Need some help with a nursing care plan!!

[Brunbrun2]

Hi!

I'm working on a nursing care plan, my diagnosis is risk of skin integrity r/t to swelling in both legs as evidence by bilateral lower leg oedema,

Just want to make sure this is accurate as a diagnosis?! And I'm trying to figure out an appropriate goal for my patient but am struggling, ideas would be great!

Thank you!

[emtb2rn, BSN, RN, EMT-B]

What are your assessment findings? Also, your primary dx shouldn't be a risk of, it should be something that is actually occurring.

[umbdude, MSN, APRN]

When you write "Risk for" diagnosis, you don't need "related to". Just say "Risk for impaired skin integrity as evidenced by bilateral lower extremity edema."

Your goals should always make sense and address the diagnosis. If your patient is at risk for impaired skin integrity, your goal would be to keep him/her from having impaired skin. If the dx is pain, your goal is that the patient remain almost pain free. Interventions are things you actually perform to reach your goal.

Step back and think about it before you put things down.

PP is right too...primary diagnosis should not be a risk dx. Good luck!

[Larry2016]

Really can't help you without the primary MDx. For example. If the patient has CHF, you shouldn't give a darn about skin integrity as a primary NDx.

By the sound of what you said, bilateral edema is usually R sided heart failure. So your primary NDx would be ineffective tissue perfusion r/t decreased cardiac output aeb (insert assessment findings)