Hello again, I'm doing my POC for this week and having some trouble finding a ND. To start, this patient is a 47 year old female admitted for a total abd hysterectomy, with chronic blood loss due to uterine fibroids. Her symptoms are pelvic pain, urinary frequency, constipation, and painful intercourse. She has been taking Lupron Depot for 6 months with no success. She is also anemic and taking ferrous sulfate. Other symptoms due to this are weakness, fatigue, and pallor. She has a history of upper respiratory tract infections, but no other medical problems. Vitals signs are BP 132/82, T 98.5, pulse 74, resp 14. O2 sat 99%/ Heart sounds audible S1 and S2, peripheral pulses 3+ bilaterally (radial, and pedal), bowel sounds audible in all 4 quadrants, abdomen distended and firm, foley catheter draining clear yellow urine, IV of D5 1/2 NS running at 100 ml/hr.
Since she is anemic I want to include that in my top 3 ND, but I'm having a hard time figuring out where to go with that. Should I be using Imbalanced nutrition less than body requirements? Is there any other diagnoses I can use for this? I am looking in my ND book, but not having much luck.
I know pain will be a ND, because she is already in pain and will more than likely be in pain after surgery. I have a lot of "risk for" diagnoses listed on my POC already, such as risk for constipation, risk for infection, risk for ineffective airway clearance, and also fatigue and activity intolerance.
I will be buying a Care plan bk. next week and hopefully that will reduce the amount of stupid questions I post on here. But until then thanks to all of you who are willing to help.
