Hello to all and thank you in advance for any advice. I am currently working on two care plans and am missing just a couple of rationales. Of course I will have to find them in our text and cite my sources, but if I could just get some help in the right direction that would be awesome.
Pt post colon resection. #1 Acute pain. I have two interventions - assess for abdominal guarding during movement/transfer... and assess for facial grimace during movement/transfer. I can't for the life of me find a rationale in my book for this. Any suggestions on which section to look?
#2. Impaired skin integrity - Intervention - Assess colostomy site for patency and signs of infection. I have looked all over ( I think..its a blurr right now) and can't find a rationale. I have looked in the surgical chapter, GI disorders chapter. I know we talked about checking for that and why.. and why to check for wet skin and how it causes breakdown but I can not find it.
Again, thank you again for any advice.
Good night. Will be checking this tomorrow!
Sep 30, '12
by Esme12, ASN, BSN, RN Senior Moderator
Last edit by Esme12 on Sep 30, '12