NANDA RT for Readiness for Enhanced Power

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Specializes in Telemetry.

Hi everyone!

I'm having trouble finding etiologies/relating factors for "Readiness for Enhanced Power." My patient is S/P lady partsl hysterectomy and is perfectly fine except for pain in the surgical site. The reason why I picked this NANDA is because she was the one who even asked when she can start ambulating and it appears that the above nursing dx is appropriate.

I've already Googled it and can't seem to find any website that could offer information. Any help is appreciated.

Thanks!

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Specializes in med/surg, telemetry, IV therapy, mgmt.

the "readiness for" diagnoses are the wellness diagnoses that are used when there are no other nursing problems. the related factors (etiologies) are always a desire to improve [the subject]. here is information about this diagnosis (page 188, nanda international nursing diagnoses: definitions and classifications 2009-2011):

  • definition: a pattern of participating knowingly in change that is sufficient for well-being and can be strengthened.
  • defining characteristics [signs/symptoms]:
    • expresses readiness to enhance awareness of possible changes to be made
    • expresses readiness to enhance freedom to perform actions for change
    • expresses readiness to enhance identification of choices that can be made for change
    • expresses readiness to enhance involvement in creating change
    • expresses readiness to enhance knowledge for participation in change
    • expresses readiness to enhance participation in choices for daily living
    • expresses readiness to enhance participation in choices for health
    • expresses readiness to enhance power

i have to tell you that for a post-lady partsl hysterectomy readiness for enhanced power as a diagnosis for the patient to begin ambulating seems very inappropriate to me. unless you have one of these rules where you can't use the same diagnosis twice, impaired physical mobility r/t surgical pain or activity intolerance r/t surgical pain would be more appropriate. a patient who is hospitalized has nursing problems. that is why the person is in the hospital. the wellness diagnoses were developed for use with patients who have no nursing needs. this patient has nursing problems and nursing needs. you are just not seeing them.

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Specializes in Telemetry.

Thanks for your reply, Daytonite! I consider your input to be among the very valuable ones here at allnurses. :)

I already considered Impaired physical mobility but I ambulated her on the 1st day post-op and she was already walking fast. I guess I expected her to be more dependent but she proved me wrong. I was amazed, and that may have blinded me from her nursing problems and needs. :)

I already turned my assessment packet in today. I'll see what my instructor thinks. Keep the replies coming! I'm interested to find out what others think.

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