you have defined the patient's nursing problem. a care plan is about identifying the patient's nursing problems and then developing strategies for them. what you are doing is trying to treat the medical problem and as nurses we can't do that. the doctor's don't even know what her medical problem is, so how can we figure it out? i was following you as far as your identification of the patient's 3 nursing problems (jaundice, constipation and pain) and after that things got muddled and i lost track of your thinking. a care plan is based on the patient's assessment symptoms. while you didn't include the symptoms of the constipation and pain, you did include them for the jaundice:
- yellow tinge to her eyes
- elevated lab values
while you didn't include any evidence of pruritis or the patient's thoughts on her yellow appearance i immediately thought of two possibilities for this:
- risk for impaired skin integrity r/t itching
- risk for disturbed body image r/t jaundiced skin
- - - - - - - - - - - - - - i was leaning towards impaired liver function which i found as a new nanda on this list http://wps.prenhall.com/wps/media/ob...74686_appc.pdf however i'm unsure if this is even correct.
the actual diagnosis is risk for impaired liver function. without the taxonomy information to guide you in its use, i wouldn't assign any nursing diagnosis to a patient.perhaps
risk for imbalanced nutrition less than body requirements due to impaired absorption. but does impaired absorption occur with obstructive jaundice??
your interventions for a "risk for" diagnosis have to be to prevent that problem from happening and i think you are crossing into the doctor's realm of practice if you are talking about obstructive jaundice as the risk factor here.