can you help me with my pathophysiology diagram of my patient

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I had my 1 month old female patient. She had cough, colds and fever for 5 days prior to admission. Her final diagnosis when she was discharged was Pneumonia (severe) and anemia (mild) can you help me with my pathophysiology diagram of my patient and correlate it with mild anemia. She had ordered blood transfusion because her hemoglobin level was 8.7 gm/dL. thank you very much.. and also what are the appropraite nursing diagnosis for my patient.. tnx a lot!!!

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Specializes in ICU/Critical Care.

Not trying to be mean, but if you are having trouble with your patho diagram maybe you should be speaking to your instructor.

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We will be happy to assist you, but we do not do your homework for you. You get it done and then you can ask for advice here. Or start working on it and then if you have any questions...............but we will not lay it out for you.

And as mentioned above, if you are having problems with this, it is best thought to speak with your instructor first.

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Specializes in med/surg, telemetry, IV therapy, mgmt.

hi, jessie_dolor7, and welcome to allnurses! :welcome:

i'm not sure pneumonia and anemia can be linked together. i cannot for the life of me think of how the two can be related. if this patient got a blood transfusion, then her anemia quite possibly is due to blood loss. patients do not lose blood when they have pneumonia to the point of needing blood transfusions. so, i would say these two conditions are, at present, unrelated. did you do a thorough look at this patient's chart to see what the doctor's thinking on this anemia and pneumonia were? there might be some information there to help figure out this puzzle, especially since you mention that there were discharge records. the doctor must dictate a discharge summary when a patient is discharged which reviews the treatments the patient has received during the hospital stay, the tests that were done and, most importantly, the findings and conclusions of the doctor as to what was going on medically with the patient. my best guess is that there might be an underlying blood disease that led to a compromised immunity situation that allowed an infection to thrive in this patient--but that is only a guess. you would have to find evidence of that in the chart from the doctor's notes.

there is a previous thread on allnurses that describes the pathophysiology of pneumonia, infection and inflammation. inflammation precedes and also accompanies infection. you'll have to check a pathophysiology book for the pathophysiology of blood loss anemia.

nursing diagnoses can only be determined from the symptoms that the patient has and not from their medical disease or condition. a symptom is an objective observation you have made of the patient or a subjective perception made by the patient about their condition or how they respond to their condition. a diagnosis is the decision or opinion you make after you have made a thorough assessment and investigation of the facts. until you have done that you cannot assign any nursing diagnoses to a patient. likewise, a doctor does not assign a medical diagnosis to any patient until he/she has done a review of systems and physical exam first. nursing diagnosing is no different.

in writing a care plan or developing a care map (which is just a different physical form of a care plan) you must follow the steps of the nursing process in the sequence that they occur. those steps are:

  1. assessment (collect data from medical record, do a physical assessment of the patient, assess adl's, look up information about your patient's medical diseases/conditions to learn about the signs and symptoms and pathophysiology)
  2. determination of the patient's problem(s)/nursing diagnosis (make a list of the abnormal assessment data, match your abnormal assessment data to likely nursing diagnoses, decide on the nursing diagnoses to use)
  3. planning (write measurable goals/outcomes and nursing interventions)
  4. implementation (initiate the care plan)
  5. evaluation (determine if goals/outcomes have been met)

please note the intensity of work that you must put into the first step of this process. the first part of step #2 directs you to develop of list of the patient's abnormal data, or symptoms, from the information you collected in step #1. this list of symptoms is important because the remainder of the work that goes into the care plan, or care map, is based upon these symptoms. every nursing diagnosis, goal and nursing intervention addresses a symptom.

also, every nursing diagnosis, like every medical diagnosis, has a set of symptoms. these listings of symptoms for the current 188 nursing diagnosis can be found in the nanda taxonomy. the nanda taxonomy is reprinted in many of the currently published care plan and nursing diagnosis books that are on the market today. if you do not have access to any of these books there are approximately 75 of the most commonly used nursing diagnoses with the nanda taxonomy information included on webpages that you can view for free at these two websites:

there is also more extensive information on how to write a care plan on these threads of allnurses:

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if it was mycoplasma pneumoniae, then hemolytic anemia can be a complication of it.

does it state what type of pneumonia the baby had?

leslie

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hey jessie, welcome to allnurses. listen to daytonite,she is a wise lady. i hope you still feel you can come here for help after your initial greetings, always feel free to post a question, but also know someone else may have asked the same and sometimes you can do a search to find what you need like the posts our "guru" recommended. is this your 1st semester? i am about to finish my 1st year( i can't believe it!) and i still get stuck sometimes.;) welcome!!!:heartbeat

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