Needs suctioning because she has many secretions.

Needs frequent periods because of SOB

High risk for aspiration R/t excessive oral secretions.

Fatigue R/T persistent SOB

High risk for injury caused by change of mental status

Alteraration in nutrition due to nausea and vomiting

High risk for injury R/T change in mental status

Alteration in nutrition R/T nausea and vomiting

Ineffective airway clearance R/T excessive sedation

High risk for injury R/T inadequate maintained skin traction

Ineffective airway clearance R/t sedation.

High risk for injury R/T hazards of skin traction.

Altered parenting R/T poor bonding with the child

Altered parenting R/T longed separation from the child.

Decreased caloric intake r/t altered nutrition: less than body requirements

Disorientation r/t sleep pattern disturbance

Altered nutrition: less than body requirements r/t decreased caloric intake.

Sleep pattern disturbance r/t disorientation

Diabetes Mellitus

cancer

Myocardial Infarction

Knowledge deficit (foot care) r/t inability to retain information.

Altered oral mucous membranes r/t effects of chemotheraphy.

Ineffective denial r/t fear of disability

Ineffective breathing pattern r/t emphysema

CHF r/t failure to take medications

Ineffective breathing pattern r/t retained secretions

Non compliance (cardiac medication) r/t lack of knowledge about action and correct dosages