10 NANDA Diagnosis for a patient. HELP!

[reni768]

Ok, in clinicals at a nursing home we were assigned to a patient and we have to do a care plan with the most priority diagnosis and mine will be Decreased Cardiac Output. I have to also create 10 NANDA diagnosis for my patient. I have created these but must have them order with the 1st being the top priority. Please look & see if I have them in the appropriate order.

1 - Decreased Cardiac Output related to Congestive Heart Failure

2 - Excess Fluid Volume r/t End Stage Renal Disease

3 - Impared Urinary Elimination r/t End Stage Renal Disease

4 - Pain, Acute r/t Hemodialysis

5 - Fatigue r/t Hemodialysis

6 - Nausea r/t Hemodialysis

7 - Impared Physical Mobility r/t Edema

8 - Risk for Constipation r/t Immobility

9 - Risk for falls r/t Edema

10 - Risk for Impaired Skin Integrity r/t Immobility

I am open to any suggestions. This is my first quarter and my first care plan so I want to do really good.

[AKsummers]

I would have risk for falls and risk for impaired skin integrity swap places with, fatigue and nausea... Just my personal opinon though, nausea can usually be managed fairly easily with antiemetics, risk for falls, and impaired skin integrity are costly problems, and you really dont want any patient to develop ulcers.

[dudette10, MSN, RN]

If it's a full NANDA statement, you also need your assessment data. Your "as evidenced by" data.

For school, I think your priorities are on target because most "risk for" diagnoses are related to potential, rather than actual, health problems.

However, as the PP stated, in the real world, the risk for falls and impaired skin integrity would take higher priority than fatigue, nausea, constipation, and impaired physical mobility.

If you can write a really good rationale for putting the risk for falls and impaired skin integrity higher (depending on your patient status), you might be able to move them up the hierarchy. I've done it before, but my rationale was solid.