Published Jun 30, 2009
ConniePN
13 Posts
Hello... Anyone want to help me with these NANDAs? No matter how many times I do them in school I can't seem to get any better at them!!!!
I wanted to know if these are ok
Excess fluid volume r/t compromised regulatory mechanism secondary to CHF aeb +2 pedal edema
Risk for constipation r/t medication regiment and insufficient physical mobility
Functional urinary incontinence r/t altered physical mobility, lack of ability to detect urge to urinate
Impaired skin integrity r/t trauma, pressure, aeb ulcers on sacrum, buttox, L heel and L calf, and R heel
Impaired physical mobility r/t generalized pain and weakness aeb no WB L leg, pain 8/10, and dependence with transfers
risk for impaired gas exchange r/t alveolar - capillary membrane changes secondary to disease process (COPD)
_ she has no exacerbations or symptoms at present which is why i put the risk for. shes not even on O2...
she also has a HA with pain 8/10 and Leg pain 8/10.. i wanted to do acute pain but I dont know how to put the r/t
and her neuro was fine shes a&o X3 and sometimes her responses are delayed but I'm not able to come up with a neuro nanda or a psychosocial. I spent about 3 hours with this woman and I have to come up with a nanda for every body system. not having such an easy time with this!! I'd appreciate anyones help right now!! ) Thanks so much!
NamasteNurse, BSN, RN
680 Posts
Daytonite will probably answer you perfectly and you can also search the site here..but
You list the nanda diagnosis then the r/t as you did. lets take for example, Activity intolerance. then you look at symptoms and state what may be causing or contributing to the nursing diagnosis commonly referred to as the etiology. Ideally its something that can be treated BY A NURSE WITHOUT A DOCTORS ORDER.
"A carefully written individualized r/t statement enables the nurse to plan nursing interventions that will assist the client in accomplishing goals and return to optimum state of health" (nursing diagnosis handbook Ackley , and Ladwig)
So, you have the problem (nursing diagnosis), the etiology ( r/t phrase) Signs and symptoms (defining characteristics)
Activity intolerance related to deconditioned status and inexperience with activity m/b shortness of breath on exertion.
Interventions, help pt to ambulate 5 minutes a day as tolerated until sob returns.
Then you have your outcomes. Pt will ambulate "X" amount without experiencing sob in one week.
Get a good Nursing diagnosis handbook from a library and read up. Once you get it, it's actually fun, LOL to me anyway. :)
Daytonite, BSN, RN
1 Article; 14,604 Posts
excess fluid volume r/t compromised regulatory mechanism secondary to chf aeb +2 pedal edema (use instead: excess fluid volume r/t arterial hydrostatic pressure exerting greater control than venous oncotic pressure over water movement into interstitial tissues secondary to chf aeb 2+ pitting edema.)
risk for constipation r/t medication regiment and insufficient physical mobility (use instead: risk for constipation r/t side effect of _______ and insufficient physical mobility)
functional urinary incontinence r/t altered physical mobility, lack of ability to detect urge to urinate (use instead: impaired urinary elimination r/t lack of ability to detect urge to urinate aeb incontinence)
impaired skin integrity r/t trauma, pressure, aeb ulcers on sacrum, buttocks, l heel and l calf, and r heel (use instead: impaired skin integrity r/t trauma and pressure aeb open areas on sacrum, buttocks, left and right heels and right calf.)
impaired physical mobility r/t generalized pain and weakness aeb no wb l leg, pain 8/10, and dependence with transfers (use instead: impaired physical mobility r/t generalized pain and weakness aeb unable to bear any weight on left leg, slow movements and unable to maintain balance when transferring)
risk for impaired gas exchange r/t alveolar - capillary membrane changes secondary to disease process (copd)
_ she has no exacerbations or symptoms at present which is why i put the risk for. shes not even on o2...
she also has a ha with pain 8/10 and leg pain 8/10.. i wanted to do acute pain but i dont know how to put the r/t (use instead: acute pain r/t ??? aeb patient complaints of headache of 8/10 and pain in __ leg of 8/10)
it is hard to help when you don't give the medical diseases other than copd and chf. when a patient has a lot of medications there is a lot going on. medications are clues as well. ask yourself why each medication is being given.