Help with PKU Diagnosis

[cnbowling]

I am writing a paper on Phenylketonuria (PKU) and I have to come up with 5 potention NANDA's (No risk for's). I have come up with Deficient Knowledge r/t diet restrictions and Imbalanced Nutrition: less than body requirements (not sure of the r/t yet). Anyone know of anything else? I've never had a patient with PKU.

[Daytonite, BSN, RN]

start by looking up and making a list of the signs and symptoms of pku. nursing diagnoses are labels for nursing problems. nursing diagnoses are based upon the responses (signs and symptoms) that people have to their diseases. those signs and symptoms become the evidence (aebs) that support the nursing diagnoses that you will end up using. a good place to look for this information is in the online merck manual (http://www.merck.com/mrkshared/mmanual/sections.jsp). there is also this article on emedicine: http://emedicine.medscape.com/article/947781-overview about it. there are more pediatric weblinks where you can look for information about pku on this sticky thread of allnurses: https://allnurses.com/nursing-student-assistance/medical-disease-information-258109.html. for help on how to put your nursing diagnoses together with the signs and symptoms that you find, see this thread:

• https://allnurses.com/general-nursing-student/help-care-plans-286986.html
  - help with care plans
  

your diagnosis deficient knowledge r/t diet restrictions is constructed incorrectly. the related factor of your nursing diagnoses is the etiology, or cause, of the problem (the nursing diagnosis) and tells the reader of the diagnostic statement why the problem is happening. diet restrictions cannot be the cause of the patient's deficient knowledge. that just doesn't make sense. also, if the patient is a baby, how are you going to (1) assess a baby's knowledge of what they know about their diet, and (2) teach them? remember to keep the focus of the plan of care on the patient. third, the topic of the teaching needs to be stated in the label of this diagnosis, so the proper title of this diagnosis would have to be stated as deficient knowledge, diet restrictions, r/t ???. the nanda taxonomy lists a number of related factors (etiologies, causes) for this. if you have your own copy of taber's cyclopedic medical dictionary this information is printed in the appendix for every diagnosis. or, you can see it here: deficient knowledge (specify)

[cnbowling]

The assignment doesn't necessarily say that it has to be about and infant. I have picked some for different age groups and even the parents. Here is what I have so far, someone criticize me so I can fix any issues.

Delayed growth and development r/t inability to break down excess amino acids AEB child's weight is in 5th percentile.

Caregiver role strain r/t complexity of diet requirements AEB parent states not enough time to plan meals.

Deficient knowledge r/t lack of experience AEB parent states she doesn't understand the disease process or the diet.

Deficient fluid volume r/t excessive vomiting AEB dry mucous membranes.

Non-compliance r/t adolescent's desire for increased independence AEB persistent elevated phenylalanine levels.

I appreciate everyone's feedback. It really helps me with my paperwork. I have a really hard time trying to put what I want to say in NANDA terms.

[Daytonite, BSN, RN]

delayed growth and development r/t inability to break down excess amino acids aeb child's weight is in 5th percentile.

inability to break down excess amino acids

doesn't clearly explain the cause of how the patient deviates from age-group norms and

child's weight is in 5th percentile

doesn't give a clear patient weight assessment.

caregiver role strain r/t complexity of diet requirements aeb parent states not enough time to plan meals.

deficient knowledge r/t lack of experience aeb parent states she doesn't understand the disease process or the diet.

i previously mentioned that this diagnosis is

deficient knowledge (specify)

. you've left out the

(specify)

part of the diagnosis.

deficient fluid volume r/t excessive vomiting aeb dry mucous membranes.

non-compliance r/t adolescent's desire for increased independence aeb persistent elevated phenylalanine levels.

why not

ineffective health maintenance

or the opposite,

effective management of therapeutic regimen

?

[cnbowling]

Ok so I know how to fix the deficient knowledge but I'm having issues with the delayed growth and development and it's kind of a big one with PKU. I understand what goes on and what I want to say but having trouble with putting it in NANDA form. PKU causes developmental delay and mental retardation due to a build up of phenylalanine in the blood and brain tissues when diagnosis is missed/delayed or treatment is delayed. Can you help me word this?

[Daytonite, BSN, RN]

Delayed Growth and Development R/T cognitive impairment secondary to PKU

[cnbowling]

Thank you so much! You have been so much help!