Help CP for Hepatic Encephalopathy

[HelloHiloe]

I'm doing a CP for a pt with Hepatic Encephalopathy. His ammonia levels were high and H&H low. I'm working on my psychosocial nursing dx. I wanted to do "Disturbed though process r/t high levels of serum ammonia AEB serum ammonia lab value 88 (18-45), client exhibiting slurred speech, forget fullness, unsteady gate, slow movements, drowsiness, and asking 4 times "when is lunch?" after being told when lunch was."

I'm having trouble with my short term goal (we don't do long term). I was thinking "client will remain free of injury by end of shift." or "Client will not fall or injury self by end of shift."

Since this is for psychosocial, I wasn't sure if these were appropriate goals. We do a physical, psychosocial, and educational dx per client. Since its a psychosocial dx, does the goal have to be a psychosocial thing? He didn't have any anxiety, fears, or ineffective coping. He was pretty positive and upbeat about his tx and prognosis.

Any advice is appreciated. thank you!

[Bedside_Life RN]

why is this pt. encephalopathic? are you concerned with any risks for injuries r/t this patient's current psychosocial status or behaviors? a good piece of advice is, if you have to "make it work" there is probably a reason. don't fill a space just because it is empty, think about this "individual patient's circumstances" and what really exists; what is ​best...?

[AJJKRN]

Look up the medication called Lactulose, what it is used for, and how it affects a Pt's Ammonia levels...