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  1. This is a discussion on Nursing Dx Help in General Nursing Student, part of Nursing Student ... I have to do a care plan/concept map worth almost half of my grade for mental health clinical. I...

    by Jun 12, '11
    I have to do a care plan/concept map worth almost half of my grade for mental health clinical. I had a patient with severe Alzheimer's dementia, anxiety and depression. The anxiety and depression were pretty well maintained with medications during the day. She's in a wheelchair, needs help eating, and is incontinent.

    I need to prioritize 3 diagnoses r/t her mental health (Alzheimer's, anxiety, depression). I came up with:

    Urinary Incontinence
    Impaired Physical Mobility
    Feeding, Bathing, Dressing Self-Care Deficit

    I didn't know if Chronic Confusion ranked above any of those. Oh, she's also 5'0 and 84 lb which equals between a 16 and 17 on BMI so Altered Nutrition: Less Than Body Requirements is an option too.
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    by heatherxnicole Jun 12, '11 6:09 pm
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  2. 2 Comments so far...

  3. Jun 13, '11 by
    Anybody at all?
  4. Jun 13, '11 by
    Got out my Psych care plan book for you (Townsend, highly recommend!). For Alzheimer's dementia, it lists:

    disturbed thought process ***
    self-care deficit r/t disorientation/confusion/memory deficit aeb inability to fulfill adl's ***
    disturbed sensory perception

    Depression:
    risk for suicide
    complicated grieving
    social isolation ***
    impaired social interaction ***
    powerlessness ***
    disturbed thought process
    imbalanced nutrition: less than body requirements ***

    Anxiety:
    social isolation
    self-care deficit

    I've starred the ones I think would work best for you. Seems like they want psych-centered ones, which the ones you listed really aren't. Anything interfering with safety is #1, think Maslow's heirarchy of needs when it comes to prioritization.

    Good luck!