I really need your help.. I need to make a nursing care plan for my patient. I don't know what of her many problems will I use. She mainly complains of difficulty in breathing at times.. When I checked her nails during physical assessment.. it was really pale and capillary refill was not possible.. I suspect poor tissue perfussion. She also has a history of hematuria or blood in urine. =D I don't know what to do.. Please help!