Published Feb 15, 2008
classof2009
11 Posts
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
CT Pixie, BSN, RN
3,723 Posts
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, 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,
therapeutic regimen management, ineffective
therapeutic regimen management, readiness for
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
source. nanda nursing diagnoses: definitions
and classification, 2003-2004.
[color=#231f20]philadelphia:
north american nursing diagnosis association.
potatomasher
87 Posts
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)
Daytonite, BSN, RN
1 Article; 14,604 Posts
you must follow the steps of the nursing process:
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:
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: