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This is a discussion on Need help with nursing diagnosis.. in Nursing Student Assistance, part of Nursing Student ... Hey everyone. I need help figuring out 3 nursing diagnosis for my patient. She's a 69 yr old female...by CocoChanel Apr 24, '07Hey everyone. I need help figuring out 3 nursing diagnosis for my patient. She's a 69 yr old female with acute renal failure secondary to hypercalcemia. She had 3 out of the 4 parathyroids removed a few years ago which has contributed to her hypercalcemia. Nothing is physically wrong w/ her. What kind of nursing diagnosis can I write for her. Any help would be great! Thanks
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- Apr 25, '07 by DjMiGHey CocoChanel,
I was looking at your posting. Since your saying that there is nothing wrong per say with the client. Couldn't you use a "At risk for" diagnosis?
Right off the bat I was thinking of:
1) "At risk for" Disturbed Thought processes r/t elevated calcium levels that cause paranoia, decreased level of consciousness
2) "At risk for" Imbalanced Nutrition: Less than body requirements r/t gastrointestinal manifestations of hypercalcemia (Nausea, anorexia, ileus)
Not sure if these would help you. Thats a tough question. If anyone disagrees with these two, could you please correct me? I wasn't too certain with all the care plan diagnosis's.
- Apr 25, '07 by Daytoniteyou will find care plan help on these two threads:
- http://allnurses.com/forums/f205/des...ns-170689.html - desperately need help with careplans (in nursing student assistance forum)
- http://allnurses.com/forums/f50/care...-121128-7.html - careplans help please! (with the r\t and aeb) (in general nursing student discussion forum)
here is a list of possible nursing diagnoses that may be applicable to this patient. i have also included some possible etiologies with some of the nursing diagnoses that may be present or fit with some of your patient's symptoms. you will have to determine that by reviewing and analyzing the assessment data that you collected. my signature now includes a link to a critical thinking flow sheet that you can print out to help you in developing your nursing diagnoses related to a specific medical disease.
- decreased cardiac output r/t elevated potassium levels interfering with the conduction system of the heart secondary to acute renal failure
- imbalanced nutrition: less than body requirements r/t nausea, vomiting, anorexia secondary to the hypercalcemia and acute renal failure
- excess fluid volume r/t decreased urine output and sodium retention secondary to the acute renal failure
- impaired urinary elimination r/t decreased urine output
- impaired physical mobility r/t decreased muscle tone secondary to the hypercalcemia
- acute pain r/t chemical imbalances [headaches due to cns symptoms of the acute renal failure and hypercalcemia; bone pain from calcium loss]
- decreased thought processes r/t elevated calcium levels and azotemia (paranoia and decreased level of consciousness as a result of the hypercalcemia and acute renal failure)
- risk for trauma r/t risk for skeletal fractures, bone changes, muscle weakness secondary to the hypercalcemia and electrolyte imbalances of the acute renal failure
- risk for infection r/t alteration in immunity
- risk for fluid volume deficit r/t anemia and platelet dysfunction
- risk for acute confusion r/t metabolic abnormalities (azotemia, decreased hemoglobin, electrolyte imbalances, increased bun and creatinine, dehydration)