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)