I had to give 6 Nursing Diagnosis ( combined from ) three pt's, that were high level or most important. And then rank them as highest priority to lowest.
Here is what I got.
Pt with CHF
Pt with hyperkalemia
Pt with osteomylitis, nephrolithisis, and diversion colitus.
6 Diagnosis that I cam up with were
1#Decreased Cardiac out put
2 Impaired gas exchange
3 Fluid volume excess
4 Activity intolerence R/T fatigue, secondary to cardiac insufficiancy
5 Ineffective mgmnt of therapeutic regime r/t lack of adherence to low sodium diet
6 Skin Integrity, risk for impaired, r/t edema
What do you think. Do those sound high level, enough and is the order sufficient for their priority?
Please Pro's let me know your thoughts..
Nov 7, '06
the order of priority sounds ok to me. i would change a few of the related factors. also, are you using a current nanda list of diagnoses? i've written the diagnoses as they are listed (language-wise) in the current 2005 publications from nanda.
- decreased cardiac output r/t impaired cardiac function
- impaired gas exchange r/t excessive fluids in lungs
- excess fluid volume r/t impaired sodium and water excretion
- activity intolerance r/t fatigue secondary to cardiac insufficiency
- ineffective therapeutic regime management r/t failure to integrate prescribed treatments into daily routine
- risk for impaired skin integrity r/t altered circulation