My Pt 65 yr female- morbidly obese 400lb. CFH & renal Def. Only gets out of bed to have bowel movement, bingo twice a week, physical therapy 3 times a week. Has a cath. Very cognitive She has denial of obvious problems, difficulty in perception of reality, likes to make up stories that make her feel good about herself, grandioisity, hypersensitivity to criticism, projection of blame & responsibilty to the doctors. 3 sister that never visist, she states the one that has power of attorney is just waiting for her to die. She only calls to see if life insurance is paid. Delusion of cancerous tumor in abdomen (Defensive coping) (impaired Social interactions) and (social Isolation) .
Would this work? Imparied Social interaction r/t disturbed thoughts secondary to disturbed body image or defensive coping
Oct 21, '09
impaired social interaction r/t disturbed thoughts secondary to disturbed body image or defensive coping
just use impaired social interaction r/t disturbed thoughts. disturbed body image and defensive coping are 2 other nursing diagnoses (problems). if you feel there is evidence of these then diagnose them, but it is inappropriate to use them as related factors for impaired social interaction.
the only evidence i see for using this diagnosis is her dysfunctional interaction with her family. she does go to bingo twice a week and that is a social activity.