Hey everyone. I need some help writing a care plan for this particular patient. My patient is a 72 yr old white female that was admitted to the hospital from the nursing home with fever, dehydration, UTI, and hypotension (90/52). She was diagnosed with Alzheimer's about 10 years ago. She's somewhat oriented. She recognizes family members but does not recognize nurses/doctors, doesn't know who she is and doesn't know where she is or what day it is. She's a high fall risk because she tends to get out of bed on her own when no one is around and the muscles in her arms and legs are slightly contracted. She has a Foley. She's NPO (and will not be receiving a feeding tube) b/c she has recently developed swallowing difficulty and as the nurse described it "she has funky stuff in her blood". The doctor's believe that she may have MRSA and E. Coli was found in her urine. She's on Vancomyocin and Levaquin. She's DNR and her family is setting her up for hospice care.
My instructor wants me to write 3 nursing diagnosis and a careplan for this patient. None of the DX can be "risks" (ex. Risk for skin integrity, etc.). Any help would be greatly appreciated.