sorry kiddo, after i responded to your post last evening, i turned off my computer and went to bed.
as for your idea to use acute pain r/t physical injury agents secondary to melanoma excision aeb patients statements of pain of the upper left back area
, let me just point out to you that the information following the "r/t" is always what is causing
the nursing diagnosis problem, in this case, the acute pain. so, to double check that you have put all these elements together correctly you need to ask yourself this question: are physical injury agents causing this patient to have acute pain?
i understand that the term "physical injury agent" is a broad term and if that is what your instructors want you to use instead of "surgical disruption of tissues" then that is what you have to use. just as a matter of preference, i would change the second part of the related factors to "secondary to excision of melanoma". to me, that just sounds better. but, as i said, that just my own preference. this is your care plan.
the definition of delayed surgical recovery
is as follows: "extension of the number of postoperative days required to initiate and perform activities that maintain life, health, and well-being. defining characteristics include: evidence of interrupted healing of surgical area (e.g., red, indurated, draining, immobilized), loss of appetite with or without nausea, difficulty in moving about, requires help to complete self-care, fatigue, report of pain/discomfort, postpones resumption of work/employment activities, perception that more time is needed to recover. related factors: to be developed ". (nursing diagnoses: definitions & classification 2005-2006
published by nanda international. page 194) if you think your patient fits the parameters of this nursing diagnosis, then use it. however, remember that your r/t items, even though nanda hasn't developed them yet must be the cause
of the delay in recovery. so, ask yourself, is aftercare neoplasm surgery causing this patient to have delayed surgical recovery? i'm trying to think of things that will delay recovery. malnutrition, age and wound infection were three that popped into my mind right away. i was just looking at the nursing interventions for this diagnosis in my ackley and ladwig nursing diagnosis handbook
trying to get some ideas on this and one of the things that jumped right out at me was patients who have delayed healing times because of their diabetes. elevated blood sugars will screw up healing tissue every time. some of the interventions are repeated at the site i've given you. might kind of back you into some ideas for your r/t item(s) to go with this diagnosis [ex: delayed surgical recovery r/t recent weight loss and inadequate food intake aeb delayed healing of surgical wound
wow! you're really getting to be quite the care plan writer! i'm seeing so much improvement in how you are putting things together since your very first post for help with a care plan. keep up the good work!