in order to help you prioritize any nursing diagnoses, i need to know what nursing diagnoses you have chosen to use. nursing diagnoses, in general, cannot be chosen based on a patient's medical diagnoses. so, your post leads me to believe that you have not yet grasped the concept of what goes into the nursing process and formation of nursing diagnosis. this process of choosing nursing diagnoses can be very confusing to learn and understand at first. it is all based on your assessment data of the patient. so, you need to go back and look at all the information you got about this patient from the chart, physician's history and physical exam, any consults that were in the chart, lab results, any evaluations by physical therapy and dietary, x-ray results and the nursing admission assessment as well as your own physical assessment of the patient. you then need to put this assessment information in front of you and pull out all the abnormal assessment items. it is these abnormal assessment items, or what nanda calls defining characteristics, that are at the heart of every single nursing diagnosis. just like a doctor learns that to make a medical diagnosis of gout he/she must look for signs and symptoms of (1) joint pain, (2) sodium deposits in the great toe, ankle and pinna of the ear, (3) elevated skin temperature, and (4) red, swollen joints, we nurses have to learn that the symptoms of impaired skin integrity
or impaired tissue integrity
(two of the nursing diagnoses that you might consider using for this patient) are likely to be among the following:
i recommend that you read the posts in the threads i'm listing below, particularly the care plan ones, to help you get an understanding of the process involved in determining nursing diagnoses for patients. then, if you are still having trouble with this care plan, ask again, but please give me more information to work with. i can give you links to online nursing diagnosis sites (as i did above for impaired skin integrity and impaired tissue integrity) where you can get information on related factors, defining characteristics, outcomes and nursing interventions for quite a number of nursing diagnoses that will help you with constructing your care plan. however, i need to know what nursing diagnoses you are going to be using. i can help you prioritize them according to maslow's hierarchy of needs as well. welcome to allnurses!