Please help me with this assignment!
I need to know if I'm thinking correctly or what I am missing. I'm suppose to list 3 complete nursing diagnosis based on the following information.
The scenario is I have a 68 yr old man with a history of diabets, CAD, HBP and pulmonary emphysema. He comes with a foot wound and says that he attempted to cut out an ingrown toenail 5 days prior. He has been on anticoagulants for his CAD "to prevent strokes" and is also taking an adult aspirin each day. The affected toe is reddened with a necrotic center. There is also swelling of the foot. He lives alone and cares for himself with no family nearby.
(I don't know what to do here as far at the ABC's? Should I list Ineffective Airway Clearance because of the emphysema??? I didn't because it wasn't a presenting problem but I feel like I'm going against the rules?)
1. Ineffective Peripheral tissue perfusion r/t toe injury aeb necrosis & foot edema.
2. Ineffective Health maintenance r/t lack of knowledge aeb medication administration and improper diabetic foot care. (I considered knowledge deficit, but didn't know how to add in everything he needs to learn????)
2. Risk for Infection r/t open necrotic toe wound
How can I be more specific and use more "medical terminology
"?? My instructor really slammed me on my last assignment for being too vague and using incorrect elements.
Please help me!!......
I've thought about this so much my brain feels like jello