Can I be specific when it comes to my nursing diagnosis?

[HermanThePuppy]

I am trying to write a nursing diagnosis for a type 1 diabetic who stubbed her great toe. She has hyperglycemia and her toe is now reddened and swollen with a cut. My nursing diagnosis is:

Risk for infection on right great right toe r/t hyperglycemia, impaired healing, and circulatory changes

Am I allowed to do this? Or do I have to simplify it by just saying "Risk for infection r/t hyperglycemia, impaired healing, and circulatory changes"?

Just need some clarification please. Thank you!

[nurseprnRN, BSN, RN]

You can be as specific as you want. That's fine. Another risk factor would be the break in the skin, of course. Though it sounds as if she already has the infection so it's no longer a risk-for, it's an actual.

Now what? What does your NANDA-I 2012-2014 say, available with free 2-day shipping from Amazon and the definitive book on nursing diagnosis which every student should have??

However, this patient is at risk for more than just that toe. So part of your interventions should include teaching her how to think about avoiding further injury, eh?

[kabfighter]

Looks pretty good to me. I would ask a professor how they want them structured since they're going to be the ones evaluating them, though.