Care plan question

[fishchick72]

I am trying to do my first care plan. This may be a stupid question to some, but I would feel better to ask & have an idea than to guess & do it wrong & get a bad grade. My care plan is for a pt that had right knee arthroplasty. I have 6 issues on my caremap, but I am only supposed to workout the top three when prioritized. These three are Risk for ineffective tissue perfusion, acute pain, & risk for falls. My biggest question is this: what do I put for "manifested by" on a "risk for" diagnosis?? I put "m/b limited ability to move in bed" for both of them, but I don't know if that's the best way to do it.

[SouthernLPN2RN, MSN, RN, APRN, NP]

Risk for falls related to decreased mobility AEB pain when moving knee, surgical procedure, etc. Depends on which your instructor will accept. The pain would of course be related to the surgery. FYI, risk for diagnoses should always be secondary to actual current problems. This pt does have limited mobility and pain. Risk for infection at surgical site would be more important IMO than tissue perfusion unless your pt has signs of perfusion changes. Anybody else got any ideas?

[fishchick72]

Risk for falls related to decreased mobility AEB pain when moving knee, surgical procedure, etc. Depends on which your instructor will accept. The pain would of course be related to the surgery. FYI, risk for diagnoses should always be secondary to actual current problems. This pt does have limited mobility and pain. Risk for infection at surgical site would be more important IMO than tissue perfusion unless your pt has signs of perfusion changes. Anybody else got any ideas?

the pt profile listed several things r/t perfusion issues, so that is why I chose it.

[blondeez]

I hope this helps. Usually, Risk for does not require a manifested by, otherwise, it would be a Actual dx. (Some instructors may require M/b, I never did.) Also, when prioritizing, remember you ABC's (airway, breathing, circulation). Safety/Falls is also high on the priority list, especially for a head injuries, seizures, etc. It sounds like the profile supports a perfusion issue (remember ABC). I would develop this , if the profile gives actual data to support it. Pain is also an actual issue, and these are actually easy, basic plans to develop. Your train of thought is going the right way. Try not to make this first care plan to complex, these take practice, but it will click.

[fishchick72]

I hope this helps. Usually, Risk for does not require a manifested by, otherwise, it would be a Actual dx. (Some instructors may require M/b, I never did.) Also, when prioritizing, remember you ABC's (airway, breathing, circulation). Safety/Falls is also high on the priority list, especially for a head injuries, seizures, etc. It sounds like the profile supports a perfusion issue (remember ABC). I would develop this , if the profile gives actual data to support it. Pain is also an actual issue, and these are actually easy, basic plans to develop. Your train of thought is going the right way. Try not to make this first care plan to complex, these take practice, but it will click.

thanks so much!!

[SouthernLPN2RN, MSN, RN, APRN, NP]

the pt profile listed several things r/t perfusion issues, so that is why I chose it.

In that case, it would be perfect as blondeez said.