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Discussion

Priority Nursing Diagnosis

Need help prioritizing these N.D. for my care plan. Pt (19 y.o. male) has T4-T5 burst fracture, no movement/sensation from nipple line down. Bladder retraining has been initiated. PC Pneumonia, PC thrombus/embolus formation, Impaired urinary elimination, Ineffective tissue perfusion, Acute pain. Thanks.

Deb

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    • Expert

    Moved to allnurses Nursing Student Assistance Click the FAQ link at top which will take you to our links to Nursing Diagnosis threads to learn how to prioritize.

    What do you think is the patients most pressing problem based on your assessment + considering ABC's: Airway, Breathing, Circulation.

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    • Expert

    We are happy to help but we need to know what you think first.......and why then we will best be able to help you see what you did right and what was wrong and why....to make you the best nurse you can be.

    Always think ABC's and what will hurt/kill them first.

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    What do you think is the most important? This point of this assignment is not to trick you or to force you into a predetermined answer, it's to get you thinking about how to justify the priorities you will set when you are this patient's nurse and need to plan and deliver/delegate his care based on your assessment of his needs.

    So.. what's your ranking of these problems you have assessed in this patient (I am assuming you didn't just pull them out of the air or off a list in some book that says this is what a SCI patient will have as nursing diagnoses....you determined his nursing diagnoses by your assessment of the individual). Why do you rank them like that?

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