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Discussion

Nursing Dx Help

I have to do a care plan/concept map worth almost half of my grade for mental health clinical. I had a patient with severe Alzheimer's dementia, anxiety and depression. The anxiety and depression were pretty well maintained with medications during the day. She's in a wheelchair, needs help eating, and is incontinent.

I need to prioritize 3 diagnoses r/t her mental health (Alzheimer's, anxiety, depression). I came up with:

Urinary Incontinence

Impaired Physical Mobility

Feeding, Bathing, Dressing Self-Care Deficit

I didn't know if Chronic Confusion ranked above any of those. Oh, she's also 5'0 and 84 lb which equals between a 16 and 17 on BMI so Altered Nutrition: Less Than Body Requirements is an option too.

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    Got out my Psych care plan book for you (Townsend, highly recommend!). For Alzheimer's dementia, it lists:

    disturbed thought process ***

    self-care deficit r/t disorientation/confusion/memory deficit aeb inability to fulfill adl's ***

    disturbed sensory perception

    Depression:

    risk for suicide

    complicated grieving

    social isolation ***

    impaired social interaction ***

    powerlessness ***

    disturbed thought process

    imbalanced nutrition: less than body requirements ***

    Anxiety:

    social isolation

    self-care deficit

    I've starred the ones I think would work best for you. Seems like they want psych-centered ones, which the ones you listed really aren't. Anything interfering with safety is #1, think Maslow's heirarchy of needs when it comes to prioritization.

    Good luck!

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