Nursing Students General Students
Published May 19, 2004
Born2BAnurse
276 Posts
a person that has a toe ambutated?
Streamlined
26 Posts
Much as I detest the whole concept of nursing diagnoses, wouldn't this be a straightforward "Alteration in body image" ? Potential for pain/phantom pain? Grief/loss? If you're still a student and you have to prepare nursing diagnoses for your clinicals, remember those intructors just love it when you individualize the care plan as much as possible. this was my secret to success in school. For all you know, this patient has been suffering with osteo or gangrene in this toe for months and he's gunnna be happy and relieved to have the toe gone. Bear in mind there are no true textbook cases. Good luck. Bear in mind, you'll never have to deal with nursing diagnoses within the real world, just bear it out.
psychomachia
184 Posts
Body image alteration secondary to great toe deficit...
NO?
Sounded pretty good to me...
Another reason to work ER...No nsg dx...
Hellllllo Nurse, BSN, RN
2 Articles; 3,563 Posts
Amputated.
Maybe ineffective individual coping and impaired grief resolution due to profound loneliness after loss of favorite toe...
hello streamlined thanks alot I hope your right about not using these in the real world because right now they are a pain in the butt
gwenith, BSN, RN
3,755 Posts
Try "ouchy related to hurty"
Whereas right now you have "acute rectal discomfort related to overuse of Nursing Diagnosis"
Sorry mate - not laughing at you but I do agree the whole "nursing diagnosis" thing was the biggest load of academic waffle ever perpetrated on any profession.
Un all honesty though I would go with
Pain r/t surgical intervention
and if it is the great toe
Alteration in mobilization due to loss of balance
Don't forget that the great toe is essential for balance and loss will alter the patients gait. Depending on age of patient you could even go with "increased potential for falls"
Why was the toe amputated? Pt diabetic, circulatory problems? Tissue perfusion? Gangrene? Could the wound beome infected? Could this affect the pt's mobility?
Think along those lines.
Aneroo, LPN
1,518 Posts
OH! I had a pt like that not too long ago! It was his second toe. Need to ask what others are...
Why was the toe amputated? My pt had osteomyletitis. Risk for infection r/t surgical wound is a biggie
Medical hx? DM, CRF, etc... Altered tissue perfusion r/t disease process AEB slow cap refill
Which toe? Immobility r/t pain, Immobility r/t poor balance
Body Image Disturbance r/t loss of toe (my pt hated looking at his foot)
Impaired Skin Integrity r/t surgical wound
Risk for impaired skin integrity r/t immoblity
I rock at these. My NDX book has been one of my best friends so far thru nursing school, that is until I buy my NCLEX book!
I would give hints only, not answers, so a student can think for themselves.
They sell books with these in it! Not like I'm giving the inteventions out. Just saving a few bucks. :chuckle
LMAO...."Not that toe! I love that one! Oh, the times we shared! Remember that time I painted your nail pink...You loved it so much! I'll miss you so much! *Sobbing*"