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. 4 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.

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