I need at least 5 good ones, but 3 good ones will suffice. I have to do a careplan, which is the most comprehensive careplan I will have ever done, 3 outcome criteria, 2 interventions per outcome criteria for each Nursing diagnosis with rationale, So yeah its awful for me. And I have to do 4 Nursing Dx on the same patient.
The careplan book i am looking at by ackley and ladwig only lists these nursing dx for peptic ulcer:
Ineffective health maintenance
Ineffective therapeutic regimen management, readiness for enhanced for.
1) I really like Ineffective therapeutic regimen management, I think I'll go with that one, especially since this patient had a previous history of ulcer, and now he is in again for the 2nd time. I really feel I can do a good careplan with that.
2) Pain is also a good one, but I feel that is way too easy, especially since all patients with peptic ulcer will exhibit pain, but I wont mind doing it. The only thing I am worried is the assessment data, what kind of assessment data can i write down, theres a few, and pain is the only one i can think of, pain at 8/10 due to ulceration, surgery. This patient has been in the hospital for 12 days, and I think she is going home tomorrow. But i got to spend my clinical day with her today since she was my patient; she was able to get up and walk, do am care with minimal assist, she did complain of pain, 8/10, gave her pain meds with that. But I feel i cant do 3 outcome criteria and 6 interventions with rationales, and my assessment data will be so minimal.
3)? I dont know, I'm out of ideas. This patient is pretty much all better now, just waiting for her doctor to give the order for discharge, so I didnt get much out of her today. But this patient has a history of smoking, alcohol, drug abuse, currently unemployed if that helps.