Is this an acceptable 3 part nursing diagnosis?

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  1. This is a discussion on Is this an acceptable 3 part nursing diagnosis? in Nursing Student Assistance, part of Nursing Student ... Pt had a stage IV decubitus ulcer.. Impaired tissue integrity R/T prolonged pressure as...

    by Feb 2
    Pt had a stage IV decubitus ulcer..

    Impaired tissue integrity R/T prolonged pressure as evidenced by 3.5 inch stage IV decubitus ulcer on patient's sacrum.

    I am mainly concerned about the as evidenced part since I said "decubitus ulcer." Should I rephrase it or find something else as my s/s?

    Thank you in advance for any advice.
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    by JS85 Feb 2 1:56 am
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  3. 7 Comments so far...

  4. Feb 2 by
    That seems fine to me. Maybe one of the nursing instructors here can give their input from a professor's standpoint.
  5. Feb 2 by
    Good start! (They call them "pressure ulcers" now, not decubitus.)

    I'd say, Impaired tissue integrity, as evidenced by (sacral? heel? where?) pressure ulcer, related to (whatever of the following in the list below that applies)

    Look at the list of approved related factors in the NANDA-I 2012-2014 (free 2-day shipping for students in Amazon) for the right terminology and pick any that apply in this case, not just "pressure" (there are probably more and you should include all that apply because they will all have to be addressed)

    Here they are, because I'm feeling generous today Get the book.

    Altered circulation, chemical irritants, deficient fluid volume, deficient knowledge, impaired physical mobility, mechanical factors (e.g., shear, pressure, friction), nutritional factors (e.g., deficit or excess), radiation or temperature extremes
    Last edit by GrnTea on Feb 2
    Jill2Shay, dawniepoo, Esme12, and 1 other like this.
  6. Feb 3 by
    Thank you so much! I will definitely look into getting that book. It will make life a whole lot easier.
    Jill2Shay, GrnTea, and Esme12 like this.
  7. Asst. Admin
    Feb 3 by
    GrnTea is right....there are certain tools/books imperative to doing care plans. A good care plan book is one of them.
  8. Feb 4 by
    Quote from JS85
    Thank you so much! I will definitely look into getting that book. It will make life a whole lot easier.
    What a smart student!
  9. Feb 4 by
    Agree with the NANDA book! Super helpful!
  10. Feb 6 by
    Thanks for that! I'm writing my first care plan next week!

    That Amazon "buy with one click" can get a person in trouble. I'll have that book in my hot little hands by Friday!
    GrnTea likes this.