nursetobehopefully

Thank you! My first is Innefective Tissue Perfusion, and then I was going to use Nutrition, less than. I was thinking between altered mental status and a pychosocial but my instructor is not to thrilled when we put those on there! So the three I'm going to use are ineffective tissue perfusion, cerebral, altered thought process and nutrition, less than body requirements. Sound Good?? Hope so, last one before finals!! Then its time to do a few more clinicals and boards time, can't wait:nurse:

The pt is going to hospice, I treated the pt. on an acute basis, so therefore I need to have diagnosis that fit the time spent on the Med-Surg floor, not hospice. So that is why we were not treating palliative, the pt is still recieving radiation, decadron, etc. So I need diagnosis to fit the acute stage of illness not palliative, but thank you!

Thank you everyone for your help, your advise defintly got me in the right direction and I got a 90!! However I have my last care plan due before my finals and my patient was in for altered mental status and was found that his lung cancer had metastasized to the brain, a mass was found in the left frontal lobe. I could choose not do do the care plan on this particular patient and do it on a patient with degenerative discs, but I really am interested in this one. The patient had altered mental status, oriented to person and place at times, had aphasia, right side facial droop, and starting to show signs of right sided foot drop. Abnormal labs- protime high, glucose 182 (tpn), INR high, WBC high, RBC low, H&H low, MCV low, MCHC low, B&C ratio high, Nuets high, lymphs low. Hx of smoking (quit recently), HTN, Hep C, pancreatitis. Pt is a DNR and will be going home with Hospice and a supportive family. Pt is at risk for ICP, and Falls(but I can't use Fall Risk). I started with Innefective cerbral tissue perfusion and thinking about nutrition, less than body requirements. Any ideas would be appreciated!!

Thank you, I was thinking the same thing but wasn't sure, I'm not feeling so sure of myself these days. Her hx says nothing of anemia nor anything else but her labs sure do! Thanks again

Hello, I'm new here to the site and I think I posted my question in the wrong place. I have a patient who has Celulitis, hx of renal insufficiency, type 2 diabetes, obesity, hypertension, and CHF. I want to use skin integrity but my instructor wants us to get past fundamentals. We can't use mobility related, fall risk, all the ones you start out with. I'm really stuck. My patient was in extreme pain so I am going to use Acute pain, she was diagnosed the last day I was there with superficial thrombophlebitis. I thought tissue perfusion would relate as she has peripheral circulation issues, low hgb, hct, rbc. Any advise for diagnosis would be extremely appreciated! I only have 6 more weeks and I am so scared of not making it

I was looking at Tissue Perfusion because she does not have sufficient circulation, the hgb, hct, rbc are very low. Maybe I do not understand??

Thank you, I apparently read into tissue perfusion wrong! I would like to use risk for falls or impaired mobility but they too are on our "do not use list" I understand they want us to look at the pathophys, but I don't like not having all the NANDA diagnosis available. They don't want us to use any anxiety, fear, etc. I'm so stuck!!!!!

Hello all! I'm new here to the site, I'm in the last 6 weeks of my LPN program and in need of some serious help! I have a paper due, not exactly a care plan but close. I need 3 diagnosis and 3 interventions except my instructor wants us to move away from Fundamentals. My patient was in for Cellulitis and was then diagnosed with superficial thrombophlebitis the day I was leaving. The patient was in extreme pain and could not get up, besides sitting on the side of the bed for a few minutes. The patient had edema and redness of right calf and feet. Her RBC, Hgb, Hct and Ca are low. She has a hx of renal insufficiency, hypertension, obesity, and Type 2 diabetes. I wanted to go with Impaired skin integrity but my instructor says thats fundamentals! Now I have ineffective tissue perfusion, Acute pain and I'm not sure if I should use activity intolerance. I've never had this much of a problem but not being able to use diagnosis that fit my patient is really not helping! I'm also having trouble finding interventions for ineffective tissue perfusion R/T inflammatory process damaging skin, any help would be extremely appreciated