Nursing diagnosis

  1. I had a patient with acute appendicitis and they had surgery to have it removed. I need to come up with a nursing diagnosis for elimination for the patient and I'm a bit lost. The patient had nothing wrong with their elimination before and after surgery so what would be a diagnosis I could potentially put? Any help would be great
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  2. 7 Comments

  3. by   KrCmommy522
    Why does it have to be an elimination diagnosis? If you give your thoughts on where you are at with potential diagnosees and your thought process, there are lots of wonderful people here at All Nurses that are always willing to help - you just have to show your work. They don't want to do your work for you! But, now that I see your screen name and the post, I think I already posted an answer to this question in the nursing student's assistance forum.
  4. by   alexischill
    I did give my thoughts and process. There was nothing wrong with the patients elimination before or after the surgery. I do still, however need a diagnosis for their elimination. I didn't ask for anyone to do the work for me. I stated that any help would be great. Thanks
  5. by   KrCmommy522
    I'm sorry. You misunderstood me. I wasn't saying that you specifically were asking for people to do the work for you. Just that sometimes people get on here and post a question and just want people to figure out everything.

    In this post, the only information you gave was a patient who had acute appendicits who had an appendectomy and that the patient had no elimination problems before or after surgery.

    Why does it have to be an elimination diagnosis?

    Esme12, a senior moderator on this site, gives a great speech quite often whenever a student asks about a nursing diagnosis (I got it myself when I first became a member here and asked for help with a nursing diagnosis). Esme12 makes a lot of good points. You can do a search for nursing diagnosis help, and I'm sure you will find what she tells people in most of the posts. But here are a few things Esme12 states:
    Quote from Esme12
    Let the patient/patient assessment drive your diagnosis. Do not try to fit the patient to the diagnosis you found first. You need to know the pathophysiology of your disease process. You need to assess your patient, collect data then find a diagnosis. Let the patient data drive the diagnosis.
    Quote from Esme12
    Don't focus your efforts on the nursing diagnoses when you should be focusing on the assessment and the patients abnormal data that you collected. These will become their symptoms, or what NANDA calls defining characteristics. From a very wise an contributor daytonite.......make sure you follow these steps first and in order and let the patient drive your diagnosis not try to fit the patient to the diagnosis you found first.
    What I mean by your thought process is....what do you have so far? What diagnoses are you thinking? Why are you thinking those diagnoses (what occurred with or what did you see with your patient that is making you think those diagoses?)

    What I mean by more information is what all came from the assessment of your patient? - was the surgery open or laparoscopic? When was the patient's last BM? What did the BM look like? (small, large, brown, solid, watery, etc.) How many BM has the pt has since surgery? Are bowel sounds active, hypoactive, or hyperactive? Are they present in all 4 quadrants? Is the patient on pain meds? If so, what kind and how often?

    From these questions, you might get that I am thinking of constipation or a risk for constipation as a diagnosis for your patient. Why would your patient have constipation or be at risk for constipation? What causes constipation?

    I saw that you posted another nursing diagnoses question for a patient with acute appendicitis who had an appendectomy. I responded to that question and this one before I realized they were both from the same person. In the other post you are asking about a "risk of injury r/t invasive procedure" diagnosis and what to put for as evidenced by. ...So, do you need an elimination diagnoses as well or any diagnosis for your patient?

    The more information you give, the more help I can provide. It's hard to help you with a nursing diagnosis without any assessment of your patient other than the fact that you need an elimination diagnosis, that your patient had acute appendicitis, had an appendectomy, and your patient had no elimination problems before or after surgery. That's not much information to go on to come up with a nursing diagnosis.
  6. by   alexischill
    Well, that is all of the information I got and that is what I stated. If that is not enough to help me, then that's all that needed to be said.

    Quote from KrCmommy522
    I'm sorry. You misunderstood me. I wasn't saying that you specifically were asking for people to do the work for you. Just that sometimes people get on here and post a question and just want people to figure out everything.

    In this post, the only information you gave was a patient who had acute appendicits who had an appendectomy and that the patient had no elimination problems before or after surgery.

    Why does it have to be an elimination diagnosis?

    Esme12, a senior moderator on this site, gives a great speech quite often whenever a student asks about a nursing diagnosis (I got it myself when I first became a member here and asked for help with a nursing diagnosis). Esme12 makes a lot of good points. You can do a search for nursing diagnosis help, and I'm sure you will find what she tells people in most of the posts. But here are a few things Esme12 states:




    What I mean by your thought process is....what do you have so far? What diagnoses are you thinking? Why are you thinking those diagnoses (what occurred with or what did you see with your patient that is making you think those diagoses?)

    What I mean by more information is what all came from the assessment of your patient? - was the surgery open or laparoscopic? When was the patient's last BM? What did the BM look like? (small, large, brown, solid, watery, etc.) How many BM has the pt has since surgery? Are bowel sounds active, hypoactive, or hyperactive? Are they present in all 4 quadrants? Is the patient on pain meds? If so, what kind and how often?

    From these questions, you might get that I am thinking of constipation or a risk for constipation as a diagnosis for your patient. Why would your patient have constipation or be at risk for constipation? What causes constipation?

    I saw that you posted another nursing diagnoses question for a patient with acute appendicitis who had an appendectomy. I responded to that question and this one before I realized they were both from the same person. In the other post you are asking about a "risk of injury r/t invasive procedure" diagnosis and what to put for as evidenced by. ...So, do you need an elimination diagnoses as well or any diagnosis for your patient?

    The more information you give, the more help I can provide. It's hard to help you with a nursing diagnosis without any assessment of your patient other than the fact that you need an elimination diagnosis, that your patient had acute appendicitis, had an appendectomy, and your patient had no elimination problems before or after surgery. That's not much information to go on to come up with a nursing diagnosis.
  7. by   KrCmommy522
    Quote from alexischill
    Well, that is all of the information I got and that is what I stated. If that is not enough to help me, then that's all that needed to be said.
    Wow. I have tried to help you. I have been nothing but nice so there is no need to be rude to me. I just said if you had more information I could help more.

    Quote from KrCmommy522
    The more information you give, the more help I can provide.
    I also provided you with information for your elimination diagnosis to help you

    Quote from KrCmommy522
    was the surgery open or laparoscopic? When was the patient's last BM? What did the BM look like? (small, large, brown, solid, watery, etc.) How many BM has the pt has since surgery? Are bowel sounds active, hypoactive, or hyperactive? Are they present in all 4 quadrants? Is the patient on pain meds? If so, what kind and how often?

    From these questions, you might get that I am thinking of constipation or a risk for constipation as a diagnosis for your patient. Why would your patient have constipation or be at risk for constipation? What causes constipation?
    Quote from alexischill
    Well, that is all of the information I got and that is what I stated.
    I just was asking for more information so I could help you come up with a good diagnosis that would fit your patient and as evidenced by to go with the diagnosis. How am I supposed to know that the only information you were given was that the patient had acute appendicitis, had surgery to have it removed, and had no elimination problems before or after surgery? I couldn't know that because you DID NOT state that, you said this:

    Quote from alexischill
    I had a patient with acute appendicitis and they had surgery to have it removed. I need to come up with a nursing diagnosis for elimination for the patient and I'm a bit lost. The patient had nothing wrong with their elimination before and after surgery so what would be a diagnosis I could potentially put? Any help would be great
    You said YOU had a patient, so I figured you would have done a head-to-toe assessment on that patient and read their chart. Even in my first semester of nursing school I had to do head-to-toe assessments on my patient and read my pts chart. If this is just information your instructor gave you and asked you to come up with an elimination diagnosis that is a different story. But you DID NOT state that what you gave was the only information you had.

    I took time out of my day to try and help you. I gave you a suggestion for an elimination diagnosis and possible causes for that diagnosis. I also tried to help you with advice on coming up with nursing diagnoses. It is your choice to take it or leave it. But you come on here asking for help, I offer help and have been nothing but nice, and you've been nothing but rude.
  8. by   Toadette
    Quote from alexischill
    I did give my thoughts and process. There was nothing wrong with the patients elimination before or after the surgery. I do still, however need a diagnosis for their elimination. I didn't ask for anyone to do the work for me. I stated that any help would be great. Thanks
    I think that KrCMommy gave good direction for the question you posed. I will just add that if your assignment is to specifically give an elimination diagnosis that you should look at the appendectomy procedure, recovery, and common medications (including their side effects) that are given after this procedure. Do any of these factors lead you to a nursing diagnosis for elimination?

    Good luck with your assignment.
  9. by   alexischill
    I do not understand why you are writing a book here. I wasn't being rude at all. I'm not sure how saying "Well, that is all of the information I got and that is what I stated. If that is not enough to help me, then that's all that needed to be said" is being rude. I gave all of the information that I knew right from the beginning. YOU, would know that because that is what I stated from the very beginning. Obviously if I had more information, I would have provided it so it would be easier for everyone to understand. You assuming that I want people to do the work for me from the getgo when I simply asked a question is rude quite frankly. If you think that ive been nothing but rude then that sounds like a personal problem. I never asked for you to help me personally. So now you don't have to "help" me anymore. Thanks

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