slusk

Thank you and sorry for not posting the assessment. A 63 year old male with history of alcoholism, diabetes mellitus (brittle), anemia and depression disorder as well as chronic kidney disease. He has OT and PT x2 daily; hands are contracted and ® BKA. Pt has foley cath and has history of constipation. Stage 1 pressure ulcer with excoriation. I am thinking my nursing diagnosis will be: Self Care Deficit r/t decrease range of joint movement and loss of limb aeb restricted bilateral hand movement and immobility. Does it sound like I am on the right track? I can't do any care plans on what we have already done them on. Only on Primary diagnosis or Psychsocial. I'm thinking i'll be able to go further with goals with the Primary diagnosis - Metabolic Encephalopathy due to alcoholism and diabetes. Tell me what you think.

New to this site. I have a 63 yr old male pt diagnosed w/ metabolic encephalopathy. Pt has a BKA right leg, a history of alcoholism, hypertension, chronic kidney disease, amenia, depression disorder and diabetes mellitus. You would think a nursing diagnosis would be easy from all the diagnosis above, but I am struggling. Please help, I need some ideas.