Care Plan Help!!

The diagnosis of Risk for Bleeding R/T anticoagulant therapy induced thrombocytopenia isn't an official NANDA diagnosis. I understand, however, that some nursing programs want students to formulate diagnoses in their own words. The NANDA diagnosis for this would be: Risk for Injury R/T abnormal clotting factors. The outcome of an anticipated problem is always that the risk (in your patient's case, bleeding) doesn't manifest. So, what specific bleeding problem are you trying to prevent from happening? Can you put a name to it? (frank hemorrhage from a wound or incision, hematoma, ecchymosis, petechiae, hemoptysis, hematuria, etc.) That is your final outcome. The nursing interventions must be:

• strategies to prevent the problem from happening in the first place
  
• monitoring for the specific signs and symptoms of this problem
  
• reporting any symptoms that do occur to the doctor or other concerned professional
  

Outcome: By ___ patient will have no bleeding as evidenced by ___.

I thought the same thing Daytonite, but after checking the NANDA website, I found that I was mistaken and it is a new NANDX dx. I also noticed some "retired" dx's and some "revised" dx's. They can be viewed with the link below

http://www.nanda.org/DiagnosisDevelopment/NewsandUpdates/TaxonomyUpdates/Risk.aspx

NANDA-I Taxonomy Updates

New Risk Diagnoses Diagnosis Label / Submitted By

Risk for Bleeding

Sheri Holmes, MSN, APRN BCRisk for Compromised Resilience

Angela Oldenburg, BA, RN

Shelly Eisbach, PhDc, MSN, RN

Melissa Lehan-Mackin, RN, BSNRisk for Decreased Cardiac Perfusion

Jennifer Hafner, RN, BSN, PCCN, TNCCRisk for Disturbed Maternal / Fetal Dyad

Sheri Holmes, MSN, APRN BCRisk for Dysfunctional Gastrointestinal Motility

Joan Klehr, RNC, MPHRisk for Electrolyte Imbalance

Jennifer Hafner, RN, BSN, PCCN, TNCC

Leah Mylrea Speltz BSN RNC ACCE STABLE ACLS NNR

Kathy Weaver, RNRisk for Ineffective Cerebral Tissue Perfusion

Jennifer Hafner, RN, BSN, PCCN, TNCCRisk for Ineffective Gastrointestinal Tissue Perfusion

Jennifer Hafner, RN, BSN, PCCN, TNCCRisk for Ineffective Renal Perfusion

Jennifer Hafner, RN, BSN, PCCN, TNCCRisk for Shock

Jennifer Hafner, RN, BSN, PCCN, TNCCRisk for Vascular Trauma

Cristina Arreguy-Sena, PhD, RN

Emilia Campos de Carvalho, Nurse, Master, PhD

God! I hate the new copy of Nursing Diagnoses Definitions and Classificstion 2009-2011. It's organized differently and I can't find anything in it as efficiently. You're right, it's there. I don't have any specific information on its use. I understand that students need to do what they need to do for a grade.