RPN student in need of help with care plan.

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    I am a second year nursing student doing a care plan for a patient that has had an amputation and is on bed rest. He has pitting edema and does not exercise enough so this is what I have come up with as my diagnostic would love to know if it makes sense or how it should be reformulated. Risk of electrolyte imbalance related to immobility and medication; manifested by the presence of peripheral edema, tachycardia and inability to reposition independently ( or I could put phantom pain). Also I don't know how to formulate a short term goal that says something along the lines of Pt will perfom ROM exercises by here the end of my shift. or something along those lines. He also takes water pills so that's a big reason why he has edema.
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    I don't think impaired electrolyte balance is this patients problem. It has been a few years since I wrote nursing school care plans, check the NANDA taxonamy, it is always changing.
    How about this:

    Chronic pain r/t tissue damage AEB inability to ambulate.
    Impaired tissue integrity r/t immobility AEB edema to lower extremity.
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    Moved to the student section, plenty of threads in this forum and nursing student assist forum
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    Also this sounds like compliance is the real issue. And if he's on a diuretic then he should be getting rid of that fluid not retaining it
    loriangel14 likes this.
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    Quote from kmjf2129
    I am a second year nursing student doing a care plan for a patient that has had an amputation and is on bed rest. He has pitting edema and does not exercise enough so this is what I have come up with as my diagnostic would love to know if it makes sense or how it should be reformulated. Risk of electrolyte imbalance related to immobility and medication; manifested by the presence of peripheral edema, tachycardia and inability to reposition independently ( or I could put phantom pain). Also I don't know how to formulate a short term goal that says something along the lines of Pt will perfom ROM exercises by here the end of my shift. or something along those lines. He also takes water pills so that's a big reason why he has edema.
    How are you connecting electrolyte imbalance to immobility? Taking a diuretic would not cause edema.What is your reasoning on that?


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