Published Mar 30, 2018
nurse.97
3 Posts
I have an essay i have to write in regards to patient who has CAD and multiple risks factors such as diabetes, hypertension and obesity. He presented to the hospital with chest pain and shortness of breath on exertion and decided to get it check out after a few months. the diagnosis ive come up with are
risk for decreased cardiac tissue perfusion
Activity intolerance
Anxiety
Overweight
Deficient knowledge
Risk for ineffective coping
Im having difficulty with choosing the top 3 and placing them according to Maslow's hierarchy of needs. i think i was able to determine all the main nursing diagnosis for this patient also but i may be missing some
Any help would be great
thanks
OneWhisper
55 Posts
When thinking of priority diagnoses, think - What will kill my pt the fastest? Also, think of ABCs - Airway, breathing, circulation. So, using that, what do you think your top 3 would be and in what order?
If you included more of your assessment, I could provide more help. It's had to say what other nursing diagnoses you could have and if there are more important ones than what you have without seeing more assessment data.
Depending on the assessment data, I'm thinking there are more important diagnoses you could be using for your top 3.
He didn't really have any other symptoms while in the hospital other then visiting the hospital because within the last few months he was chest pain and SOB on exertion (angina). He did have a sinus bradycardia rhythm of 53 and BP of 144/79. His labs came back with high cholesterol, and LDLs. Hes also been having insomnia. During the shift, he was very anxious about having an angiogram done, and after finding out that he had to have open heart surgery he became tearful and was asking a lot of questions
So far ive decided my top 3 were
anxiety
He had to have an angio done - What can result from that? What nursing diagnoses would you relate to that?
He has to have open heart surgery - Why? What is leading to that? What nursing diagnoses could you relate to what is leading to him needing open heart surgery?
Angio can cause a risk for bleeding/hematoma but he had gotten it done before I had my shift there fore I was not considering it in my nursing diagnosis section
Angio results showed 3 blockages therefore from that I got the risk for decrease cardiac perfusion