Need scientific rationale for nursing diagnosis

[nursing81student]

Hello,

I am working on a care plan that requires scientific rationale for each nursing diagnosis. I have the scientific rationale covered for each intervention, thanks to Carpenito, but I am kind of stuck as to what to look for to back up the diagnoses. I am doing "Risk for Falls" and "Constipation." Do you think my professor is just looking for the significance of why I chose these diagnoses? ie, falling can lead to fractures, hospitalization, etc and constipation can lead to impaction, anxiety, etc?

thanks :)

[xtxrn, ASN, RN]

What is the patient history and reason for admission?

It's about the whole picture- not just the care plan :)

[grantz]

Hello,

I am working on a care plan that requires scientific rationale for each nursing diagnosis. I have the scientific rationale covered for each intervention, thanks to Carpenito, but I am kind of stuck as to what to look for to back up the diagnoses. I am doing "Risk for Falls" and "Constipation." Do you think my professor is just looking for the significance of why I chose these diagnoses? ie, falling can lead to fractures, hospitalization, etc and constipation can lead to impaction, anxiety, etc?

thanks :)

So tell me why does your patient is risk for falls?is he/she confused?

Constipatipation?why?does your patient lacks fiber or does he/she old?

[xtxrn, ASN, RN]

So tell me why does your patient is risk for falls?is he/she confused?

Constipatipation?why?does your patient lacks fiber or does he/she old?

Risk for falls: (not all possible)

-injury to limbs (even arm- can throw off balance)

-disease process (CVA, MS, Parkinsons, TIAs, osteoporosis (can be the cause of a fall), dizziness, etc)

-incontinence

-gait disturbance

-vision

-medications

-blood pressure

-pain

-environmental factors (steps, rugs, etc)

-neuropathy, poor sensation

-confusion

Risk for constipation: ( not all possible)

-poor fluid intake

-dehydration

-impaired mobility

-medication side effects

-poor po intake (food)

-disease process (ie- IBS, tumor in abdominal cavity/bowel)

-ignores urge to "go"

-pain w/defecation

-inadequate fiber OR adequate fiber without adequate fluids (without adequate fluids, fiber is 'cement' in the gut)

AGE in and of itself is not a risk for constipation- it's the issues that CAN come up with age that are an issue :)

[nursing81student]

Thanks for the replies. Turns out I just needed to go to bed and wake up with a clear mind to finish this :)

[xtxrn, ASN, RN]

WHAT? You actually got to sleep?

[nurseprnRN, BSN, RN]

your "scientific rationales" are in the nanda book and probably in any care planning resource. nanda is based upon science-- nursing science.

if you mean, you want explanations from a physiological perspective, those are in your physiology textbook.