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Discussion

nanda for diarrhea!

Hi....I'm a first semester student in nursing school.....can someone help me do 3 nandas for diarrhea? My patient had a bowel resection surgery and she has incontinent diarrhea.....she doesn't consume enough wanter and loves to drink coffee and tea...she is 80 years old and already had a TIA (transient inschemic attack)......I can never figure the nandas out.....can someone please help me......I would really appreciate it...thanx

Featured Replies

http://www.rncentral.com/nursing-library/careplans/bed for diarhhea

[color=#4d4c76]- transient ischemic attack

http://www.rncentral.com/nursing-library/careplans/fvd fluid volume deficit

this is the most current nanda list i have. there are more updates to it, i just can't find it right now. i'm sure you could find a ton more for this lady with this list

here is a list of 2003-2004 nanda approved diagnoses:

[color=#231f20]

activity intolerance

activity intolerance, risk for

adaptive capacity: intracranial, decreased

adjustment, impaired

airway clearance, ineffective

anxiety

anxiety, death

aspiration, risk for

attachment, parent/infant/child, risk for impaired

body image, disturbed

body temperature: imbalanced, risk for

bowel incontinence

breastfeeding, effective

breastfeeding, ineffective

breastfeeding, interrupted

breathing pattern, ineffective

cardiac output, decreased

caregiver role strain

caregiver role strain, risk for

communication, readiness for enhanced

communication: verbal, impaired

confusion, acute

confusion, chronic

constipation

constipation, perceived

constipation, risk for

coping: community, ineffective

coping: community, readiness for enhanced

coping, defensive

coping: family, compromised

coping: family, disabled

coping: family, readiness for enhanced

coping (individual), readiness for enhanced

coping, ineffective

decisional conflict (specify)

denial, ineffective

dentition, impaired

development: delayed, risk for

diarrhea

disuse syndrome, risk for

diversional activity, deficient

dysreflexia, autonomic

dysreflexia, autonomic, risk for

energy field, disturbed

environmental interpretation syndrome, impaired

failure to thrive, adult

falls, risk for

family processes, dysfunctional: alcoholism

family processes, interrupted

family processes, readiness for enhanced

fatigue

fear

fluid balance, readiness for enhanced

fluid volume, deficient

fluid volume, deficient, risk for

fluid volume, excess

fluid volume, imbalanced, risk for

gas exchange, impaired

grieving, anticipatory

grieving, dysfunctional

growth, disproportionate, risk for

growth and development, delayed

health maintenance, ineffective

health-seeking behaviors (specify)

home maintenance, impaired

hopelessness

hyperthermia

hypothermia

identity: personal, disturbed

infant behavior, disorganized

infant behavior: disorganized, risk for

infant behavior: organized, readiness for

enhanced

infant feeding pattern, ineffective

infection, risk for

injury, risk for

knowledge, deficient (specify)

knowledge (specify), readiness for enhanced

latex allergy response

latex allergy response, risk for

loneliness, risk for

memory, impaired

mobility: bed, impaired

mobility: physical, impaired

mobility: wheelchair, impaired

nausea

neurovascular dysfunction: peripheral, risk for

noncompliance (specify)

nutrition, imbalanced: less than body

requirements

nutrition, imbalanced: more than body

requirements

nutrition, imbalanced: more than body

requirements, risk for

nutrition, readiness for enhanced

oral mucous membrane, impaired

pain, acute

pain, chronic

parenting, impaired

parenting, readiness for enhanced

parenting, risk for impaired

perioperative positioning injury, risk for

poisoning, risk for

posttrauma syndrome

posttrauma syndrome, risk for

powerlessness

powerlessness, risk for

protection, ineffective

rape-trauma syndrome

rape-trauma syndrome: compound reaction

rape-trauma syndrome: silent reaction

relocation stress syndrome

relocation stress syndrome, risk for

role conflict, parental

role performance, ineffective

self-care deficit: bathing/hygiene

self-care deficit: dressing/grooming

self-care deficit: feeding

self-care deficit: toileting

self-concept, readiness for enhanced

self-esteem, chronic low

self-esteem, situational low

self-esteem, risk for situational low

self-mutilation

self-mutilation, risk for

sensory perception, disturbed (specify: visual,

auditory, kinesthetic, gustatory, tactile,

olfactory)

sexual dysfunction

sexuality patterns, ineffective

skin integrity, impaired

skin integrity, risk for impaired

sleep deprivation

sleep pattern disturbed

sleep, readiness for enhanced

social interaction, impaired

social isolation

sorrow, chronic

spiritual distress

spiritual distress, risk for

spiritual well-being, readiness for enhanced

spontaneous ventilation, impaired

sudden infant death syndrome, risk for

suffocation, risk for

suicide, risk for

surgical recovery, delayed

swallowing, impaired

therapeutic regimen management: community,

ineffective

therapeutic regimen management, effective

therapeutic regimen management: family,

ineffective

therapeutic regimen management, ineffective

therapeutic regimen management, readiness for

enhanced

thermoregulation, ineffective

thought processes, disturbed

tissue integrity, impaired

tissue perfusion, ineffective (specify: renal,

cerebral, cardiopulmonary, gastrointestinal,

peripheral)

transfer ability, impaired

trauma, risk for

unilateral neglect

urinary elimination, impaired

urinary elimination, readiness for enhanced

urinary incontinence, functional

urinary incontinence, reflex

urinary incontinence, stress

urinary incontinence, total

urinary incontinence, urge

urinary incontinence, risk for urge

urinary retention

ventilatory weaning response, dysfunctional

violence: other-directed, risk for

violence: self-directed, risk for

walking, impaired

wandering

[color=#231f20]

source. nanda nursing diagnoses: definitions

and classification, 2003-2004.

[color=#231f20]philadelphia:

north american nursing diagnosis association.

1. Fluid volume deficit

2. Body Temperature: Imbalance, risk for

3. Risk for impaired skin integrity (excoriation of the anal area from frequent passage of wet stools)

  • Expert

you must follow the steps of the nursing process:

  1. assessment (collect data from medical record, do a physical assessment of the patient, assess adl's, look up information about your patient's medical diseases/conditions to learn about the signs and symptoms and pathophysiology)
  2. determination of the patient's problem(s)/nursing diagnosis (make a list of the abnormal assessment data, match your abnormal assessment data to likely nursing diagnoses, decide on the nursing diagnoses 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)

the first thing you must do is to assess which i am going to assume you have already done. then, you move on to step #2 of the nursing process. you need to make a list of your patient's symptoms before you do anything else. the nandas, as you call them, which are really the nursing diagnoses, and the goals and nursing interventions are all based upon the symptoms that your patient has. so, this list of the patient's symptoms is crucial to the remainder of the care plan that has to be written. you have posted only two symptoms and i am sure there are more that you have either not posted or that you missed:

  • incontinent diarrhea
  • doesn't consume enough water

i can only assign one nursing diagnosis from this information: diarrhea r/t shortened bowel aeb [you need to state how many diarrhea stools the patient is having a day]. if you had assessment information on the patient's skin we could look at nursing diagnoses that pertain to impaired skin integrity or the risk of impaired skin integrity because of her incontinence.

every nursing diagnosis has signs and symptoms. you need to get yourself a nursing diagnosis reference book to help you in assigning nursing diagnoses.

also, you need to look up the signs and symptoms of diarrhea [abdominal pain and cramping, hyperactive bowel sounds] because i'm sure you missed some of them in your patient. i know, because i've had this surgery and had every one of these symptoms. you also need to read about bowel resection surgery. if this patient is post-op then this is a surgical patient and there are surgical concerns (like a incision) and post-op complications to be on the lookout for that need to be included in the care plan and these all have nursing diagnoses that can be assigned to them. however, i can't help you without you posting any symptoms.

i am going to again suggest that you read the information on these previous posts:

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