Help with nursing diagnosis for urosepsis!! please

Nursing Students General Students

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Specializes in Cardiac Tele.

:w00t:Hey everyone, sorry im in a little trouble. Im at the library right now and i forgot my nursing diagnosis books from class, and im trying to find out some good websites to help me out. I have a 93 yr old female that came in yesturday with a mental status change due to the uti, and fever. She is alert but not oriented and at times she is veryy confused. Her past PMH is dementia, macular degneration with legal blindness, joiunt disease and depression. Not too much, they are just going by her records since she does not have any family in the area. Any ideas about what kind of diagnosis i could come up with... 1. being the first priority, OR any helpful websites for nursing diagnosis? Thank you all!!

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http://www.rncentral.com/nursing-library/careplans

http://www1.us.elsevierhealth.com/merlin/gulanick/constructor/index.cfm

here are the 2003/2004 nanda's (can't find my more current list..sorry) but with all these to choose from, i'm sure you can come up with as many as you need.

activity intolerance

activity intolerance, risk for

adaptive capacity: intracranial, decreased

adjustment, impaired

airway clearance, ineffective

anxiety

anxiety, death

aspiration, risk for

attachment, parent/infant/child, risk for impaired

body image, disturbed

body temperature: imbalanced, risk for

bowel incontinence

breastfeeding, effective

breastfeeding, ineffective

breastfeeding, interrupted

breathing pattern, ineffective

cardiac output, decreased

caregiver role strain

caregiver role strain, risk for

communication, readiness for enhanced

communication: verbal, impaired

confusion, acute

confusion, chronic

constipation

constipation, perceived

constipation, risk for

coping: community, ineffective

coping: community, readiness for enhanced

coping, defensive

coping: family, compromised

coping: family, disabled

coping: family, readiness for enhanced

coping (individual), readiness for enhanced

coping, ineffective

decisional conflict (specify)

denial, ineffective

dentition, impaired

development: delayed, risk for

diarrhea

disuse syndrome, risk for

diversional activity, deficient

dysreflexia, autonomic

dysreflexia, autonomic, risk for

energy field, disturbed

environmental interpretation syndrome, impaired

failure to thrive, adult

falls, risk for

family processes, dysfunctional: alcoholism

family processes, interrupted

family processes, readiness for enhanced

fatigue

fear

fluid balance, readiness for enhanced

fluid volume, deficient

fluid volume, deficient, risk for

fluid volume, excess

fluid volume, imbalanced, risk for

gas exchange, impaired

grieving, anticipatory

grieving, dysfunctional

growth, disproportionate, risk for

growth and development, delayed

health maintenance, ineffective

health-seeking behaviors (specify)

home maintenance, impaired

hopelessness

hyperthermia

hypothermia

identity: personal, disturbed

infant behavior, disorganized

infant behavior: disorganized, risk for

infant behavior: organized, readiness for

enhanced

infant feeding pattern, ineffective

infection, risk for

injury, risk for

knowledge, deficient (specify)

knowledge (specify), readiness for enhanced

latex allergy response

latex allergy response, risk for

loneliness, risk for

memory, impaired

mobility: bed, impaired

mobility: physical, impaired

mobility: wheelchair, impaired

nausea

neurovascular dysfunction: peripheral, risk for

noncompliance (specify)

nutrition, imbalanced: less than body

requirements

nutrition, imbalanced: more than body

requirements

nutrition, imbalanced: more than body

requirements, risk for

nutrition, readiness for enhanced

oral mucous membrane, impaired

pain, acute

pain, chronic

parenting, impaired

parenting, readiness for enhanced

parenting, risk for impaired

perioperative positioning injury, risk for

poisoning, risk for

posttrauma syndrome

posttrauma syndrome, risk for

powerlessness

powerlessness, risk for

protection, ineffective

rape-trauma syndrome

rape-trauma syndrome: compound reaction

rape-trauma syndrome: silent reaction

relocation stress syndrome

relocation stress syndrome, risk for

role conflict, parental

role performance, ineffective

self-care deficit: bathing/hygiene

self-care deficit: dressing/grooming

self-care deficit: feeding

self-care deficit: toileting

self-concept, readiness for enhanced

self-esteem, chronic low

self-esteem, situational low

self-esteem, risk for situational low

self-mutilation

self-mutilation, risk for

sensory perception, disturbed (specify: visual,

auditory, kinesthetic, gustatory, tactile,

olfactory)

sexual dysfunction

sexuality patterns, ineffective

skin integrity, impaired

skin integrity, risk for impaired

sleep deprivation

sleep pattern disturbed

sleep, readiness for enhanced

social interaction, impaired

social isolation

sorrow, chronic

spiritual distress

spiritual distress, risk for

spiritual well-being, readiness for enhanced

spontaneous ventilation, impaired

sudden infant death syndrome, risk for

suffocation, risk for

suicide, risk for

surgical recovery, delayed

swallowing, impaired

therapeutic regimen management: community,

ineffective

therapeutic regimen management, effective

therapeutic regimen management: family,

ineffective

therapeutic regimen management, ineffective

therapeutic regimen management, readiness for

enhanced

thermoregulation, ineffective

thought processes, disturbed

tissue integrity, impaired

tissue perfusion, ineffective (specify: renal,

cerebral, cardiopulmonary, gastrointestinal,

peripheral)

transfer ability, impaired

trauma, risk for

unilateral neglect

urinary elimination, impaired

urinary elimination, readiness for enhanced

urinary incontinence, functional

urinary incontinence, reflex

urinary incontinence, stress

urinary incontinence, total

urinary incontinence, urge

urinary incontinence, risk for urge

urinary retention

ventilatory weaning response, dysfunctional

violence: other-directed, risk for

violence: self-directed, risk for

walking, impaired

wandering

[color=#231f20]

source. nanda nursing diagnoses: definitions

and classification, 2003-2004. [color=#231f20]philadelphia:

north american nursing diagnosis association.

used with permission.

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:w00t:Hey everyone, sorry im in a little trouble. Im at the library right now and i forgot my nursing diagnosis books from class, and im trying to find out some good websites to help me out. I have a 93 yr old female that came in yesturday with a mental status change due to the uti, and fever. She is alert but not oriented and at times she is veryy confused. Her past PMH is dementia, macular degneration with legal blindness, joiunt disease and depression. Not too much, they are just going by her records since she does not have any family in the area. Any ideas about what kind of diagnosis i could come up with... 1. being the first priority, OR any helpful websites for nursing diagnosis? Thank you all!!

It really sucks that you don't have your diagnosis ref manual because all you have to do is look up the UTI and it has a list of nursing diagnoses for it. I don't know of any websites but I can suggest a few ideas...

-Acute pain

-Impaired Urinary elimination

-Urge urinary incontinence

I'd say the pain/fever is the priority...

Good luck :)

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Specializes in med/surg, telemetry, IV therapy, mgmt.

All diagnoses are based upon the symptoms that a patient has. The only ones you have listed are:

  • fever
  • blindness
  • disoriented and confused

From that you can probably use the following nursing diagnoses (in priority order, by Maslow):

  • Hyperthermia
  • Disturbed Sensory Perception: visual
  • Acute Confusion

Until you come up with the symptoms of the patient's urosepsis, any diagnosis would be just a guess--you MUST have the symptoms (NANDA language: defining characteristics) to support any diagnosis.

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