Input needed--do these diagnoses sound reasonable?

  1. Pt is 89, diagnosed with prostate cancer that has metasticized to the bone and elsewhere. He is on palliative/comfort care only. Family is having a difficult time deciding on placement following discharge from hospital.

    1. Chronic pain r/t (insert long patho of pain here) AEB facial grimacing, groaning

    2. Alteration in family process r/t illness of family member AEB blah blah blah

    3. Risk for impaired skin integrity r/t immobility

    4. Risk for infection r/t depression of immune system (pt was treated with strontium)

    I know they aren't the best diagnoses ever, but I am having a really hard time with this because of the comfort measures only. I am wondering if maybe there is a better diagnosis for the family issues? Thanks for taking the time to look!
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    About memphispanda

    Joined: Sep '02; Posts: 957; Likes: 5
    new Med-Surg RN


  3. by   FullMoonMadness
    Those sound good. How about some psycosocial dx.
    1) Fear/Grieving r/t impending death aeb expressions of guilt,anger or sorrow

    2)powerlessness r/t loss over control of life decisions aeb witdrawal or decreased participation inadl's

    these both came from my Mosby book.Good luck with your careplan
  4. by   memphispanda
    Thanks! I especially like the second one. I think I may tweak it and use it instead of the family process one. (We have to have 4).