Need help with a careplan PLEEASE!

[clh504]

I'm having a hard time doing this care plan. This patient is has been admitted with the complaint of numbness and tingling in both arms, hands, and legs. The patient also has cataract, HTN, cervical cancer and HIV. Some nursing diagnoses i came up with were

Risk for decreased tissue perfusion

Self care deficits related to visual deficit

Ineffective Protection related to depressed immune system

The patient does not have diabetes so its not related to that condition but I did read that neuropathy may be caused by HIV, chemo etc. Can somone help please, thanks. :)

[tarheelsu]

You have got to do more background work before getting help with careplans/ nursing diagnoses. If its an actual chart, read the history and progress notes/ labs, etc to find out details of why they are in the hospital. If you don't have that, look up the past medical history in your med-surg book. Read the patho and potential complications. The book should list common nursing diagnoses for the disease process.

Numbness and tingling are just too broad of a complaint to prioritize nursing diagnoses.

Things I would ask: are they currently being treated for cancer (chemo/radiation), do they take meds for hypertension, do they follow their medication protocol for HIV, what medications do they take and what are the potential side effects of those medications? What does their CBC look like -- WBC, RBC, Hmg, hct, and especially CD4 count for HIV.