what order should these diagnosis go?

[Starfish1]

- impaired memory r/t neurological disturbance aeb experience of forgetting

- disturbed thought process r/t biological changes of brain functioning aeb sundowning, memory deficit, and loss of orientatin to place.

- chronic confusion r/t alzheimer's disease aeb long standing conitive impairment

- self care deficit r/t memory deficit & neuromuscular impairment aeb inability to independently and appropriately bathe, dress, or use the toilet

- risk for injury r/t impaired judgement

i was thinking risk for injury, chronic confusion, self care deficit, disturbed thought process and impaired memory?

i'd appreciate any input

thanks!

[NaomieRN]

Risk for Injury is number one/ u have three diagnosis in my opinion are like the same. I would not put them together. Selfcare deficit is a good one. My school, we not allowed to use medical diagnosis terms in our nursing diagnoses. I would use Chronic confution r/t disease process and come up with two other diagnoses that are different from forgetful and confusion, like nutrition less than body requirement or risk for fluid volume deficit.

[Daytonite, BSN, RN]

1. disturbed thought process r/t biological changes of brain functioning aeb sundowning, memory deficit, and loss of orientatin to place [physiologic need - function of the brain]
   
2. self care deficit r/t memory deficit & neuromuscular impairment aeb inability to independently and appropriately bathe, dress, or use the toilet [physiologic need - comfort]
   
3. chronic confusion r/t alzheimer's disease aeb long standing conitive impairment [safety need]
   
4. impaired memory r/t neurological disturbance aeb experience of forgetting [safety need]
   
   • i would be specific about the neurological disturbance and put a name to it
     
   • what is the "experience of forgetting"?
     

[*]risk for injury r/t impaired judgement [anticipated safety need]

• you need to identify what the cause or risk factor of an injury would be. impaired judgment only leads to a potential injury. . .what injury would occur? a fall? (use risk for falls.) pulling out a tube? putting their hands into things and getting an injury? potentially walking out into the street and getting run over? what? be more specific.
  

[studentessex108]

I thought actual diagnosis always come before Risk ones.

[SnowRain7489]

I agree w/Studentsssex that Risk diagnosis is last and I also agree with FutureNurse35 that impaired memory, distrubed thought process, and chronic confusion are kinda the same. I can't really understand the rest of your information regarding the R/T and AEB. It is too confusing-is that what your instructors want? I always make mine "short 'n sweet"