help with a NANDA diagnosis

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Hi! I am a first year nursing student having a tough time with my nursing care plan. My patient is a 66 y/o female with Alzheimer's and obesity, she is also a smoker. I was thinking of using the diagnosis ineffective health maintenance r/t smoking, which was ok'd by my instructor but now i need to list 3 as evidenced by. I can only think of 1, that she continues to smoke 1/2 a pack a day. could i use her shortness of breath as well? Her pulse ox was 97% RA so I can't really use that either, any thoughts? Thank you!!

Specializes in ICU-Adult Medical.

Noncompliance r/t smoking when taught not to. Nutrition imbalance-more then body requirements. Activity intolerance r/t SOB etc....

Specializes in Pediatrics, Geriatrics, LTC.
Specializes in CVICU/ER.

Let me be the millionth person to say that nursing diagnosis's suck and are a colossal waste of time. A person has CHF, he doesn't have excess fluid volume or an activity intolerance. Get rid of NANDA and their made up diagnosis and we could all have a common language.

That is all. Back to our regularly scheduled program......

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