GM910

listed he has hypothyroidism and hypertension. besides a hernia repair 10 yrs ago and constipation in the past there is nothing else... is impaired healing a nanda diagnosis? it would be a good one, i just couldn't find it on the list. thankyou for ur suggestions, i really appreciate the help

Hi, i have a patient who is 83 yrs old, has diabetic neuropathy and had to have his 2nd r. toe amputated. his vitals are normal except his temp is a little low (95.5-97.0). he was a very pleasant man had no pain, i am assuming b/c his foot is numb from the neuropathy, and can get out of bed to the chair but of course he is mainly on bed rest... i have a couple diagnosis's i am thinking of, i was wondering if someone could tell me which is the most important or suggest any others. Thanks risk for infection r/t amputation of 2nd r toe Self care defecit r/t 2nd toe amputation as evidenced by limited mobility and assistance needed w/ adls immobility related to recent surgery of r. 2nd toe ... i need assistance w/ the wording, i was thinking the risk for infection would be the highest priority but then again my teachers always say that risk for is last priority. Can someone help?

i havent posted 15 posts yet so i cant do private messages... can u send me a private message w/your email address than i'll send you an email? Thanks

I have a patient who has a long history of illness.. but he is in the hospital for a UTI, he has MR, parkinson's disease, renal failure, cannot talk, can barely move and is on bedrest. he is also developing a pressure ulcer stage one on his sacrum. he was doing alot of belly breathing. he has elevated wbc count of 23. during the end of my clinical day the pt's bp was 166/77 hr was 128 and was not responding to me. the ekg showed no abnormalities, neither did the chest xray. temp was 103. i wondered if someone could tell me what the most important diagnosis would be. i have a ton, but i'm really paranoid about my teacher and i wanna try and get it right. so far i have: Impaired skin integrity r/t rigidity, decreased range of motion, bradykenesia, inability to turn self in bed,increased shearing forces and increased pressure on sacrum secondary to necessity of keeping client in semi fowler position to avoid aspiration aeb possible stage one pressure ulcer on sacrum. impaired physical mobility r/t effects of muscle rigidity, tremors and slowness of movements on activity of daily living in parkinsons disease aeb inability to ambulate and perform adl impaired verbal communication r/t dysarthria seconday to ataxia of muscles in speech in parkinsons disease aeb no verbal communication. can someone help me? Thanks

I have a patient who has a long history of illness.. but he is in the hospital for a UTI, he has MR, parkinson's disease, renal failure, cannot talk, can barely move and is on bedrest. he is also developing a pressure ulcer stage one on his sacrum. this may seem stupid, but i wondered if someone could tell me what the most important diagnosis would be. i have a ton, but i'm really paranoid about my teacher and i wanna try and get it right. so far i have: Impaired skin integrity r/t rigidity, decreased range of motion, bradykenesia, inability to turn self in bed,increased shearing forces and increased pressure on sacrum secondary to necessity of keeping client in semi fowler position to avoid aspiration aeb possible stage one pressure ulcer on sacrum. impaired physical mobility r/t effects of muscle rigidity, tremors and slowness of movements on activity of daily living in parkinsons disease aeb inability to ambulate and perform adl impaired verbal communication r/t dysarthria seconday to ataxia of muscles in speech in parkinsons disease aeb no verbal communication. can someone help me? Thanks

I have a patient w/ COPD that smokes. I am doing a NCP that has to be education/ teaching based. so i'm trying to come up with a defficient knowledge diagnosis that i can possibly get 6 interventions out of, can anyone please help me i am having a really hard time w this