Devvie

Great Thanks

I know he had a breathing problem. The problem is I don't have a "manifested by" since his breathing pattern is regular and his rate is normal

The patient I had this week in clinical was a COPD patient. I need to do a care plan. I chose a few diagnoses already. I feel like I should be included one related to breathing since the patient has COPD, like impaired: breathing pattern/airway clearance/gas exchange, but because he's been in the hospital for weeks on O2, he doesn't have shortness of breath, his pulse ox is normal, etc. So I don't really have supporting data for these. Any ideas?

@MotoMonkeyThanks! That's a good idea

I'm working on an nursing care plan and was wondering- is using a purewick a reason to do Risk for Infection? I know they're less likely to cause infection than a Foley/indwelling catheter.

Anyone else know about the Bowel Incontinence? My friend suggested it but we're both new at this

Sorry I keep asking but we were never taught how to do Nursing Diagnoses/Care plan in class.... What can be supporting data for Risk for Infection? I can't do low WBC count because her levels are high, I guess because the gallbladder is inflamed. So is there anything other than the fact that there is a surgical site? And that she isn't capable of taking care of the site, maybe?

The first 3 I am clear on the related factors and appropriate interventions. What about Acute Confusion? Also how do I know if the disorientation is the patient's baseline? She is 90 years old...

@Nurse.KelseyThanks so much! In that order?

I need to do a nursing care plan for the first time. My patient is a 90 year old female, disoriented, in the hospital for gallstones. The nursing diagnoses I cam up with are: · Acute Pain r/t to gallstones as evidenced by pain of 6 on 0-10 scale and guarding · Impaired Tissue Integrity r/t altered circulation a.e.b. pressure ulcer stage 1 · Risk for Infection r/t surgical site · Bowel Incontinence r/t use of laxatives a.e.b. inability to control passage of stool · Risk for Deficient Fluid Volume r/t medically restricted intake (NPO for two days awaiting procedure) · Imbalanced Nutrition: less than body requirements (NPO plus impaired digestion due to obstruction of bile flow) I know that I have to do the "related to" and "as evidenced by", but first I am unsure which of these to use (I only need 4) and which are priority! Any advice?