Hi, I'm new to posting, so please forgive me. I'm looking for any sugggestions or advice. I'm currently working on my careplan for my 68 yo patient. She was admitted with cellulitis & dry gangrene on her 3rd toe of her right foot due to an acute injury 2 1/2 weeks ago. She is diabetic, overweight, smokes and has PVD, hypertension, hyperlipidemia & Hx of an MI.
My nursing diagnoses so far are as follows:
Ineffective Tissue Perfusion - peripheral r/t impaired transport of oxygen 2nd/t Diabetes Mellitus & PVD AEB absent R post-tibial pulse & dry gangrene on 3rd toe on R foot.
Imbalanced Nutrition – More than body requirements r/t poor eating habits AEB client is overweight, has hyperlipidemia & admits to noncompliance with diabetic meal plan.
Disturbed Body Image r/t change in foot appearance AEB 3rd toe on R foot is black & patient was informed that it will fall off.
Risk for Infection r/t decreased sensation & circulation in lower extremities 2nd to DM & PVD.
Any suggestions to tweak these diagnoses or other diagnoses to think about would be greatly appreciated.