Looking for feedback on nursing diagnoses...

[amandapg]

Hello there!

I have finished my clinical paperwork and just wanted some feedback before I turn it in. My patient was admitted to the hospital with a wound infection/sepsis resulting from where the patient had a femoropopliteal bypass graft done on 9-7. She was going in to another surgery on the day of my clinical (9-27) to clean the wound out and a possible redo of the bypass graft.

I know that is not much information on my patient, but I was looking for feedback more on the mechanics of my diagnoses. The ones I picked are:

1. Acute pain r/t surgical intervention on left groin aeb patient reporting pain rated 7/10 on a VAS scale.

2. Ineffective protection r/t abnormal blood profiles, drug therapies, wound culture results, and treatments aeb RBC/HGB/HCT blood profiles low showing anemia, drug administration that alter clotting including heparin and aspirin, wound culture results positive for E. coli and P. mirabilis, and surgery scheduled on 9-27.

3. Powerlessness r/t illness-related regimen aeb patient sobbing, "Why did this have to happen to me? I just want this all to be over," in the holding room of the OR.

I have a little trouble with getting the diagnoses just right. My teacher always has said that I do not word them correctly. I know the second one is very long... is it okay that I use that many etiologies and assessment data, or should I just try to use one?

Any feedback would be appreciated!! Thank you so much for your help!!

[Animal3]

i think they sound great, and your teacher is correct in saying it is all about the wording. the one that stuck out would be

acute pain r/t surgical intervention [color=yellow]on left groin aeb patient reporting pain rated 7/10 on a vas scale. i would change it to surgical intervention to left groin...

and you should add something for risk for infection, mobility and i believe there is one for tissue damage d/t surgery...the more dx the better!

[amandapg]

Will do, THANKS!! :)

[Animal3]

No prob