Nursing care plan

[shalinig91]

Heyyy im a first yr nursing student and i have been told to do a care plan.

my client has had afew falls..and he is becoming blind and deaf..

for my diagnosis i wrote risk of injury due to poor vision bt the teacher said it was not

NANDA.. can some pllsss help me with the diagnosis..

thanks

[crazytonurse]

Do you have a Nursing Diagnosis book? I use Ackly and Ladwig, and I like it!

[shaas, ASN, RN]

Hi, there. I'm a fellow first-year nursing student as well. There's not much data that you presented but one thing stands out from what's been written: risk for falling, again.

Your client has a history of having fallen more than once, which means that he is at the highest risk for another fall, according to the Fall Assessment Tool.

I would give these a shot: 1) risk for falls related to visual or hearing difficulties as evidenced by (insert whatever objective/evidenciary data you have to support his hearing and/or visual impairment); or 2) risk for falls related to previous history of falling as evidenced by a high score on the Fall Assessment Tool.

Your goal is to ensure that he does not fall again, so you can write a specific goal and what intervention(s) you must implement.

I am as inexperienced as you are in this realm, so I cannot be certain that I'm on the right track. Good luck to you.

Shaas

[shalinig91]

@ shaas thanks heaps.. yea i think ill change my diagnosis to Risk of falls.

[canigraduate]

Remember that there's no aeb for risk diagnoses. Here's a good website:

http://www1.us.elsevierhealth.com/MERLIN/Gulanick/Constructor/

[art1stic]

Yeah risk for falls related to sensory impairment as evidenced by... Objective data: (your assessment here) pt hx of blinds and deafness. Pt has had history of falls on (enter dates).

Remember to work on your nandas according to the nursing process. Hope this helps.