Deficient Knowledge diagnosis

[StudentNurzNK]

I am doing a care plan for a man who recently had a PEG tube placed. I am required to do one psychosocial and one physiological diagnosis. For phys. I have "risk for falls r/t postoperative condition and nutritional deficit" First, does this sound like a winner? He has been noted as a fall risk, just dont know about r/t nutrition.

Most importantly...I have chosen Deficient knowledge to be my psych diagnosis on the client, but I don't want to build up a care plan without being sure that it is actually a psych, and not a phys (since I already have one). Any suggestions?

I did a care plan last week that my instructor didn't like, so I need to be sure I am distinushing between these 2 categories correctly. I used Disturbed Mental Process (caused by multi. CVA and UTI dementia) and Risk for Violence, Others-Directed (he had a past with hurting staff). She said both of them were psych, and I don't agree. I believe both could be either categorty, but I chose disturbed mental process for phys because it was causing, and was due to real psychological events. Anyone have any insight as to how I can distinguish between the "psychosocial and physiological" diagnoses to get through school? And this careplan?? I have tried searching the internet already with no real answer I can trust..

[itsmejuli]

Care plans are based on prioritizing ABCs and Maslow's hierarchy of needs.

Why did he have a Peg tube placed? Is he at risk of aspiration?

What's his nutritional status?

How is his skin integrity?

What is his mental status? Is he lonely or depressed? Is he confused?

The whole point of creating care plans is for the nurse to prioritize nursing interventions.

[StudentNurzNK]

thanks for your answser. he had dysphagia due to multiple CVAs and partial paralysis of throat muscles. He has entire left sided weakness. He can move freely within his bed, he just is not ambulatory for the time being. PT is helping with that. I didn't do aspiration or swallowing since he had the tube in place.

For anyone that is wondering about deficient knowledge being psychosocial...I talked to someone today that told me it is completely physilogical. I went with interrupted family process.