psycho-social nursing diagnosis

[MOPIdaho]

I really want to use (fear r/t risk for aspiration) but it's not on the NANDA list. Is there a way of tweaking it to work, sorry if its a simple question it's my first term.

[Daytonite, BSN, RN]

What is the assessment data that you have that led you to this choice of diagnosis and related factor?

[MOPIdaho]

my pt. was frightened of aspiration/choking when eating, r/t CVA

[Daytonite, BSN, RN]

Why not just use Risk for Aspiration R/T impaired swallowing? One of the assessments of CVA patients is that they have anxieties about a lot of things, so Anxiety is another diagnosis you can use for them.

[MOPIdaho]

thats what I was going for but I needed it to be a "psycho-social " nursing diagnosis. I don't know how to put a spin on the aspiration fear to meet this criteria.

[Daytonite, BSN, RN]

Fear of aspirating is not psychosocial. It is physiological.

[Hilinenursegrl]

Anxiety r/t fear of aspiration is p/s tho

[Daytonite, BSN, RN]

If physiological reason exists for aspiration as a result of the CVA, as is often true, since there is frequently problems with swallowing then Risk for Aspiration is more correct. Anxiety is also correct, but the etiology of the anxiety is not just the fear of aspiration. It is something else: a major change in the person's health, the situation they have found themselves in, the threat to continue with their current health/lifestyle/earning capacity. When you have seen enough people who have had CVAs you will see these fears. It is quite possible that the stroke has left the patient with the inability to properly express what is happening to them. They can sometimes have sensory deficits of hearing, sight and speech that are complicating the assessment process.