HelpYelp..Nursing Diagnosis Experts

  1. Hello Guys, im just a student.. and our teacher told us to do a case presentation... I find it difficult even in researching here in the net.. here is the problem: a mother has a family history of HYPERTENSION what should be the nursing diagnosis??? can it be "RISK FOR MATERNAL INJURY RELATED TO HYPERTENSION"?if so, what is the nsg,intervention to be used and its rationale..tnx guys..need it so badly..
    •  
  2. 4 Comments

  3. by   smk1
    More information is needed. Is this an antepartum mother or post partum. What is the assessment data? Also if this is to be a NANDA nursing dx, you can't have a medical diagnosis presented as the related to factor. If this is the diagnosis you want to use you have to say something like "Risk for injury r/t altered hemodynamics secondary to Hypertension". Interventions vary such as monitoring blood pressure, giving ordered medications, monitoring for signs and symptoms of high BP etc...
  4. by   Daytonite
    hi, arguewithme and welcome to allnurses!

    don't argue with me about what i am about to tell you because i know what i am talking about. when you are doing a case study/presentation, you need to follow the nursing process. you are basically being asked to present a care plan for this patient. a care plan follows the nursing process. the steps of the nursing process are:
    1. assessment (collect data)
    2. nursing diagnosis (group your assessment data, shop and match your abnormal assessment data to likely nursing diagnoses, decide on the nursing diagnosis 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 information you were given is that the patient
    • is a mother (does this mean she is currently pregnant?)
    • has a family history of hypertension
    that is what you have to work with.

    the first step of the process is to do an assessment of the patient. because this is a case study you have to do some extrapolation (estimate, infer) some facts about the patient. i'm not thinking that being a mother is going to have much of an effect on hypertension--unless this is a lady who is currently pregnant. hypertension is a potential complication of pregnancy. so, if this "mother" is pregnant then you need to be looking up information about the affect of hypertension on pregnancy. pay particular attention to the signs and symptoms that a pregnant mother with hypertension will have, including the treatments that the doctor might order. these will become the signs and symptoms your patient will now have and effect any nursing interventions you will make for her.

    the second step is to make a list of these signs and symptoms of hypertension that this mother is likely to have. give her all of them since this is a case study and its purpose is for you to learn about this condition. from this list, you can then determine nursing diagnoses. each nursing diagnosis (there are currently 188 of them) has a definition and a list of signs and symptoms. it is your job to find which of your symptoms matches with certain specific nursing diagnoses. to do this you will need a nursing diagnosis reference book that includes that information.

    the third step is to plan your goals and outcomes for the patient. these are directly related to each one of the patient's signs and symptoms. after completing this step, the case study (care plan) will be completed.

    you can see samples of written student case studies on these two websites. while there are none on pregnancy there, it will give you an idea of how a case study should be written up:
    you can also find information on nursing diagnoses and how to find/determine a nursing diagnosis on these two threads in the nursing student forums of allnurses. to find a listing of the nursing student forums, click the "students" tab at the top of this page.

  5. by   Arguewithme
    elo daytonite thank you... yer' all experts in this field and hope i can learn from all of you guys. tnx for being so systematic with ur answer. ..
  6. by   Arguewithme
    tnx smk1. thats a new term for me. r/t hemodynamics.. cause we usualy follow nanda (its r/t's).. thats y i was having bit trouble some r/ts are not that available in the book.esp maternal injury,:spin:

close