I hope someone could help me on the wording on one of my nursing care plans.
My patient is a renal patient whose AV access site in his arm was + for MRSA. He also has a stage I pressure ulcer on his buttocks.
The diagnoses I am going to use is impaired tissue integrity and impaired skin integrity.
I'm having an issue with the r/t and the d/t parts.
For the MRSA infection
: impaired tissue integrity
R/T ______ D/T positive MRSA infection. Would the R/T be considered a mechanical factor because of the shunt?
For the Stage I pressure ulcer
: Impaired skin integrity
R/T impaired physical mobility D/T Stage one pressure ulcer
OR Diabetes mellitus
? I diagnosed the patient; it is not a medical diagnosis. The skin was intact and non-blanching erythemic. It was hot to the touch.
The medical diagnoses were ESRD, anemia, DM II, HTN, + MRSA in right forearm AV shunt, bilateral BKA.
Thanks so much,