Nursing Students Student Assist
Published Oct 7, 2009
AlaskaStudent
2 Posts
Hello! Yes...another diagnoses priority question. Okay, so my patient has paraplegia of the lower extremities due to a spinal cord injury T12. The diagnoses I have chosen are as follows...this is also the order I have chosen for them. I am not sure where risk for infection should be in relation to the others. also whether urinary incontinence or constipation should come first...they seem to be on the same level of maslovs hierarchy?? Please let me know if these diagnoses are even written correctly. this is my first care plan and first stab at nursing diagnoses....
Constipation related to defective nerve stimulation and immobility as evidences by paraplegia of lower extremities.
Urinary incontinence related to impaired efferent pathway/spinal cord injury as evidenced by self straight catheterization 4 to 5 times a day and PRN.
Risk for infection related to invasive procedures/self straight catheterization.
Impaired physical mobility related to partial paralysis/spinal cord injury as evidenced by paraplegia of lower extremities.
Thanks so much! This forum is a life saver!!
Daytonite, BSN, RN
1 Article; 14,604 Posts
[*]constipation related to defective nerve stimulation and immobility as evidenced by paraplegia of lower extremities.
[*]impaired physical mobility related to partial paralysis/spinal cord injury as evidenced by paraplegia of lower extremities.
[*]risk for infection related to invasive procedures/self straight catheterization.
- - - - - - - - - - - - - - -
the construction of the 3-part diagnostic statement follows this format:
p (problem) - e (etiology) - s (symptoms)
Thank you so much for your response. Believe it or not...those are the exact verbatim Dx my clinical instructor gave me...I thought they seemed off. I am sure my OTHER instructor would lose it if she saw them though. Here's the revised RN Diagnoses I came up with. I was thinking I would prioritize the constipation first as the patient verbalized that constipation is her number one concern and cheif medical complaint. any thoughts?
Constipation related to defective nerve stimulation and immobility as evidenced by difficult passage of dry, hard stools.
Reflex urinary incontinence related to impaired efferent pathway/spinal cord injury as evidenced patient verbalizing they have no sensation of urge to void.
Impaired physical mobility related to partial paralysis/spinal cord injury as evidenced by inability to move the lower extremities.
They seem OK now. How many days between BMs for this patient? I would include that with the AEB evidence. A lot of times paraplegics may only have a BM every 3 or 4 days. That is definitely part of their constipation problem.