sitting here doing my wonderful care plan and now that i have everything set up i am reconsidering my options.
my "paper patient" is 3 days postpardum from c-section - there was meconium found in the amniotic fluid during the amniotomy prior to the decision to do the c.
ok, so our instructors want us to include risk for bleeding as our #1 diagnosis.
so this is where i am at so far.
#1. risk for bleeding r/t surgical incision and postpartum complications
#2. acute pain r/t surgical incision d/t cesarean birth a/e/b pt stating pain level of 6/10.
#3. at risk for impaired gas exchange r/t ventilation perfusion imblanace secondary to cesarean birth and use of opioids for pain managment post op.
#4. risk for fluid volume deficient r/t maternal blood loss - this is where i am not happy. i know there is a high risk for thrombophlebitis and i want to include this but i am scratching my head as to how to get that in there w/a proper nanda. help.
#5. risk for ineffective coping r/t inadequate social support created by characteristics of relationships (no father in picture and she's only 20 w/no relationship w/her family)
i am not a fan of paper patients - and i wanted to get away from the usual risk for infection issues that are always listed -but i am finding the text isn't that great of a help and our nanda books aren't the best for ob ....
any guidance would be great on this.