Purpose of the Assignment

Assist students in clustering assessment data when developing a nursing diagnosis.

Develop students’ ability to write client-based outcomes when planning care.

Course Competencies

Explain components of multidimensional nursing care for clients with musculoskeletal disorders.

Instructions

Using the template below, write 3 NANDA-I approved nursing diagnoses in a proper format based on the client case provided below.  Write one SMART client-centered goal for each nursing diagnosis.  Consider the client’s medical history and medications.

Module 04 Written Assignment- Nursing Diagnosis

Kacie Benson, a 19-year-old woman, is a client on your unit due to a skiing accident.  She is unconscious and may or may not regain consciousness.  She is on complete bed rest.  She requires frequent repositioning to maintain correct body alignment and attention to her ROM.  She responds to painful stimuli with slight non-purposeful withdrawal.  No spontaneous movements are noted.  The recent lower extremity ultrasound showed no evidence of venous thrombosis, and she continues on low molecular weight heparin injections.  Her fluid and electrolyte balance is maintained by continuously feeding her tube at 60 mL per hour.  She is incontinent of stool and has an indwelling Foley catheter.  Her heels are reddened, but otherwise, her skin is intact.