Published Apr 25, 2007
CocoChanel
51 Posts
Hey everyone. I need help figuring out 3 nursing diagnosis for my patient. She's a 69 yr old female with acute renal failure secondary to hypercalcemia. She had 3 out of the 4 parathyroids removed a few years ago which has contributed to her hypercalcemia. Nothing is physically wrong w/ her. What kind of nursing diagnosis can I write for her. Any help would be great! Thanks
DjMiG, BSN, RN
27 Posts
Hey CocoChanel,
I was looking at your posting. Since your saying that there is nothing wrong per say with the client. Couldn't you use a "At risk for" diagnosis?
Right off the bat I was thinking of:
1) "At risk for" Disturbed Thought processes r/t elevated calcium levels that cause paranoia, decreased level of consciousness
2) "At risk for" Imbalanced Nutrition: Less than body requirements r/t gastrointestinal manifestations of hypercalcemia (Nausea, anorexia, ileus)
Not sure if these would help you. Thats a tough question. If anyone disagrees with these two, could you please correct me? I wasn't too certain with all the care plan diagnosis's.
Good Luck!
Mig
Daytonite, BSN, RN
1 Article; 14,604 Posts
you will find care plan help on these two threads:
potential nursing diagnoses for acute renal failure and hypercalcemia are listed below. remember that you must have the supporting defining characteristics (symptoms) in order to validly use any of them. that will come from your clinical assessment of the patient and data collection from the patient's medical record. there are specific instructions and information on the process of how to go about choosing nursing diagnoses for patients on the "desperately need help with careplans" thread (link is above). if you have a care plan book it should have information on the process of how to choose a nursing diagnosis in the first chapter(s). your composition of every nursing diagnostic statement should follow the format of p-e-s (problem-etiology-symptoms) and each of these elements (problem, etiology and symptoms) must be related to each other. it would also be a good idea to review the pathophysiology and signs/symptoms of both medical conditions to reaffirm that you didn't inadvertently overlook one or more of these symptoms in your patient.
here is a list of possible nursing diagnoses that may be applicable to this patient. i have also included some possible etiologies with some of the nursing diagnoses that may be present or fit with some of your patient's symptoms. you will have to determine that by reviewing and analyzing the assessment data that you collected. my signature now includes a link to a critical thinking flow sheet that you can print out to help you in developing your nursing diagnoses related to a specific medical disease.