Need Help with Nursing Dx

[brandyrocs]

I have to revise my careplan because I have the wrong/incorrect nursing diagnosis. My patient has a hx of Colitis and came in with complaints of diarrhea and abdominal discomfort.

For my 3 dx's I put:

1. diarrhea r/t inflammation of bowel and instructor comments were diarrhea is a med dx and I can't put inflammation of bowel because I can't see that.

2. Impaired Nutrition: less than body requirements r/t impaired absorption. Her comments were I don't know that she has impaired absorption.

3. I used pain and that is only approved dx.

So for the first 2 I am so lost where or how to come up with a nursing dx for my patient. They have a history of bowel problems with a partial removal of the colon (hemi-colectomy) caused by a cecal colvulus.

If anyone has any ideas I would really appreciate the help. Patient has been on a clear liquid diet for tests but put back on a regular later in the day. Most of the meds that they are taking do have a s/e of diarrhea.

Diarrhea is listed on the NANDA list so I am not sure if i am using in the appropriately.

[Scrubmouse RN]

I would definitely look into the fluid loss from the diarrhea. Electrolyte balance is also out of whack when there is diarrhea present. Maybe something like....risk for fluid deficiency r/t frequent passage of watery stool? Something along those lines. There are people on here who are much better than me....I'm just a first semester nursing student.

[RNShenanigator]

Don't know if one of these will help but,

1. Acute pain r/t inflammation in colon

2. Deficient fluid volume r/t frequent stools

3. Diarrhea r/t inflammation in colon

These are all in the NANDA under Colitis. Hope this helps.

[Daytonite, BSN, RN]

I don't know how to help you unless I can see written instructions or lectures you have gotten on diagnosing. You need to follow your school rules. All I can suggest is that you take a copy of the NANDA taxonomy to show your instructor that you have diagnosed as per the NANDA guidelines. I would have told you your diagnoses were fine. Diarrhea is an approved NANDA diagnosis.