Diagosis priority suicidal pt

[RedHeaded2bNurse16]

Pt was admit for "trying to hurt myself"

He is a paraplegic (20 years). He is also being treated for a dishenced wound that is mrsa positive. He was on a 1013 but the md released it. He has a plan in place for counseling etc. and the main reason he is still being treated is the wound. I'm not sure if I would make my diagnosis related to the wound higher than my diagnosis related to the suicide attempt. Physiologically, the wound but I would also think the suicide attempt initially bc of restoring his physiological factors but now that is stable so maybe not! I appreciate any insight on this. Thank you

[Esme12, ASN, BSN, RN]

moved for best response.

[Kisabelle]

Suicide and the wound dehiscence are both a priority but if you need to pick one, I would think you should follow Maslow of heirarchy which is physiological needs.

[MrChicagoRN, RN]

Trying to hurt myself is overly vague.

Is there a correlation between the act and the wound?

You need to look at the act, his intent, and Current psychiatric status. But, if this is a real person please don't post the info, as you probably cross over into HIPAA violation

[LadyFree28, BSN, LPN, RN]

Trying to hurt myself is overly vague.

Is there a correlation between the act and the wound?

You need to look at the act, his intent, and Current psychiatric status.

This.

If it is a correlation; what would be the priority diagnosis, and the supporting evidence?

[RedHeaded2bNurse16]

I'm sorry I should've been more clear. No the wound is not a result of his suicide attempt. More as one of the many reasons he is feeling helpless

[Psychcns]

It sounds like he is psychiatrically stable and will be treated outpatient for his psychiatric issues.

He is now on a medical inpatient unit for his wound issues. If you are prioritizing problems it sound like the wound care would come first.

[RedHeaded2bNurse16]

Thank you! That's what I've been leaning towards but just wanted to verify!