concept map for bowel elimination

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Hello all,

I'm writing a concept map for bowel elimination for simulation lab. I need just one nursing diagnosis, and my teacher told me to use "alteration in elimination", but my diagnosis book doesn't have that...and I can't really find it online.

Here's the scenario:

My "patient" has an ileostomy due to fecal drainage into an abdominal wound. They diverted the stool to allow the abd wound to heal better.

I essentially was thinking: Alteration in elimination R/T ileostomy bowel diversion AEB...and that's where I struggle. I want to say AEB a pouch attached to her abdomen and stool in it! But I'm sure that wont be acceptable.

Please help!

Thank you all in advance,

Sophie

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

duplicate threads merged as per the TOS

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While we're at it....these are the interventions I intend to use...if no one cares to comment, I understand, but if there's something seriously wrong with them, I'd love to know. I'd also love to sleep. But nursing school comes first! :)

  • Assess nutritional status and current intake with MNA every 2 days-increase kcal intake daily as tolerated until goal of 1700kcal/day; Record I&O daily
  • Inspect incision and stoma q8h and describe any changes
  • Include stoma therapist to provide self-care teaching and aid in altered body image risks
  • Educate pt on ileostomy and stoma self-care. Pt will verbalize understanding and exhibit correct self-care techniques within 2 days

Just so you know: Assessments are not interventions. They are things you'll do, but they are not things that directly benefit the patient, are they? Whenever you find yourself writing "assess, monitor, inspect..." back off and ask yourself what your assessment is accomplishing for the patient. "Increase caloric intake (how?)" is an intervention which will improve her ability to heal and be more active. "Consult to enterostomal therapist for patient teaching" is an intervention that will help her manage her own care. Educating is an intervention, ditto.

Intervention may lead you to do something different/new/continue your previous plan. If so, say so, e.g., "If wound shows increased exudate/temp elevated/fluid imbalance, ..." say what you will DO to this/for this person besides look at him.

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Specializes in NICU, Labor and Deliver, ED.

Yeah, I understand. The teacher grading this particular map stated, verbatim, "I always want to see assess as the first intervention."

Done and done, I say. I gave her what she wants.

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Well, I understand her reasons for saying that,a d of course you always have to do what your faculty says and no mistake.

However, as an editor I would have said, "Be sure you tell me what you will assess first, before you plan your interventions."

:)

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