Skip to content
View in the app

A better way to browse. Learn more.

allnurses

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
Discussion

Need help with priority diagnoses

I need 3 diagnoses for this patient:

>60 yr old male

>morbid obesity (about 500 lbs)

>in hospital for abdominal pain, they did a cholecystectomy a month ago, he's still there because of "placement issues"

>current C. diff infection

>unable to perform ADLs, cannot get out of bed or even turn on his own

>hx of type 2 DM, bilateral knee replacement, depression (also was currently dx'd with depression)

>multiple skin issues d/t obesity skin folds & bed sores

>complains of abdominal pain (it's always a "7") but the nurses all say "he just likes his meds"

I've come up with:

- Diarrhea r/t infectious process

- Impaired Skin Integrity r/t immobilization and moisture

- Acute Pain r/t surgery

- Imbalanced nutrition (more than body requirements) r/t excessive intake & sedentary lifestyle

- Powerlessness r/t inability to perform self-care and control eating habits (AEB depression)

- Risk for infection r/t compromised skin integrity

I need to pick three that are most important, and put those in order. I'm stuck. I'm thinking it should be like this:

1. Diarrhea

2. Impaired Skin Integrity

3. Imbalanced nutrition

I have Diarrhea first because that's the most current "big issue", and probably the first thing that needs to be fixed, right? Then I'd need to address the skin issues and try to get him to do things on his own, get him moving around a bit more. But I don't know what's realistic for this guy. Also, he's been losing weight since being in the hospital, so not sure "imbalanced nutrition" is appropriate. Any help would greatly be appreciated.

Featured Replies

evil, evil, evil :madface:

house of god, fat man's laws, #5: placement comes first.

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Add a Comment

Currently Reading 0

  • No registered users viewing this page.

Account

Navigation

Search

Search

Configure browser push notifications

Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.