Hi I need help with my care plan! I have done all of my assessments and come up with 15 abnormal findings for my patient. We are required to have a 3 part nursing diagnosis for each finding. I am having a hard time finding a nursing diagnosis for teeth grinding. My patient is 85y/o c/o teeth grinding. She has recently (within the last month) noticed that she is grinding her teeth constantly. During my observations I noticed that the grinding was worse when she was focusing or having a hard time with a task. She has a hard time getting dressed, she has shoulder pain, tires easily, feels weak and refuses to use adaptive equipment, this is where I noticed the grinding was worst. I've already done diagnosis r/t the shoulder pain, tires easily, feels weak and refuses to use adaptive equipment. I just really don't understand what diagnosis to use for the teeth grinding.
I was thinking Dressing self-care deficit r/t weakness aeb teeth grinding while dressing.Or perhaps the teeth grinding is stress induced and it should be ineffective coping r/t loss of function aeb teeth grinding during ADLs. (does that even make sense?) Or maybe it's an extrapyramidal symptom to a med?
I am so confused! Help is greatly appreciated!
Nov 21, '12
by Esme12, ASN, BSN, RN
I am so glad that you are basing this on what the patient needs......the assessment. But, I need to know more about your patient to make a suggestion. Teeth grinding is typically found in osteoporosis, depression, stress and anxiety, osteopenia, pain.
Other than Parkinson's .....What is her history? What are her co -morbidities? There are also some drugs that have this as a side effect........ It is a common side effect of Fosamax, Paxil, Effexor, Zoloft, Zometa.
This may help you...http://www.alzbrain.org/pdf/handouts...IA PATIENT.pdf
Teeth grinding - Symptom Checker - check medical symptoms at WrongDiagnosis
Last edit by Esme12 on Nov 21, '12