Jump to content

How do these nursing diagnosis look? am I on the right path?

Student Assist   (1,154 Views | 2 Replies)
by Bodybuilder1 Bodybuilder1 (New) New

561 Profile Views; 6 Posts

For the mother who has premature placental abruption. I only need 4 but came up with 5 but eventually for my care map I just need to pick the 2 that needs prioritizing.

1. Acute pain related to premature separation of the placenta from the uterine wall as evidenced by the patient’s report of continuous abdominal pain/cramping of about 5-7 out of 10, back discomfort, vaginal bleeding and increased HR.

2. Risk for deficient fluid volume related to blood loss secondary to premature abruption of the placenta.

3. Anemia related to active bleeding as evidenced by low H & H.

4. Risk for Hypovolemic shock related to blood loss as evidenced by patients H & H.

5. Anxiety related to threat of current health status as evidenced by palpitations, increased pulse and the inability to fall asleep.

Share this post

Link to post
Share on other sites

TriciaJ has 39 years experience as a RN and specializes in Psych, Corrections, Med-Surg, Ambulatory.

15 Followers; 3,787 Posts; 40,938 Profile Views

I did not work in L&D so maybe I'm out to lunch. In any care plan, if you have to narrow down to priorities, start with the issue that would be the most immediately life-threatening. Then move on to what would have unfortunate sequelae, then on to comfort.

You'll have to look ahead a bit to predict longer term outcomes of unaddressed issues.

Hope this at least helps.

Share this post

Link to post
Share on other sites

amoLucia specializes in LTC.

2 Followers; 5,620 Posts; 47,265 Profile Views

Like above but without knowing vitals signs, LOC, blood vol loss, IV replacement efforts, etc, it'd be hard for me to prioritorize.

Your 'risk for' are real possibilities, but for an otherwise stable pt, you could manage attempts to control pain & anxiety which are co-related.

Share this post

Link to post
Share on other sites

This site uses cookies. By using this site, you consent to the placement of these cookies. Read our Privacy, Cookies, and Terms of Service Policies to learn more.