nanda for diarrhea!

  1. 0
    Hi....I'm a first semester student in nursing school.....can someone help me do 3 nandas for diarrhea? My patient had a bowel resection surgery and she has incontinent diarrhea.....she doesn't consume enough wanter and loves to drink coffee and tea...she is 80 years old and already had a TIA (transient inschemic attack)......I can never figure the nandas out.....can someone please help me......I would really appreciate it...thanx
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  4. 0
    http://www.rncentral.com/nursing-library/careplans/bed for diarhhea

    [color=#4d4c76]- transient ischemic attack
    http://www.rncentral.com/nursing-library/careplans/fvd fluid volume deficit

    this is the most current nanda list i have. there are more updates to it, i just can't find it right now. i'm sure you could find a ton more for this lady with this list
    here is a list of 2003-2004 nanda approved diagnoses:
    [color=#231f20]
    activity intolerance
    activity intolerance, risk for
    adaptive capacity: intracranial, decreased
    adjustment, impaired
    airway clearance, ineffective
    anxiety
    anxiety, death
    aspiration, risk for
    attachment, parent/infant/child, risk for impaired
    body image, disturbed
    body temperature: imbalanced, risk for
    bowel incontinence
    breastfeeding, effective
    breastfeeding, ineffective
    breastfeeding, interrupted
    breathing pattern, ineffective
    cardiac output, decreased
    caregiver role strain
    caregiver role strain, risk for
    communication, readiness for enhanced
    communication: verbal, impaired
    confusion, acute
    confusion, chronic
    constipation
    constipation, perceived
    constipation, risk for
    coping: community, ineffective
    coping: community, readiness for enhanced
    coping, defensive
    coping: family, compromised
    coping: family, disabled
    coping: family, readiness for enhanced
    coping (individual), readiness for enhanced
    coping, ineffective
    decisional conflict (specify)
    denial, ineffective
    dentition, impaired
    development: delayed, risk for
    diarrhea
    disuse syndrome, risk for
    diversional activity, deficient
    dysreflexia, autonomic
    dysreflexia, autonomic, risk for
    energy field, disturbed
    environmental interpretation syndrome, impaired
    failure to thrive, adult
    falls, risk for
    family processes, dysfunctional: alcoholism
    family processes, interrupted
    family processes, readiness for enhanced
    fatigue
    fear
    fluid balance, readiness for enhanced
    fluid volume, deficient
    fluid volume, deficient, risk for
    fluid volume, excess
    fluid volume, imbalanced, risk for
    gas exchange, impaired
    grieving, anticipatory
    grieving, dysfunctional
    growth, disproportionate, risk for
    growth and development, delayed
    health maintenance, ineffective
    health-seeking behaviors (specify)
    home maintenance, impaired
    hopelessness
    hyperthermia
    hypothermia
    identity: personal, disturbed
    infant behavior, disorganized
    infant behavior: disorganized, risk for
    infant behavior: organized, readiness for
    enhanced
    infant feeding pattern, ineffective
    infection, risk for
    injury, risk for
    knowledge, deficient (specify)
    knowledge (specify), readiness for enhanced
    latex allergy response
    latex allergy response, risk for
    loneliness, risk for
    memory, impaired
    mobility: bed, impaired
    mobility: physical, impaired
    mobility: wheelchair, impaired
    nausea
    neurovascular dysfunction: peripheral, risk for
    noncompliance (specify)
    nutrition, imbalanced: less than body
    requirements
    nutrition, imbalanced: more than body
    requirements
    nutrition, imbalanced: more than body
    requirements, risk for
    nutrition, readiness for enhanced
    oral mucous membrane, impaired
    pain, acute
    pain, chronic
    parenting, impaired
    parenting, readiness for enhanced
    parenting, risk for impaired
    perioperative positioning injury, risk for
    poisoning, risk for
    posttrauma syndrome
    posttrauma syndrome, risk for
    powerlessness
    powerlessness, risk for
    protection, ineffective
    rape-trauma syndrome
    rape-trauma syndrome: compound reaction
    rape-trauma syndrome: silent reaction
    relocation stress syndrome
    relocation stress syndrome, risk for
    role conflict, parental
    role performance, ineffective
    self-care deficit: bathing/hygiene
    self-care deficit: dressing/grooming
    self-care deficit: feeding
    self-care deficit: toileting
    self-concept, readiness for enhanced
    self-esteem, chronic low
    self-esteem, situational low
    self-esteem, risk for situational low
    self-mutilation
    self-mutilation, risk for
    sensory perception, disturbed (specify: visual,
    auditory, kinesthetic, gustatory, tactile,
    olfactory)
    sexual dysfunction
    sexuality patterns, ineffective
    skin integrity, impaired
    skin integrity, risk for impaired
    sleep deprivation
    sleep pattern disturbed
    sleep, readiness for enhanced
    social interaction, impaired
    social isolation
    sorrow, chronic
    spiritual distress
    spiritual distress, risk for
    spiritual well-being, readiness for enhanced
    spontaneous ventilation, impaired
    sudden infant death syndrome, risk for
    suffocation, risk for
    suicide, risk for
    surgical recovery, delayed
    swallowing, impaired
    therapeutic regimen management: community,
    ineffective
    therapeutic regimen management, effective
    therapeutic regimen management: family,
    ineffective
    therapeutic regimen management, ineffective
    therapeutic regimen management, readiness for
    enhanced
    thermoregulation, ineffective
    thought processes, disturbed
    tissue integrity, impaired
    tissue perfusion, ineffective (specify: renal,
    cerebral, cardiopulmonary, gastrointestinal,
    peripheral)
    transfer ability, impaired
    trauma, risk for
    unilateral neglect
    urinary elimination, impaired
    urinary elimination, readiness for enhanced
    urinary incontinence, functional
    urinary incontinence, reflex
    urinary incontinence, stress
    urinary incontinence, total
    urinary incontinence, urge
    urinary incontinence, risk for urge
    urinary retention
    ventilatory weaning response, dysfunctional
    violence: other-directed, risk for
    violence: self-directed, risk for
    walking, impaired
    wandering

    [color=#231f20]
    source. nanda nursing diagnoses: definitions
    and classification, 20032004.
    [color=#231f20]philadelphia:
    north american nursing diagnosis association.
  5. 0
    1. Fluid volume deficit
    2. Body Temperature: Imbalance, risk for
    3. Risk for impaired skin integrity (excoriation of the anal area from frequent passage of wet stools)
  6. 0
    you must follow the steps of the nursing process:
    1. assessment (collect data from medical record, do a physical assessment of the patient, assess adl's, look up information about your patient's medical diseases/conditions to learn about the signs and symptoms and pathophysiology)
    2. determination of the patient's problem(s)/nursing diagnosis (make a list of the abnormal assessment data, match your abnormal assessment data to likely nursing diagnoses, decide on the nursing diagnoses to use)
    3. planning (write measurable goals/outcomes and nursing interventions)
    4. implementation (initiate the care plan)
    5. evaluation (determine if goals/outcomes have been met)
    the first thing you must do is to assess which i am going to assume you have already done. then, you move on to step #2 of the nursing process. you need to make a list of your patient's symptoms before you do anything else. the nandas, as you call them, which are really the nursing diagnoses, and the goals and nursing interventions are all based upon the symptoms that your patient has. so, this list of the patient's symptoms is crucial to the remainder of the care plan that has to be written. you have posted only two symptoms and i am sure there are more that you have either not posted or that you missed:
    • incontinent diarrhea
    • doesn't consume enough water
    i can only assign one nursing diagnosis from this information: diarrhea r/t shortened bowel aeb [you need to state how many diarrhea stools the patient is having a day]. if you had assessment information on the patient's skin we could look at nursing diagnoses that pertain to impaired skin integrity or the risk of impaired skin integrity because of her incontinence.

    every nursing diagnosis has signs and symptoms. you need to get yourself a nursing diagnosis reference book to help you in assigning nursing diagnoses.

    also, you need to look up the signs and symptoms of diarrhea [abdominal pain and cramping, hyperactive bowel sounds] because i'm sure you missed some of them in your patient. i know, because i've had this surgery and had every one of these symptoms. you also need to read about bowel resection surgery. if this patient is post-op then this is a surgical patient and there are surgical concerns (like a incision) and post-op complications to be on the lookout for that need to be included in the care plan and these all have nursing diagnoses that can be assigned to them. however, i can't help you without you posting any symptoms.

    i am going to again suggest that you read the information on these previous posts:


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