I am doing a care plan on a patient with anoxic encephalopathy

[guess?]

ok my patient is a 48 year old female bedridden and chair bound all the time she needs assistance to ambulate and for all self care. she has anoxic encephalopathy with brain damage. i need to do a 3 page care plan using 3 different nursing diagnosis

so far this is what i came up with for diagnoses

impaired physical mobility r/t muscle weakness and disease process

self care deficit: dressing and grooming r/t cognitive impairment

chronic confusion r/t impaired decision making

ineffective coping r/t impaired information processing

noncompliance with nursing staff r/t behavior problem due to mental decline

impaired verbal communication r/t aphasia-speech deficit

risk for falls r/t muscle weakness

risk for impaired skin integrity r/t bedridden/chairbound

so now i am trying to choose the top three prioriy dx and having trouble. i understand they need to be in order starting with the abc's so thats why i am having trouble because my patient has no breathing issues or heart problems. also her skin is intact w/o signs of ulcers or breakdown.

what 3 do you think are priority nursing diagnoses?

thanks i appreciate your ideas and responses:redbeathe

[color=#888888]

[MsPC]

I'm not an RN yet but I would go with maslow's starting at the bottom. So think Physiological needs, then safety, and go from there.

HTH, Good Luck

[llltapp]

1. how about her airway and risk for aspiration?

2. her skin may be intact now but she has SEVERE potential for impaired skin integrity (what are you going to do for assessment and prevention of that?)

3. how about potential for muscle atrophy related to imobility and interventions for that?

GOOD start on your brain storming.

[Esme12, ASN, BSN, RN]

a nice general site

http://www1.us.elsevierhealth.com/MERLIN/Gulanick/Constructor/