Need help with nursing diagnosis for care plan

[mustbcrazy]

I'm at a loss and need help coming up with a nursing diagnosis for my patient I will be caring for tomorrow. Here is the info on the patient:

89 year old Female who was going to the hospital for an evaluation for a PEG tube but had a high WBC due to a UTI, patients family states she has a constant UTI, it will get better then come right back. She has a fever and her WBC is 14.9 and her I&O for the last 24 hrs is I5457and O750. The patient has had a low oral intake for some time now and is having trouble swallowing food and has had some weight loss. Patient is nonverbal, has a history of hypertension, dementia, stroke, CHF, thrombocytosis, leukocytosis aspiration pneumonia, and has edema of the lower extremities. She is incontinent and has a foley cath.

I would like my nursing diagnosis to be something to do with her UTI or her WBC but I can't find it. I found risk for infection, but she already has the infection. Or would it be one of the Urinary incontinence? Or should I worry about her nutrition? I think it would be best to take care of the infection first so that she can be evaluated for a PEG tube and then that will help her nutritional state. Please help, I'm really not sure what is best for this patient.

Thanks

MUSTBCRAZY

[ParkerBC,MSN,RN, PhD, RN]

if i am reading you information correctly, you input is 5457 and output is 750, you can use excessive fluid volume…which is a serious condition.

untreated urinary tract infections can lead to acute or chronic kidney infections (pyelonephritis), which could permanently damage your kidneys.

[MissJulie]

According to Ackley, one based on the UTI would be Impaired Urinary elimination: frequency r/t urinary tract infection.

Hope it helps :)

[mustbcrazy]

Thanks!! I ended up using Impaired urinary elimination: frequency r/t uti, and my instructor was happy with it!!