I am a first year nursing student and I am writting my first ncp. I need some help with my NANDA. Can I write: Risk for impaired skin integrity R/T thinning of the skin and physical immobilization due to extrem ageMy pt is way past 85 and spends most of the time in a wheelchair.Thanks for your help.
ParkerBC,MSN,RN, PhD, RN 886 Posts Specializes in Medical Surgical/Addiction/Mental Health. Apr 12, 2011 Okay…is your patient in a wheel chair because of his/her age or for other reasons? For this Dx. I would write:Risk for Impaired Skin Integrity r/t immobility. Did you check labs? How is your patient’s albumin levels? Perhaps you can have the same statement but with r/t immobility and decreased albumin levels. I think there is too much in your Dx. I hope this helps.
yvogue 2 Posts Apr 12, 2011 I have been thinking about it and I agree with you. To much in the DX!My pt has Parkinson's and I believe that is what's causing the immmobility.So I changed it to:Risk for impaired skin integrity R/T immobilty secondary Parkinson'sThanks for the help!
art1stic 38 Posts Apr 13, 2011 Risk for impaired skin integrity r/t to immobility should be fine.Then in your objective data you should right pt has hx of Parkinson's. Pt noted on wheel chair most of the day. Etc