Wording a risk 4 injury diagnosis please help!

  1. ok which of these is right. my text book is not clear on this

    Risk for Injury related to impaired mobility secondary to CVA, osteoarthritis, DDD, insomnia, and morphine(side effects of?) as evidenced by weakness on left side, chronic pain, and impaired cognitive awareness.

    or

    Risk for injury related to impaired mobility as evidenced by weakness of left side secondary to hemiparesis, chronic pain secondary to osteoarthitis and degenerative disk disease, and impaired cognitive awareness secondary to insomnia and morphine.

    or

    Risk for injury related to impaired mobility as evidenced by weakness of left side (left hemiparesis), chronic pain (osteoarthitis and degenerative disk disease), and impaired cognitive awareness (insomnia and morphine).
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  2. 2 Comments

  3. by   cardiacRN2006
    Whenever I use at risk for nursing diagnoses (which is rare because our teachers don't like them) we are taught that they don't have, "as manifested by or as exhibited by". So by that definition, they are all wrong.
    Last edit by cardiacRN2006 on Sep 14, '05
  4. by   Daytonite
    I think I would write this as:

    Risk for injury related to impaired mobility as evidenced by weakness of left side, chronic pain and impaired cognitive awareness due to degenerative disk disease and osteoarthritis.

    Otherwise, I think you might need to separate it into three separate diagnoses.

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