Nursing Diagnosis

[CASM]

I'm working on my care plan right now and one of the medical diagnosis was Alzheimer's dementia. After looking through my Nursing Diagnosis Handbook at the NANDA I came up with the nursing diagnosis: Chronic Confusion related to Alzheimer's disease.

Now my question is I thought that Alzheimer's disease was a medical diagnosis, so we wouldn't be able to use this as a "related to" but it's listed in the NANDA. Can anyone clear up my confusion? Thanks!

[KBICU]

I wouldn't put the word Alzheimer's I'd put related to disease process! I was always told never to put the medical terms in the diagnosis so I always try to avoid it.

[CASM]

Thank you! That's what I thought, but I was confused as to why it's listed as a r/t in the NANDA.

[hodgieRN]

It would be more like altered thought process related to confusion. Basically, the "related to" draws from the symptom. You can think of it in terms of "as evidenced by". Confusion isn't a medical diagnoses because something causes confusion. But you can conclude that altered thought process as evidenced by you witnessing confusion is your assessment. Another example would be impaired skin integrity. You wouldn't pick impaired skin integrity related to decub ulcers, but you can say impaired skin integrity related immobility. That is b/c immobility isn't a medical diagnoses (well, it can be argued is it if a doctor is describing it as a limitation with the disease), however there's a medical reason that immobility is occurring..like paraplegia or a stroke. Another would be imbalanced nutrition. Malnutrition is a medical diagnosis, but someone who is NPO would be at risk for imbalanced nutrition. Being NPO puts them at risk. One great way to think of a nursing diagnosis is to think of things pts are "at risk for". (Risk for this, risk for that). Look for things you can prevent or or help with nursing actions (ambulation, bathing, education, monitoring this or watching for that, etc).

[nikki_marie05]

r/t cognitive impairment