Abusive verbal attacks on staff and others.
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Adjustment: lifestyle change resulting from admission.
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Anxiety related to [specify]
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At risk for complications related to diagnosis of cirrhosis.
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At risk for developing a pressure ulcer due to [specify].
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At risk of permanent blindness due to [specify]
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Behavior problem related to [specify] as evidenced by: [specify]
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Behavior problem: resisting feeding, refusing to eat.
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Blindness due to [specify]
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Body image disturbance (actual or potential) due to colostomy/urostomy/ileostomy.
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Bowel or bladder incontinence related to [specify]
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CHF/Congestive Heart Failure: (Potential for) Decreased cardiac output
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CHF/Congestive Heart Failure: Episodes of dyspnea
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CHF/Congestive Heart Failure: Potential for decreased endurance due to decreased cardiac output
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CHF/Congestive Heart Failure: Potential for fluid volume overload.
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Chronic constipation related to [specify]
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Chronic diarrhea related to [specify]
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Client at risk for activity intolerance due to asthma-related respiratory limitations.
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Client at risk for adverse drug reactions due to long-term polypharmacy.
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Client at risk for aspiration due to dysphagia from Wallenberg syndrome.
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Client at risk for autonomic dysreflexia due to spinal cord injury above T6 level.
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Client at risk for bleeding due to long-term anticoagulant use.
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Client at risk for cardiovascular events due to uncontrolled hypertension and lifestyle factors.
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Client at risk for contracting COVID-19 due to confirmed exposure.
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Client at risk for delayed recognition of autonomic dysreflexia symptoms by caregivers.
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Client at risk for depression or mood changes due to hypothyroidism.
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Client at risk for dietary interactions affecting anticoagulant efficacy.
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Client at risk for inadequate knowledge about long-term drug therapy and its implications.
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Client at risk for inadequate self-care due to lack of knowledge about COVID-19 prevention.
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Client at risk for medication non-adherence due to complex long-term drug therapy regimen.
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Client at risk for non-adherence to hyperlipidemia management plan.
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Client at risk for nutritional deficiencies due to poor dietary habits associated with obesity.
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Client at risk for poor medication adherence with anticoagulants.
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Client at risk for psychological stress due to isolation after COVID-19 exposure.
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Client at risk for respiratory infections due to compromised lung function from COPD.
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Client at risk for sensory deficits and pain due to Wallenberg syndrome.
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Client at risk for social isolation due to depressive symptoms.
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Client at risk for uncontrolled blood glucose levels due to Type 2 diabetes mellitus.
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Client at risk for weight gain due to slowed metabolism from hypothyroidism.
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Client avoids trauma-related stimuli, limiting social and occupational engagement.
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Client demonstrates communication barriers due to Autistic Disorder.
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Client exhibits difficulty with social interaction due to Autistic Disorder.
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Client exhibits emotional distress and social isolation due to trigeminal neuralgia pain.
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Client exhibits hypervigilance and heightened startle response due to PTSD.
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Client exhibits impaired concentration and decision-making due to anxiety.
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Client exhibits impulsivity and difficulty maintaining focus due to ADHD, combined type.
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Client exhibits limited knowledge about hypertension management and its impact on health.
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Client exhibits low self-esteem due to challenges with inattention and task failure in ADHD.
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Client exhibits physical symptoms of anxiety, including muscle tension and fatigue.
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Client exhibits reduced physical activity due to fear of worsening low back pain.
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Client exhibits sleep disturbances due to discomfort from unspecified dorsalgia.
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Client experiences chronic back pain due to unspecified dorsalgia, limiting daily activities.
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Client experiences chronic low back pain impacting daily activities and mobility.
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Client experiences difficulty with organization and time management due to ADHD inattention.
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Client experiences excessive worry and difficulty controlling anxious thoughts.
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Client experiences excessive worry and restlessness due to unspecified anxiety disorder.
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Client experiences fatigue and lethargy due to hypothyroidism.
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Client experiences hyperactivity interfering with daily routines due to ADHD, combined type.
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Client experiences impaired balance and coordination due to Wallenberg syndrome.
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Client experiences intrusive thoughts and flashbacks related to traumatic events.
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Client experiences persistent sadness and loss of interest due to major depressive disorder.
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Client experiences sensory processing challenges due to Autistic Disorder.
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Client experiences severe facial pain due to trigeminal neuralgia, impacting daily activities.
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Client experiences severe hypertension during autonomic dysreflexia episodes.
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Client experiences shortness of breath due to chronic obstructive pulmonary disease (COPD).
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Client experiences shortness of breath due to unspecified asthma, uncomplicated.
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Client expresses feelings of worthlessness and guilt related to major depressive disorder.
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Client faces challenges with social interactions due to ADHD, combined type.
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Client has a history of substance abuse:[__] Alcohol [__] Narcotics [__] Other drug use
and has potential for complications such as recurrence of substance abuse, postacute withdrawal symptoms, mood and/or behavioral disturbances.
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Client has difficulty maintaining stable blood glucose levels due to Type 2 diabetes mellitus.
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Client has elevated blood pressure due to essential hypertension, risking cardiovascular complications.
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Client has elevated lipid levels increasing risk for cardiovascular disease.
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Client has excessive caloric intake contributing to obesity, unspecified.
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Client has inadequate physical activity levels exacerbating obesity, unspecified.
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Client has limited knowledge of asthma self-management strategies.
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Client has reduced activity tolerance due to fatigue and dyspnea associated with COPD.
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Client has tracheostomy. At risk for complications including respiratory distress, increased secretions, wt loss, infection.
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Client is a new admission with discharge potential. Stay projected to be of short duration, and client plans d/c to:
[__] Home
[__] Assisted Living
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Client is at risk for impaired skin integrity due to potential poor circulation from Type 2 diabetes.
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Client is s/p spinal cord injury and is at risk for autonomic dysreflexia related to exaggerated and unopposed response to noxious stimuli.
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Client lacks knowledge about hyperlipidemia and its management.
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Client lacks knowledge about Type 2 diabetes self-management strategies.
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Client needs socialization with peers of same age group to meet psychosocial needs r/t being in a geriatric environment.
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Client reports difficulty eating due to pain triggered by chewing from trigeminal neuralgia.
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Client reports disrupted sleep patterns due to depressive symptoms.
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