laleach3

I can't believe how easy you just made that seem! Thank you so very much. That makes perfect sense. I was going round and round in a circle of doom. He is on the Coumadin and now I feel like there is hope for me to wrap this thing up.

Thank you! My patient also has diabetes mellitus and atrial fibrillation which I think is making the selections a little more difficult. He is a 54 year old man who sustained multiple fractures and dislocated his shoulder after becoming dizzy and falling. He does have a lot of pain (even fractured his zygomatic arch) but I felt monitoring him for a possible fat embolism should take priority and then address his pain?

I was looking at the tissue perfusion one too. I feel like maybe several could apply, but I wonder if there is a specific one that should be used. I am using this as my number 1 diagnosis and I'm just not confident with any of them.

Hmm... impaired gas exchange looks like it could work... are you certain this is the one to use?

I hope I am posting this in the correct area. If not, I apologize. I am working on my first nursing care plan and I need to include the risk for fat embolism. Of course, NANDA doesn't list anything about a fat embolism, so I am trying to come up with something that relates. I have been sitting her driving myself insane for about 5 hours and I still have no idea where to place it. My first thought was to list it as: Risk for peripheral neurovascular dysfunction. Then I thought it might fit better under Risk for ineffective airway clearance (this just doesn't feel right). I am ready to go play in the highway and would appreciate anyone's advice.