Hello! I am in the middle of trying to get all my ducks in order so I can write my paper for my Care Plan paper. I, for some reason, keep getting stumped with putting my nursing diagnoses in order of priority, particularly when none of them have to do with the ABC's (airway, breathing, circulation), and when pretty much all of them are on the same level in Maslow's hierarchy of needs.
My patient is a 47 year old female in the hospital because of a UTI. She has recently been diagnosed with colon cancer, gotten a colectomy to remove the cancer, and now has a colostomy. She is on chemotherapy so she has all that fun stuff to deal with. Low WBC's, anemia, nausea, etc... Her vitals were all fine, though her temperature went up and down a little bit, up to 100.3 at one point. She was constantly in a lot of pain ( pain level ranged from about a 5 to an 8) and on morphine for that. She has a foley now because a bladder scan showed that she had urinary retention. I came up with quite a few nursing diagnoses for her, but I am having a hard time picking the top 5 and putting them in order. Any help would be much appreciated.
-Acute pain r/t alterations in urinary and GI systems
-Ineffective urinary elimination r/t inflammation of the bladder secondary to medical diagnosis of UTI.
-Ineffective protection r/t chemotherapy suppressing immune system
-Activity intolerance r/t presence of pain and effects of pharmaceutical agents
-Risk for infection r/t inadequate immune system
-Fatigue r/t disease process, anemia, drug effects
-Nausea r/t pharmaceutical agents, chemotherapy
-Nutrition: less than body requirements r/t patient being on clear liquid diet secondary to nausea
-Urinary retention r/t inflammation of the bladder secondary to medical diagnosis of UTI
-Readiness for enhances nutrition r/t advancing to a normal diet