Need help with my cafre plan....

your diagnostic statement is not complete.

then, the nursing diagnostic statement is risk for bleeding r/t ______. nursing interventions for any "risk for" diagnosis will be:

• strategies to prevent the problem (bleeding) from happening in the first place
  
• removing the risk factor, if possible
  
• monitoring for the specific signs and symptoms of this problem (hemorrhaging and from exactly where)
  
• reporting any of these symptoms if they do occur to the doctor or other concerned professional
  

so, i am not real clear as to what is going on here. did this patient already have a hysterectomy and you are now worried about postoperative hemorrhage? read this page on the surgical procedure of hysterectomy:

• http://www.surgeryencyclopedia.com/fi-la/hysterectomy.html - hysterectomy
  
• http://emedicine.medscape.com/article/267273-overview - hysterectomy
  

the complications of a hysterectomy include: internal bleeding, blood clots, damage to other organs such as the bladder, and post-op infection. for internal bleeding (hemorrhage) your interventions will be things to prevent postoperative hemorrhage (not that there will be many that i can think of because it would probably be physician error and then we would all be charting really closely because there is going to be a lawsuit if she dies), monitoring for the signs and symptoms of postoperative hemorrhage and reporting any signs and symptoms of postoperative hemorrhage to the doctor.

i was trying to find information on the cause of postop bleeding in hysterectomy patients and this is all i could find. http://en.wikipedia.org/wiki/hysterectomy states: "the open technique carries increased risk of hemorrhage due to the large blood supply in the pelvic region, as well as an increased risk of infection from the need to move intestines and bladder in order to reach the reproductive organs and to search for collateral damage from endometriosis or cancer. however, an open hysterectomy provides the most effective way to ensure complete removal of the reproductive system as well as providing a wide opening for visual inspection of the abdominal cavity." again, if it happens, it is probably because the surgeon missed tying off a small artery and the fix is to discover it, go back in surgically and tie it off. the nursing part in this will be to discover the signs and symptoms of internal bleeding and report them asap. so, your diagnosis would be risk for bleeding r/t surgical removal of the uterus.

symptoms of internal hemorrhage are:

• saturation of one perineal pad every 2 - 4 hours
  
• falling blood pressure
  
• shock
  
  • weak, rapid, irregular pulse
    
  • pallor
    
  • cold, moist skin
    

interventions:

• (mostly assessment and monitoring):
  
  • note the amount of any drainage on the incisional dressing; if the drainage increases, note the time and amount
    
  • monitor number of perineal pads saturated and in what length of time
    
  • measure vital signs q4h (or more frequently if necessary)
    
  • monitor lab reports for decreasing hemoglobin and hematocrit levels
    
  • maintain a patent iv access
    
  • notify the physician if the patient's vital signs change and pulse becomes tachycardic, b/p falls significantly and skin becomes cool and pale.
    

you might also want to read http://www.merck.com/mmpe/sec18/ch248/ch248a.html - uterine fibroids (leiomyomas; myomas; fibromyomas)

A nursing diagnosis is merely a label for a nursing problem. There has to first be evidence (signs and symptoms) of Ineffective Coping if the patient has that before you can put that label on her and use it. The definition of Ineffective Coping is the inability to form a valid appraisal of the stressors, inadequate choices of practiced responses, and/or inability to use available resources (page 254, NANDA International Nursing Diagnoses: Definitions and Classifications 2009-2011). People who do not cope well do not recognize threats against them, know how to relieve their tension, are poor solvers of their own problems, and often have low confidence in themselves. The defining characteristics (one or more need to be present) are:

• abuse of chemical agents
  
• change in usual communication patterns
  
• decreased use of social support
  
• destructive behavior toward others
  
• destructive behavior toward self
  
• fatigue
  
• high illness rate
  
• inability to meet basic needs
  
• inability to meet role expectations
  
• inadequate problem solving
  
• lack of goal directed behavior/resolution of problem, including inability to attend to and difficulty organizing information
  
• poor concentration
  
• risk taking
  
• sleep disturbance
  
• use of forms of coping that impede adaptive behavior
  
• verbalization of inability to ask for help
  
• verbalization of inability to cope
  

I had a hysterectomy, was thrilled about it and never shed a tear. Not everyone is going to grieve (Nursing Diagnosis: Grieving) over the loss of a body part that was defective and painful and a problem that is now resolved.

Post operative patients have a common care element. That is that they have all had and are recovering from the effects of either general or a local anesthesia. Patients who have had general anesthesia are subject to these complications and must be monitored for them:

• breathing problems (atelectasis, hypoxia, pneumonia, pulmonary embolism)
  
• hypotension (shock, hemorrhage)
  
• thrombophlebitis in the lower extremity
  
• elevated or depressed temperature
  
• any number of problems with the incision/wound (dehiscence, evisceration, infection)
  
• fluid and electrolyte imbalances
  
• urinary retention
  
• constipation
  
• surgical pain
  
• nausea/vomiting (paralytic ileus)
  

That is why post op patients are given incentive spirometers and continually encouraged to deep breathe and cough (Risk for Ineffective Airway Clearance). If there is an incision, there is a break in the skin and tissue (Impaired Tissue Integrity). And, of course, there is often surgical pain (Acute Pain).