Nursing Students General Students
Published Oct 18, 2011
Miranda DeVore
2 Posts
Hello I am working on my first care plan and am trying to come up with the risk factors associated with an ostomy bag. my nursing diagnosis is Impaired Skin Integrity R/T irritation due to moisture AEB bowl secretions. The only thing that i can think of is at risk for falls. Im not trying to get others to do my work just need a little guidance because my teachers are not of much help.
Thanks sooo much for any help
Miranda
Esme12, ASN, BSN, RN
1 Article; 20,908 Posts
there are many resources on this site for help. here is one from rnwriter and daytonite (rip) that have helped many!
https://allnurses.com/general-nursing-student/help-care-plans-286986.html
let me tell you what may not have been explained very well. a care plan is merely the written documentation of the nursing process. the nursing process is nothing more than a problem solving method. you and i have used this same problem solving method every day of our lives even before going to nursing school. the profession of nursing has just given it a name and some rules for us to follow in getting to the final solution(s).
https://allnurses.com/nursing-student-assistance/help-nursing-care-277791.html
here are a couple of care plan sites for free ideas
http://www.csufresno.edu/nursingstudents/fsnc/nursingcareplans.htm
http://www.pterrywave.com/nursing/care%20plans/nursing%20care%20plans%20toc.aspx
Clovery
549 Posts
try thinking of some psychosocial diagnoses...
risk for disturbed self-concept or body image
risk for ineffective sexuality patterns or sexual dysfunction
risk for loneliness (r/t decr. socialization & anxiety about leaking fluids & possible odor)
does your patient know how to care for it? there could be a risk for ineffective self-help management or a knowledge deficit.
You should pick up a careplan book that has possible nursing diagnoses listed for medical conditions - it really helps!
Thank you so much for your input, it's kinda confusing for me because our program is leading us away from NANDA diagnosis and now just calling it a Problem and putting things in our own words. I think using the NANDA Diagnosis is much easier.
xtxrn, ASN, RN
4,267 Posts
Once you get the hang of using your own words, you'll wish you had a photo of whoever came up with NANDA on a dart board When you get away from NANDA, you can simply take the problem, and write it down. No more "potential" this, or "actual" that, or whatnot.
You can write:
Social isolation r/t fears about ostomy odors...and be done with that issue.
The way I did care plans 34 years ago....kind of like fashion, Hold on long enough and it will come back in style.