rh357

It's a risk because of phototherapy. The heat and lights pose a risk for dehydration and thermal injury. Those diagnoses are the most urgent even if they haven't occurred yet so I have to expand upon those. By the time I met with the patient and his family, they were about to be discharged. I basically did my assessment, weighted his diaper, answered some basic questions about care, and they left.

We can use any NANDA resource. It just has to be "from the literature". I'm finishing up my junior year. We have to have 5 nursing diagnoses BUT we only expand upon the two MOST SERIOUS ones. So although neonatal jaundice is a nursing diagnosis (and I do have it in my careplan), it is not one of the two most urgent ones so I can't expand upon it. Risk of dehydration and risk of thermal injury are the two most serious ones out of the five, so I have to expand those. However, I'm having trouble expanding upon a risk opposed to something that is already happening. I could even get subjective data from a parent for an actual symptom (expressing worry and such), but nothing has "happened yet", so there's no subjective data/evidence (that I can think of) to back it up. Does that make any sense?

I'm thinking the same thing! That's why I'm stuck. Gah!

There were a few "at risk" diagnoses in the NANDA list. See: http://www.kc-courses.com/fundamentals/week2process/nanda2012.pdf I couldn't think of anything more serious. :L The kid is otherwise fine.

'ello, guys! I need a bit of help on a peds careplan. I had a patient who was 4-days old and was there for jaundice. I have two nursing diagnoses of "Risk for dehydration related to phototherapy" and "Risk for thermal injury related to phototherapy". I need to find a way to add "as evidenced by" to these, but how do I provide evidence for a *risk factor* for a patient who cannot communicate? She also wants me to add objective and subjective data. Like if I had a patient that was in pain and was making faces or telling me they were in pain, that'd be subjective data. I have NO idea how to add subjective data for these nursing diagnoses. She said the caregivers could be used as a source of this data, but by the time I saw the patient, they had already received all of the phototherapy treatments, and was about to be discharged. I know this isn't the best patient for a careplan, but I had no other patients. (It's a very slow unit). Any ideas on how to work with these diagnoses? :L I have to expand the two most urgent diagnoses, which were these, so unless I can figure out a more serious nursing diagnosis to expand upon, I have to work with these two.