![]() Don’t put medical diagnoses or diagnostic tests like pneumonia, hip fracture, or angioplasty in the “related to” statement.Category of Impairments, Immune System Disorders.Treatments that can be performed by a nurse.Patient responses to diseases or conditions.Symptoms or situations that can be addressed with nursing care.Related to statements should include information such as:.Should be within the scope of nursing practice, not medical practice (like a medical diagnosis or treatment).Risk for falls R/T dizziness from narcotic pain medications.Impaired physical mobility R/T postoperative weakness. ![]() Risk for infection R/T new surgical incision.Constipation R/T slowed bowel motility from narcotic pain medications and bed rest.Potential impaired gas exchange R/T shallow breathing postoperatively.Acute pain R/T tissue damage from surgical incision.Sleep deprivation R/T busy ICU environment.Risk for deficient fluid volume R/T poor fluid intake and high temperature.Risk for nausea R/T side effects from chemotherapy medications.After the diagnosis, you put why you chose the diagnosis for the patient with a “related to” (R/T) statement….If your patient doesn’t meet the criteria for the diagnosis yet, you put “Risk for…” in front of the diagnosis.The first part is the NANDA nursing diagnosis statement.Some authors like Carpenito have developed nursing diagnoses similar to NANDA’s, they will be acceptable at our university, but NANDA will be preferred.No matter how much your patient merits a nursing diagnosis of “persistent stupidity” or “constant whining” you just can’t do it!.Unfortunately, you are not allowed to make up new and creative nursing diagnoses for your patients.Develop a care plan based on your assessment and nursing diagnoses.Go meet with your patients and do a physical assessment.Nursing students get to write everything out- to show the instructor and help it become second nature in practice after graduation.I also refer to the nursing care plan in the patient’s chart to see what other nursing diagnoses have been selected by the staff.When I work with patients in the hospital, I formulate nursing diagnoses for my patients in my head automatically as I am getting report and doing my assessments.“Risk for falls” might be good, too, since she’s taking narcotic pain medicines She’s not moving so well- “impaired physical mobility” might work.Her incision is OK but it could still become infected- how about “risk for infection”.No BM in 3 days- sounds like “constipation” to me!.She doesn’t have pneumonia right now, but she’s still at risk for it- that could be “potential impaired gas exchange”. ![]()
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