Nursing diagnosis help

  1. Hi everyone

    I have a case study to complete on a pt with Congestive heart failure/COPD/osteoarthritis/osteoporosis. I'm stuck on the expected nursing diagnosis' for them.

    This is what I have so far:

    Impaired gas exchange,
    Ineffective airway clearance,
    Ineffective breathing pattern,
    Chronic Fatigue,
    Chronic Pain,
    impaired physical mobility,
    risk of falls,
    risk of impaired skin integrity,
    decreased cardiac output,
    Activity intolerance
    Episodes of dyspnea,
    Potential for fluid volume overload,
    Altered cardiopulmonary tissue perfusion ,
    Risk of constipation
    Self care deficit -grooming/bathing
    Imbalanced nutrition, less than body requirements

    Can anyone think of anything that I have missed?

    Thanks in advance
    Adelaide Australia
  2. Visit totally_nuts profile page

    About totally_nuts

    Joined: Jan '10; Posts: 88; Likes: 80
    Mental Health Nurse; from AU
    Specialty: mental health, aged care/disability care


  3. by   Daytonite
    chris, i don't know why you say you are stuck. that's an impressive list. unfortunately, a nursing diagnosis is merely a name for a nursing problem which has a much broader definition. a nursing problem is based on a patient's response to what is happening to them. all you've told us is that the patient has congestive heart failure, copd, osteoarthritis, and osteoporosis. these are medical diagnoses. your question is no different than if a medical student said, "i have a case study to complete on a pt with nursing diagnoses of impaired gas exchange, ineffective airway clearance, ineffective breathing pattern, anxiety, and chronic fatigue but i'm stuck on the expected medical diagnosis' for them." you'd laugh behind his back and wonder what medical college he went to. there is a process we use for diagnosing. it is called the nursing process. it involves first thoroughly assessing the patient and then going through all the signs and symptoms of their diseases and conditions because they form the basis for the nursing problems that that they have. every nursing problem has a group of signs and symptoms. since you have provided none of that information there is no way i can know if the list you provided is correct or not for this patient.

    see - help with care plans and if you still have questions, ask.
  4. by   nicoleRN831
    failure to thrive r/t disability
    hopelessness r/t chronic illness

    Heart Failure:

    death anxiety r/t terminal illness
    ineffective tissue perfusion r/t decreased cellular exchange


    disturbed body image r/t negative self image
    social isolation r/t altered state of wellness

    Hope this helped a little.
  5. by   totally_nuts
    Sorry, I didn't give enough information.

    Here's what I should have said about the case study:

    A 78yr old pt diagnosed with CHF, COPD, Osteoarthritis, Osteoporosis

    He is a thin man who appears malnourished. Has smoked for many years. Can only walk short distances with a frame. Is stooped and breathless. Fingers are clubbed and lips/fingertips have a bluish tinge. Lives alone but is visited by daughter once a week. Has been admitted to hospital with acute confusion and a productive cough that is producing yellow/brown sputum with an offensive smell.

    Identify the expected nursing problems and suggest nursing interventions that could be inititated.

    Given the above info, if anyone can think of something I may have missed in my original post I would greatly appreciate knowing!

    Many thanks,
  6. by   Daytonite
    Acute Confusion