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I am a nursing student working on a care plan. My patient is in the hospital for a total knee replacement. I did a complete health history and was wondering if the diagnosis are supposed to be based on the present condition or previous conditions as well. EX: The patient has a lot of psychological issues but that is not why she is in the hospital but I feel like effect her recovery. Should I include all or just stick with the diagnosis related to her surgery? Thanks

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Specializes in Med/Surg, Ortho, ASC.

Since your patient came into the present acute care setting with pre-existing conditions, I think you would be wise to stick with the acute-care issues. You likely will not be delivering nursing that would affect the pre-existing (in this case psych) conditions.

Now, to the extent that the psych issues impede recovery or teaching....well, that might be a question to ask your nursing instructor how he/she expects you to deal with that.

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Ugh. I hate nursing diagnoses.

As to her psych issues, check out "Aura displacement" or "Energy Field Disturbance."

Seriously. There are diagnoses that are that dumb. Otherwise, talk to your instructor and take comfort in the fact that nursing diagnoses are (rightfully) minimized in actual nursing practice.

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Specializes in Med/Surg, Ortho, ASC.
Ugh. I hate nursing diagnoses.

As to her psych issues, check out "Aura displacement" or "Energy Field Disturbance."

Seriously. There are diagnoses that are that dumb. Otherwise, talk to your instructor and take comfort in the fact that nursing diagnoses are (rightfully) minimized in actual nursing practice.

LOL! You said what I wanted to, but the poor kid still has to turn in a care plan...:yeah:

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Specializes in Critical Care.

I would say that you can include the pre-exisiting problems if they are presenting in their current condition. If it is something that has been resolved, then they no longer apply. But try to focus on the main reason you are caring for them, that's probably what your instructor wants to see. And thankfully fribblet is right, we don't deal with nursing Dx too much in the real world, lol. I hate them too.

As for the Aura displacement and Energy field disturbance, I think that mostly applies if you have training in Reiki.

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I am doing a care plan for a pt. that had a total knee replacement. The pt. has low hemaglobin and hematocrit levels. She has been recieving blood and I am trying come up with a nursing diagnosis for this. I know this would effect oxygenation but i don't know where to go with it. any suggestions? Thanks

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Why don't you start by telling us some things YOU'VE thought of.

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idk pick one...

CIRCULATION—Ability to transport oxygen and nutrients necessary to meet cellular needs

*Bleeding, risk for

Cardiac Output, decreased

Intracranial Adaptive Capacity, decreased

*Perfusion, ineffective peripheral tissue

*Perfusion, risk for decreased cardiac tissue

*Perfusion, risk for ineffective cerebral tissue

*Perfusion, risk for ineffective gastrointestinal

*Perfusion, risk for ineffective renal

*Shock, risk for

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just off the top of my head, you could try using Activity Intolerance r/t imbalance between oxygen supply and demand. but that's going off their current labwork. i remember when i was in nursing school we had to formulate our nursing diagnosis' based on their current medical dx whatever it was regardless of what was going on with them at the time we reviewed their charts. might wanna check on that before you write out your whole careplan. goodluck and hang in there, it does get better! ah the joys of having a computer generated diagnosis!

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First off, I am not asking anyone to do my homework. I am only asking for suggestions. I am a new nursing student who is still learning the basics. If you noticed I didn't ask for intervention, goals, rationale etc. I did research before posting and couldn't find what I was looking for. To all those that helped, THANK YOU!

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I will use the student section from now on. The 2 threads that I posted were on the same client but two totally different topic. I am not new to school. I have a Bachelor's degree. I am new to the medical field. Like I said before I had research my question online, in my text and in the nursing diagnosis handbook. It is very insulting to assume that I am trying to get someone to do my homework. I work, go to school and have a 22 month old. I work my butt off. Thanks again to all of you that helped!

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Specializes in Education, FP, LNC, Forensics, ED, OB.

Threads merged and moved to Nursing Student Assistance forum.

This thread will be closed for cleanup (rude/inflammatory remarks). If you see one of your posts removed, you'll know why.

Also, if you don't intend to help a nursing student, but want to post mean, rude replies, you can just bypass the threads.

Closed.

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