I'm having trouble finding an accurate Nursing Diagnosis for my patient. She was admitted for Bowel Obstruction and Hypotension. Abd is distended, but not firm. Patient c/o tenderness only when abd is palpitated. NGT to intermittent suction... which later I had to insert a new one because it was pulled out. The patient is a Diabetic and since admission to the hospital she has had repeated low blood sugars and been given D50 constantly. The doctor only has her on NS @ 125 and when I brought it to the attention of the nurse that the patient may need to be on D5NS or D5 1/2 NS to keep her blood sugars/electrolytes stable, she just said... well that's what he ordered. On my second day to care for the patient, as soon as I went into the room, I noticed the NGT was misplaced again!
Her oral mucosa is dry and lips are chapped. I had her remove her dentures to prevent any further irritation. The patient said that she just doesn't know if she can go on anymore. On her CT scan it shows ischemic small bowel and small tumor on the outside of her bowel in the messentery.
I have to have a physical and a psycosocial diagnosis. I want one that would pertain to the NGT, but I can't find anything that really fits my patient. Can someone please help?