List of 3 Diagnosis Harold John N. Cabalgada BSN 1a

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LIST OF TOP 3 PRIORITY NURSING PROBLEM (NURSING DIAGNOSIS)

Patient Code Name: Raymond Jay A. Manangkila Age: 20 Sex: Male Date of Assessment: 2/ 22/ 2021
Chief Complaint/s: Itchiness and pain due to arm wound

NANDA Nursing Diagnosis (PES): Impaired skin integrity related to acute pain as evidence by disruption of
skin surface.
1
NANDA Definition: Altered epidermis and/or dermis.
NANDA Nursing Diagnosis (PES): Risk for infection related to alteration in skin integrity as evidence by
presence of itchiness in the surrounding of the wound
2
NANDA Definition: Susceptible to invasion and multiplication of pathogenic organisms, which may
compromise health.
NANDA Nursing Diagnosis (PES): Risk for infection related to insufficient knowledge to avoid exposure to
Pathogens as evidence by disruption of skin surface
3
NANDA Definition: Susceptible to invasion and multiplication of pathogenic organisms, which may
compromise health.
REFERENCE/S:
Potter, P. A., Perry, A. G., Hall, A., & Stockert, P. A. (2017). Fundamentals of nursing. Ninth edition. St. Louis, Mo.:
Mosby Elsevier.
In Herdman, T. H., In Kamitsuru, S., & North American Nursing Diagnosis Association. (2018). NANDA International,
Inc. nursing diagnoses: Definitions & classification 2018-2020.

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