I am having a lot of trouble figuring out a diagnosis for my patient. Here is her assessment:Mrs. H, an 85 year old woman who lives in a nursing home.Diagnosed with dementia, hypertension, depression, continence in bowels, requires the use of bladder pads, hearing aids in both ears, ambulates well with the assistance of a walker, skin intact, cognitive problems. Requires the use of laxatives and analgesics, antihypertensive medication, urinary incontinence once per day or less. Stress incontinence - leakage with cough, drops. Experiences some dizziness and light-headedness Temp 37 degrees C, pulse 62 bpm, respirations 18/min, BP 119/70, oximetry 94%, weight 152 lbsStage 2/7 depression - exhibits behaviors but participates in activities.Cognitive performance 2/6 - mild impairmentMental - slight reduction of mental function with ocassional brief periods of confusion.Change in care needs - deteriorated as of 90 days ago.She does not have Alzheimers, only dementia. I her chart it says that she has decreasing cognitive function. However, she is able to hold a conversation and she can do everything herself (feeding, bathing, bathroom). She requires aid with perineal care. My first diagnosis is "Stress urinary incontinence related to weak pelvic floor muscles". Should I add anything in my diagnosis about the use of incontinence pads?What about adding "secondary to the processes of aging" after my diagnosis?Short term: provide peri-care after toiletingLong term: maintain perineal skin integrity My interventions would include: monitoring urinary elimination, observe skin moisture, coolour and temperature, Some of my ideas for her second diagnosis is "Toileting self-care deficit related to cognitive deficits".OR: "Toileting self-care deficit related to aging process"OR: "Cognitive impairment related to disease process"