as i was reading through your post i had a couple of questions. is this a real patient or a case study that is just on paper? the reason i ask is because you only listed one nursing diagnosis which is an anticipated one, not an existing problem. then, i see toward the end that the patient has osteoporosis and cataracts and a few bells went off. what led to this diagnosis of osteoporosis being discovered? patients with osteoporosis often have some kind of pain, especially in the low back or neck. over time they lose height due to kyphosis and progressive deformity of the spine. eventually, they develop spontaneous fractures in the vertebrae and it doesn't take a fall for these fractures to occur. they can just happen. another thing is that she is on a diuretic. why? does she have edema? do they know why? heart problem? kidney problem? circulation problem? seems to me like there are other things going on here that you may have missed, assuming this is a real patient. even if it is not, i believe you need to address the real problems of the osteoporosis and the cataracts as well as any risk for falls or injury. patients with cataracts often also have associated hypertension and arteriosclerosis.
you cannot get to the development of measurable outcomes until you have decided on some nursing diagnoses. let me also explain that outcomes are the predicted results of our independent
nursing actions. until you have decided on some of the independent nursing actions you are going to take, you cannot start to list any outcomes. you have three things to consider when formulating outcomes. your patient's problem will either (1) improve (2) stabilize, or (3) deteriorate. your nursing interventions will focus on one of those three things. it is perfectly ok for nursing to support the deterioration of a patient's condition. when you word an outcome, you state it something like this: by december 25, 2006 there will be 10 presents under the christmas tree that will need to be unwrapped. the statement has a time frame and is specific.
not knowing any more than the information you have given, my suggestions for nursing diagnoses would be the following, in priority sequence, and i'm also giving you links to online information about those nursing diagnoses:
- disturbed sensory perception: vision r/t alteration in vision aeb [needs assessment data collected from the patient] http://www1.us.elsevierhealth.com/me...ex.cfm?plan=46 http://www1.us.elsevierhealth.com/ev...replan_062.php
- deficient knowledge r/t diet and exercise secondary to osteoporosis aeb [needs assessment data collected from the patient] http://www1.us.elsevierhealth.com/me...ex.cfm?plan=34 http://www1.us.elsevierhealth.com/ev...replan_044.php
- risk for injury r/t disturbed sensory perception, effects of medications, and degeneration of bone http://www1.us.elsevierhealth.com/ev...replan_043.php
here is a link to nursing diagnosis information on risk for falls
let me also say that the general formula for putting together a nursing diagnosis statement is pes.
the problem is the nanda nursing diagnosis label that you choose based on the grouping of the symptoms that patient has. the etiology is what is causing the symptoms. the symptoms are the abnormal data you found in your assessment of the patient.
have you checked out the posts in these threads that apply to assessment and care planning?