List of Problems

1. Ineffective tissue perfusion related to decrease in hemoglobin secondary to anemia.

Prioritized problem

Justification

Ineffective tissue perfusion related to decrease in hemoglobin secondary to anemia.

This is the first prioritized problem as it relates to the patients circulation and according to the ABCs of prioritization, circulation is a top priority. This is our first problem because over all the listed problems, this diagnosis is the one that may have the greatest negative effect on our patient if not tackled. By prioritizing ineffective tissue perfusion first and making swift solutions for the complications that follow it, we could prevent further problems from occurring with our patient.

2. Risk for infection related to Inadequate secondary defenses and immunosuppression secondary to side effects of chemotherapeutic drugs.

This diagnosis is also related to the circulation but because it is only a potential problem, it is second to Ineffective Tissue Perfusion. Although it cant be helped that the chemo medications make our patient immunocompromised, the risk for infection is still second in prioritization because we need to make sure that our client isnt exposed to more deteriorating factors

3.1 anticipatory grieving related to impending death

3.2 Anxiety related to impending death

a. Imbalanced nutrition:less than body requirements related to consequence to chemo therapy and emotional distress

b. Disturbed body image related to Illness Treatment

c. Hopelessness related to Illness related regimen as manifested by verbal expression of having no control or influence over situation.

This is our third problem because it does not fall within the three categories of the ABCs of prioritization. Although anxiety can be an issue for the patient. It is only third to Ineffective Tissue Perfusion and Risk for Infection because its least likely to cause any physical harm as quickly as the top two prioritized problems.

Underneath Anxiety, imbalanced nutrition is a top problem that can be caused by the feeling of anxiety. Due to this anxiety , the patient feels that even if she will eat still she will be dead soon.

Also under anxiety, disturbed body image may fall here as the second sub-problem the change in body image can contribute as a factor that instigates the feelings of anxiety of impending death.

This problem, which inevitably occurs if anxiety is not controlled, can exacerbate to feeling of being unable to move on which would affect the clients quality of life.