renal dialysis dialysis
patient assessment database discharge plan drg projected mean length of inpatient stay: 2.2 days to initiate therapy considerations:
nursing diagnosis: nutrition: imbalanced, less than body requirements may be related to
possibly evidenced by
desired outcomes/evaluation criteria—patient will: nutritional status (noc)
nutrition therapy (nic)
independent
note:
nutrition therapy (nic)
independent
collaborative
note: note: note:
note:
nutrition therapy (nic)
collaborative
nursing diagnosis: mobility, impaired physical may be related to
possibly evidenced by
desired outcomes/evaluation criteria—patient will: mobility level (noc)
bed rest care (nic)
independent
bed rest care (nic)
independent
note:
exercise promotion (nic)
bed rest care (nic)
collaborative
nursing diagnosis: self-care deficit (specify) may be related to
possibly evidenced by
desired outcomes/evaluation criteria—patient will: self-care: activities of daily living (adls) (noc)
self-care assistance (nic)
independent note:
nursing diagnosis: constipation, risk for risk factors may include
possibly evidenced by actual desired outcomes/evaluation criteria—patient will: bowel elimination (noc)
self-care assistance (nic)
independent
self-care assistance (nic)
independent
collaborative
nursing diagnosis: thought processes, risk for disturbed risk factors may include possibly evidenced by actual desired outcomes/evaluation criteria—patient will: cognitive ability (noc)
delirium management (nic)
independent
collaborative
nursing diagnosis: anxiety [specify level]/fear may be related to
possibly evidenced by
desired outcomes/evaluation criteria—patient will: anxiety [or] fear control (noc)
anxiety reduction (nic)
independent
note:
anxiety reduction (nic)
collaborative
nursing diagnosis: body image disturbed/self-esteem, situational low may be related to possibly evidenced by
desired outcomes/evaluation criteria—patient will: self-esteem (noc)
body image [or] self-esteem enhancement (nic)
independent
body image [or] self-esteem enhancement (nic)
independent note:
collaborative
nursing diagnosis: knowledge, deficient [learning need] regarding condition, prognosis, treatment, self-care, and discharge needs may be related to
possibly evidenced by
desired outcomes/evaluation criteria—patient will: knowledge: disease process (noc) knowledge: treatment regimen (noc)
teaching: disease process (nic)
independent
teaching: disease process (nic)
independent
note:
teaching: procedure/treatment (nic)
potential considerations following acute hospitalization (dependent on patient’s age, physical condition/presence of complications, personal resources, and life responsibilities)