Name: Mrs.

MM Age: 77 years old

Nursing Diagnosis: Anxiety related to chronic illness w/ changes in roles/ body image.

Medical Diagnosis: ESRD secondary to DM Nephropathy

Short-term Goal: At the end of my shift, patient will verbalize acceptance of self in situation.

Long-term Goal: At the end of hospitalization, patient will demonstrate adaptation to changes or events that have
occurred.
Name: Mrs. MM Age: 77 years old
Medical Diagnosis: ESRD secondary to DM Nephropathy
Nursing Diagnosis: Altered Fluids & electrolytes r/t Urinary retention as evidence increase K & decrease Na.
Short term Goal: At the end of my shift, patient will be able to increase urine output at least 1500cc in 24 hrs.
Long term Goal: At the end of hospitalization, the patient will be able to have a normal urine output & voiding pattern.
Name: Mrs. MM Age: 77 yrs. old

Medical Diagnosis: ESRD secondary to DM Nephropathy

Nursing Diagnosis: Sleep pattern disturbance r/t urinary frequency

Short-term Goal: at the end of my shift, the clients will increase the sleeping hours from 5 hrs. to 8 hrs.

Long-term Goal: At the end of the patient’s hospitalization, patient achieves optimal amount of sleep as evidenced by
rested appearance, verbalization of having a good sleep and improvement in sleep pattern.

Patient’s Name: Mrs. M.M. Age: 77 years old

Medical Diagnosis:ESRD secondary to DM Nephropathy

Nursing Diagnosis:Decreased tissue perfusion related to peripheral vasoconstriction as manifested by high blood
pressure.

Short – Term Goal:At the end of my shift, patient will decrease blood pressure from 160/90 to 130/90

Long - Term Goal: At the end of the patient’s hospitalization, will maintain adequate tissue perfusion as evidenced by BP
declining toward normal range for client.
Patient's Name:Mrs. MM Age: 77 years. Old

Medical Diagnosis: ESRD secondary to DM nephropathy

Nursing Diagnosis: Risk for systemic infection related to hemodialysis procedure as manifested by fatigue,
weakness and low Hb., Hct.level

Short term goal: At the end of the shift, patient will experience no signs/symptoms of infection.
Long – term goal: At the end of hospitalization, patient will maintain/demonstrate improvement in laboratory values