Looking for some guidence on a care plan.

[Miranda DeVore]

Hello I am working on my first care plan and am trying to come up with the risk factors associated with an ostomy bag. my nursing diagnosis is Impaired Skin Integrity R/T irritation due to moisture AEB bowl secretions. The only thing that i can think of is at risk for falls. Im not trying to get others to do my work just need a little guidance because my teachers are not of much help.

Thanks sooo much for any help

Miranda

[Esme12, ASN, BSN, RN]

there are many resources on this site for help. here is one from rnwriter and daytonite (rip) that have helped many!

https://allnurses.com/general-nursing-student/help-care-plans-286986.html

let me tell you what may not have been explained very well. a care plan is merely the written documentation of the nursing process. the nursing process is nothing more than a problem solving method. you and i have used this same problem solving method every day of our lives even before going to nursing school. the profession of nursing has just given it a name and some rules for us to follow in getting to the final solution(s).

1. assessment (collect data from medical record and by doing a physical assessment of the patient)
   
2. nursing diagnosis (make a list of the abnormal assessment data, match your abnormal assessment data to likely nursing diagnoses, decide on the nursing diagnosis to use)
   
3. planning (write measurable goals/outcomes and nursing interventions)
   
4. implementation (initiate the care plan)
   
5. evaluation (determine if goals/outcomes have been met)
   

https://allnurses.com/nursing-student-assistance/help-nursing-care-277791.html

here are a couple of care plan sites for free ideas

http://www.csufresno.edu/nursingstudents/fsnc/nursingcareplans.htm

http://www.pterrywave.com/nursing/care%20plans/nursing%20care%20plans%20toc.aspx

[Clovery]

try thinking of some psychosocial diagnoses...

risk for disturbed self-concept or body image

risk for ineffective sexuality patterns or sexual dysfunction

risk for loneliness (r/t decr. socialization & anxiety about leaking fluids & possible odor)

does your patient know how to care for it? there could be a risk for ineffective self-help management or a knowledge deficit.

You should pick up a careplan book that has possible nursing diagnoses listed for medical conditions - it really helps!

[Miranda DeVore]

Thank you so much for your input, it's kinda confusing for me because our program is leading us away from NANDA diagnosis and now just calling it a Problem and putting things in our own words. I think using the NANDA Diagnosis is much easier.

[xtxrn, ASN, RN]

Thank you so much for your input, it's kinda confusing for me because our program is leading us away from NANDA diagnosis and now just calling it a Problem and putting things in our own words. I think using the NANDA Diagnosis is much easier.

Once you get the hang of using your own words, you'll wish you had a photo of whoever came up with NANDA on a dart board When you get away from NANDA, you can simply take the problem, and write it down. No more "potential" this, or "actual" that, or whatnot.

You can write:

Social isolation r/t fears about ostomy odors...and be done with that issue.

[Esme12, ASN, BSN, RN]

Thank you so much for your input, it's kinda confusing for me because our program is leading us away from NANDA diagnosis and now just calling it a Problem and putting things in our own words. I think using the NANDA Diagnosis is much easier.

The way I did care plans 34 years ago....kind of like fashion, Hold on long enough and it will come back in style.