Is this the right prioritization? help please!!

  1. I need help with prioritization on a burn patient I had. My diagnosis are as follows:

    Impaired tissue perfusion
    Impaired skin integrity
    Risk for Infection

    Additional info: client suffered 2nd and 3rd degree burns over half of body (legs, arms, face - minimal trunk involvement)... client was sedated and on ventilator with hands and feet that were ice cold with cicumferential burns around wrists and feet, no burns on chest. I prioritized them as listed above, but not sure is this is the right prioritization.

    Thanks in advance for any help!!
  2. 2 Comments

  3. by   Fig77
    I think it is in the right order in general. But I think the order of priority can change very easily depending on the nursing dx (full 3 parts). For example if the patient is immuno suppressed, the priority for the risk for infection will rise. Similarly, if the pain we are referring here is an acute, at the moment, one then it will go higher in priority.
  4. by   Daytonite
    Diagnoses relating to the patient's respiratory or fluid status are missing. These patients are at a risk to lose fluids through the open burn wounds and require a lot of fluid replacement and more nutrition because of increased metabolic needs for healing. Since the legs and arms are involved there may be mobility issues. Since the face was burned I would anticipate a body image problem.

    Also, your nursing diagnoses are in the correct order, but they are not all NANDA diagnoses. These are the correct names:
    1. Impaired Tissue Perfusion, Peripheral
    2. Impaired Skin Integrity
    3. Acute Pain
    4. Risk for Infection