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This is a discussion on Priority diagnoses for care plan in Nursing Student Assistance, part of Nursing Student ... I'm trying to figure out the priority nursing diagnoses for my Pt( at least 1 psych and 1...by superdave Dec 2, '07I'm trying to figure out the priority nursing diagnoses for my Pt( at least 1 psych and 1 educational). Admitting diagnoses of cellulitis, SOB, and chest pain. Hx of severe anxiety, depresion, immunosupression, anema, and COPD.
Here is what I've come up with
Impaired gas exchange R/T obstructed lung disease aeb difficulty breathing during minor activity.
Impaired tissue integrity R/T bacteria infection aeb swelling, redness, and tenderness in extremity.
Acute pain R/T tissue damage 2° to cellulitis aeb Pt states very painful to move affected extremity
Anxiety R/T change in health status aeb Pt stating “I’m very nervous about my condition”.
Activity intolerance R/T imbalance between oxygen supply and demand aeb pt reports being SOB moving around in bed or ambulating 10 feet.
Deficient knowledge R/T health risks of smoking aeb Pt currently a ½ -1 pack a day smoker.
Thank you for any help you can provide. :spin:
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- Dec 2, '07 by Daytonitehi, superdave, and welcome to allnurses!
i use maslow as a guide for prioritizing:
- impaired gas exchange (physiological need for oxygen)
- activity intolerance (physiological need for oxygen)
- impaired tissue integrity (physiological need for nutrients and oxygen)
- acute pain (physiological need for comfort) [be aware that some instructors want to place this in a top priority over others]
- anxiety (security need)
- deficient knowledge (safety need)
impaired gas exchange r/t obstructed lung disease aeb difficulty breathing during minor activity.
there are only two related factors that go with this diagnosis:
- alveolar-capillary membrane changes
- ventilation perfusion imbalance
- abnormal arterial blood gasses
- abnormal arterial ph
- abnormal breathing (e.g. rate, rhythm, depth)
- cyanosis (in neonates only)
- decreased carbon dioxide
- headache upon awakening
- nasal flaring
- visual disturbances
acute pain r/t tissue damage 2° to cellulitis aeb pt states very painful to move affected extremity
anxiety r/t change in health status aeb pt stating “i’m very nervous about my condition”
can you make that patient's statement a little more specific. what specifically is he/she so nervous about? losing their leg? never walking normally again? the leg ending up looking weird after it heals?
deficient knowledge r/t health risks of smoking aeb pt currently a ½ -1 pack a day smoker.
you have to specify the knowledge deficit in the title of the nursing diagnosis. in this case it would be "smoking" or "smoking cessation". your related factor has to be why (the etiology) he/she doesn't have this information. "health risks of smoking" is not why the patient hasn't stopped smoking. this knowledge deficit is going to be due to (page 130, nanda-i nursing diagnoses: definitions & classification 2007-2008):
- cognitive limitation
- information misinterpretation
- lack of exposure
- lack of interest in learning [the most likely reason--the symptom of this is apathy]
- lack of recall
- unfamiliarity with information resources [another possibility]
carry on!Last edit by Daytonite on Dec 2, '07