Shandigidy

Thank you for your help, I realized the confusion wasnt right. I was just rushing ideas and hoping to get a quick response. My diagnosis' were do that night via email. I used "Risk for Injury(self)" R/T confusion from sedative(versed) & analgesic (fentanyl), AEB: patients attempts to pull out trach tubing.

topics maybe to consider, promoting healing, nutrition, preventing infection, signs and symptoms of infection, inflammation, dressing changes, site inspection, pain management, tissue healing process, proper position for particular situations, family teaching These are things I would consider researching and talking about if I had that assignment

I'm just going to ramble off what comes to mind. With alcohol abuse, I think Nutrition, vitamin issues. You siad he was your patient, but you didnt mention a disease or medical scenerio, what was his admitting diagnosis? Are you in psych class? If you were at a psych facility what was his admitting diagnosis? in either case, what signs and symptoms did you observe? I think returning psych patients usually have a medication schedule they should be following. Does he have a medication compiance issue? financial ability to get medications? I too am a student, so dont quote my ramblin thoughts.

hello, i was hoping i might get a little input. let me start with patient information (some data is slightly altered for confidentiality). 26 year old female in med/surg icu, had tooth pain for 4 months, submandibular swelling began 5 days prior to seeking medical attention. i&d was preformed, 2 molars were removed and 3 penrose drains were inserted at left side of neck. a 4th penrose terminated adjacent to tongue. tracheotomy was inserted and placed on vent (pressure control) due to severe inflammation neck, which was threatening her airway. ng tube was not inserted, so npo. heavy sedation lead to confusion and wrists were restrained due patients attempts to remove vent tubing. throughout day iv sedation and iv pain meds were decreased to point where patient became alert enough to communicate and restraints were able to be removed. the vent was removed and trach collar initiated and maintained successfully. vs averaged bp 100/60, hr 60, rr 12, t 36.5 nursing dx ideas: risk for infection r/t surgical wound and drains, problem is i know there is already and infection, that's what brought the patient to hospital. can i use it, for the spreading of infection potential? impaired tissue integrity r/t surgical incision and inflammation response. confusion r/t restraints, patient pulling on vent tubing. acute pain r/t surgical incision, debridement, toot extraction (x2) what do you think?