can someone help with my care plan??

[clff_0107]

I want to know whether the diagnosis is correct or not.

Mr. Wong is 50 years old and has been diagnosed with lung cancer for a few months.

He is admitted with chest wall pain(He rates 6) and dyspnea. He has poor appetite and loss his weight

He sleeps poorly and cries at night

BP: 120/80 mmHg

P: 120/min

RR: 30/min

SaO2: 80%

Whening taking to the nurse, he is depressed and dyspnoeic

Nursing diagnosis:

1、activity intolerance

2、ineffective breathing patterns

3、imbalanced nutrition,less than body requirement

4、anxiety

5、insomnia

6、Ineffective airway clearance

7、acute pain

8、ineffective tissue perfusion

9、impairedgas exchange

Are these correct??

Are there any things else need to add??

Thank you!

[nurseprnRN, BSN, RN]

"many of you diagnosis are related to other nursing diagnosis.

1.) activity intolerance (no) he's intolerant of activity because he can't breathe and is in pain

2.) ineffective breathing pattern (maybe) but likely because he is in pain and has poor gas exchange

3.) nutrition less than body requirements (probably) but he's not eating because he is in pain and can't breathe

4.) anxiety (no) he's anxious because he's in pain and can't breathe

5.) insomnia (no) again because he's in pain and can't breathe

6.) ineffective airway clearance (maybe) signs symptoms of airway clearance? wheezes? rhonchi?

7.) acute pain (yes)

8.) ineffective tissue perfusion (maybe) you'd need to present more evidence to support this dx, nothing you presented above would support this dx.

9.) impaired gas exchange (yes)"

i disagree completely. i think it's a great list , although it could stand some prioritizing (and maybe some clarification of the tissue perfusion and ineffective airway clearance items). there is absolutely no prohibition or rationale for excluding related diagnoses.

[CrazierThanYou]

"many of you diagnosis are related to other nursing diagnosis.

1.) activity intolerance (no) he's intolerant of activity because he can't breathe and is in pain

2.) ineffective breathing pattern (maybe) but likely because he is in pain and has poor gas exchange

3.) nutrition less than body requirements (probably) but he's not eating because he is in pain and can't breathe

4.) anxiety (no) he's anxious because he's in pain and can't breathe

5.) insomnia (no) again because he's in pain and can't breathe

6.) ineffective airway clearance (maybe) signs symptoms of airway clearance? wheezes? rhonchi?

7.) acute pain (yes)

8.) ineffective tissue perfusion (maybe) you'd need to present more evidence to support this dx, nothing you presented above would support this dx.

9.) impaired gas exchange (yes)"

i disagree completely. i think it's a great list , although it could stand some prioritizing (and maybe some clarification of the tissue perfusion and ineffective airway clearance items). there is absolutely no prohibition or rationale for excluding related diagnoses.

agreed~!