Hi, I am in my first semester and have just begun clinicals. My instructor has asked me to write a psychosocial careplan for a pt. I only need one nursing diagnosis. I know where I would like to go with it but am not sure how to write my diagnosis. My pt is a 72 y/o female that has paralysis from an accident three years ago...she has a medical diagnosis of obesity and makes negative statements concerning her weight about herself while I care for her. I am thinking a good diagnosis would be SITUATIONAL LOW SELF-ESTEEM R/T FUNTIONAL IMPAIRMENT AEB PAITENT MAKES SEL-NEGATING STATEMENTS. It just doesn't seem quite right and I need help making it fit. Any help would be greatly appreciated.
MrsMig, BSN, RN 172 Posts Has 2 years experience. Apr 2, 2011 Personally? Since she's had a stroke & obese - although she may/does have low selfesteem - to me, this would not be a priority to her health, kwim?If I had to choose 1...just 1 dx I would go with:Risk for falls R/T physical impairment and limitation AEB patient's hx of stroke and obesity.GL!
michelle0781 21 Posts Apr 2, 2011 It has to be a psychosocial diagnosis...and she has not had a stroke I should have been more specific on why she is paralyzed...she substained a spinal cord injury by falling in her home, but thank you for your comment. :)
MrsMig, BSN, RN 172 Posts Has 2 years experience. Apr 2, 2011 Lol - so much for reading quickly! Sorry - just re-read your post and obviously I only skimmed it and thought the paralysis was from a stroke.Now that I have read it - I think your dx is good. Why the apprehension?
michelle0781 21 Posts Apr 2, 2011 Well this only my second time to write a careplan and so I wasn't sure if it made since or was apprpriately written.
MrsMig, BSN, RN 172 Posts Has 2 years experience. Apr 2, 2011 What clinical setting are you in? I'm assuming Pshyc?I think it sounds good. I've written tons of medical dx's but not psychosocial as Pshyc is our last rotation this Summer so I'm not 100% if that's what your instructor is looking for but from the information you provided (and once I read it ) it's a solid dx!
michelle0781 21 Posts Apr 2, 2011 This is my first semester of nursing school so we are still at the nursing homes...I think our instructor just wants us to practice using one diagnosis at a time...last week we did a physical diagnosis and eventually we will use multiple and have to prioritize them. Thank you so much. This is all so new to me so any suggestion helps. :)
DolceVita, ADN, BSN, RN 1,564 Posts Specializes in IMCU. Has 12 years experience. Apr 2, 2011 Powerlessness
