Nursing Students Student Assist
Updated: Feb 5, 2020 Published Aug 7, 2009
dmfisher86
45 Posts
Alright, I'm having a hell of a time with this care plan. My patient was relatively healthly prior to having his sigmoid colon removed secondary to diverticulitis.
My diagnoses are:
Constipation related to use of opoid analgesics and manipulation of bowels during surgery as evidenced by patient not having a bowel movement for 5 days postoperatively.
Risk for deficient fluid volume r/t inadequate fluid intake secondary to nausea.
My potenial third one is: Impaired tissue integrity: gastrointestinal r/t diverticulum in the sigmoid colon AEB patient reporting gastric pain, nausea, and changes in bowel habits, and labs showing increase WBCs, decreased Hgb and Hct.
How do those sound? Doing care plans on healthy patients really sucks!
PvNurse2009
22 Posts
The first two are good, but i would throw out the impaired tissue integrity because the "as manifested by" is not related to tissue integrity. Your best bet from what you have listed would be to go with:
Acute Pain and Risk for Infection
Thank you so much!
Daytonite, BSN, RN
1 Article; 14,604 Posts
A care plan is a determination of a person's nursing problems and strategies to do something about them. A care plan can be done for a healthy person as well as for someone who is ill.
A diagnosis is based on the assessment data you have collected on the patient. I went through your post and made of list of the assessment data and this is what I found and put in maslow's order of priority along with a few questions I had:
If you follow the steps of the nursing process (step #1 is assessment; step #2 is determining the problem or diagnosing the nursing problem; step #3 is planning), then from that list the correct nursing diagnoses in priority order would be:
- - - - - - - - - - - - - - -
lindylou88
I know this is an old post.. but I have a patient who has diverticulitis. They had the sigmoid/colon resection, colostomy,and I&D of abdominal abscess. I am trying to come up with nursing diagnoses but have too many ideas running through my head. They are not in any pain and I'm not sure how to incorporate the colostomy into the diagnoses?