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Discussion

help me please

I'm care planning an 89yro pt admittied for a tia and seconday dx of a uti. I'm havein troublr coming up with nursing dx so far I have:

Ineffective peripheral tissue per r/t atherscerlotic occlusion/processes

Risk for infection r/t ????

High risk for falls r/t ????

Knowledege deficit r/t I think current health status/ disease process. But idk???

Impaied short term memory r/t????

Self care deficit bathing dressing/grooming/toleiting r/t????

Please help me even the slighest bit can make a huge difference. If I don't pass this I fail nursing school and I only have 9 weeks left!

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    I would take out the "risk for infection" since he already has one (the UTI right?). Maybe add in risk for aspiration r/t TIA or altered mental status? I'm a student too, so I might not be very helpful. Good luck!:idea:

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    Remember saftey + ABCs for your patient.

    With a stroke, there is always an increased risk for another clot - arms/legs/heart/or brain. Anticoagulation therapy, and ROM of the extremity along with neuro checks are a big one.

    In your assessment, look for changes in LOC. Both UTI (in the older pt) and change in NV status can lead to confusion and falls.

    Self care deficit: think disuse of affected hemisphere

    How about aspiration? Swallow reflexes.

    These are suggestions, but I hope you see where they are coming from. It's up to you to piece them together. Good luck.

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    You only have 9 weeks of school left and still can't write a care plan? How can this be?

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    ummm actually i doknow how to do care plans im just scared and dont want to mess anything up. not evryschool has there students do care plans the same so before u judge just remeber when u went through a hard time in school and just needed a littile reassurance. if u never struggled kudos to you. however i have made it through this far because im smart.

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