MEDizzy - A client with Systemic Lupus Erythematosus (SLE)

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Health Promotion and Maintenance III

A client with Systemic Lupus Erythematosus (SLE) demonstrates rash, petechiae, cyanosis, skin ulcers, joint deformity, and edema. These conditions substantiate a nursing diagnosis of:

ExplanationAs a group, the nursing diagnoses listed have a common denominator of visibility. When clients have visible symptoms, their condition is much more likely to impact how they view themselves and how others view them. Visible symptoms can put a client at risk for Body Image Disturbance. Risk for Altered Tissue Perfusion is an appropriate nursing diagnosis for patients with SLE, but it is related to interrupted blood flow in the kidneys. Edema is the only manifestation listed that relates to interrupted blood flow in the kidneys. Clients with SLE are at risk for Impaired Skin Integrity, but in this scenario the client already has Impaired Skin Integrity. Risk for Infection is an expected nursing diagnosis for SLE patients but is not common to all the clinical manifestations listed.