern is ok, airway clearance is fine, bp/circulation is good, fluid volume status good, nutritional status good, his mucous membranes are good thus far through his induction phase of chemotherapy.