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Discussion

Scholarly Paper Help...???

Hi, I am new to the forum and in my last semester of nursing school. Though I have to admit; I have stolen some of your wonderful suggestions for other people before applying them to my clinical paperwork. However, I am facing a whole new issue. I have to write my final paper for Advanced Med Surg class to graduate. It is about patients with comorbid conditions. I have been given the task of a young adult asian american/phillipino male with pancreatic cancer. His acute condition is aortic dissection. Here is the kicker: I need to write the situation/setting/and first 24 hours of care for this person. After that, I can proceed on with patho of both conditions and medical treatment, top 3 nursing diagnoses, assessments, interventions, cultural and development aspects of care etc etc etc

my top three are: (general) risk for infection r/t altered immunity secondary to chemotherapy

i think my second should be risk for bleeding r/t effects of antienoplastic agents

Pain

Is there a better way to say risk for bleeds? I dont ever remember using that as an ND. Maybe risk for injury....But I am talking about a straight risk for bleeding due to low platelet counts, surgery, the dissection etc etc etc

The point of that paper is to discuss how the two conditions affect the care of the patient. How does the pancreatic cancer affect his aortic dissection condition and treatment etc.

WOW I am confusing myself. Am I making sense? Can someone help?

Thanks

Featured Replies

  • Author

is it risk for deficient fluid volume r/t bleeding?:down:

Check with your instructor if you are allowed to use risk for DX. Some instructors don't like them for the reason that they can apply for every patient and disease.

Here is a website with the 2007-2008 NANDA approved DX.

http://wps.prenhall.com/wps/media/objects/3918/4012970/NursingTools/koz74686_AppC.pdf

If you don't have a diagnosis book I would get one. Some are set up where you can look up the disease and everything is written out for you even the NANDA's. All you have to do is tweak the interventions to apply to your patient.

  • Author

no we can use risk for

we have to have one actual..

i have a ND book (two actually) thanks though

how about potential for impaired tissue integrity?

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