I'm working on a care plan right now, and for my l&d patient, her priority issue per my instructor needs to be her anemia. I've been leaning more toward her risk for hemorrhage because she had several factors contributing to her potential hemorrhage, but the "risk for" needs to be ranked lower than her actual. My gut is still feeling like the risk for hemorrhage needs to be first (I don't want to share specific details, but she really was a hair away from hemorrhage). But since my instructor is the one grading this, I need to go with her gut feeling. :)
So, out of the official nanda nursing diagnoses that are related to anemia, I really can't decide which of all of them needs to be the one I use. I started to work up ineffective tissue perfusion, but nanda wants specifics (renal, cardiac, or peripheral). If you're anemic, you're at risk for all of your tissues not being perfused, right? Then there is risk for bleeding, but then my instructor might assume I have missed the point of our conversation completely, especially since that's another "risk for" one. I also don't have any supporting info for risk of bleeding, related to anemia. Just because her h&h are low, doesn't necessarily mean she's not able to clot if she bleeds. Or does it?
Can you help me think through this? Because I am not inspired by any of these choices.
