luv2shopp85. . .the nursing care plan process always starts with the symptoms the patient was having
. you use his medical diagnosis as a tool to point the way to clues you may have missed. from family practice notebook i brought up this page http://www.fpnotebook.com/ren35.htm
about hydronephrosis. according to this source, did your patient have any of the following?
- abdominal pain - if so, describe and locate it
- groin pain
- a mass or lump upon examination and palpation of the flank, suprapubic area or abdomen
- sediment or crystals in his urine
- what tests, if any were done in the er and what were their results?
the answers to any of those questions become the source of any abnormal symptoms the patient is experiencing. those abnormal symptoms will be the items you will be able to find in section ii (the alphabetical listing of symptoms, problems, medical diagnoses and clinical states) in your nursing diagnosis handbook
that will then lead you to potential nursing diagnosis categories you might use for your care plan.
remember that we are but nurses. the doctors are going to treat the medical diagnosis. your careplan may not seem as exciting. it is probably going to address nursing measures to relieve the pain, monitor his urine output and iv fluids, attending to a risk for infection, and teaching the patient what to expect insofar as tests to be done or the course of his potential disease. that is as important to his recovery as what the doctor is ordering.