nursing diagnosis - paediatrics hernia- preope & post ope! please help.

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Hi guys.. just joined allnurses..

kinda need help here with a paediatrics case study..

I don't have any experience with kids so im finding it hard to do this assignment... the case study is as followed...

''James is a child of seven years. For a number of years he has been having problems with bowel

movements, and it is eventually discovered that he has a unilateral inguinal hernia. He is due to

have planned surgery. He is one of two children. His mother works, and his father has not been on

the scene since he was a baby''..

the teacher gave us the following marking criteria to guide us with the assignment

Analysis, application and discussion

*Clinical signs and symptoms and pathophysiology of the condition

*Nursing diagnoses (actual and risk) and collaborative problems

*Diagnosis prioritisation

*Evidence based nursing interventions and treatment strategies

*Family centred care/family nursing

the trouble im having is identifying nursing diagnosis pre-ope and post-ope, esp since I found it hard to find much info on hernia..

can any one help with pre-ope and post-open nursing diagnosis and interventions based on the case study??

it would mean A LOT to me! Thanks guys..

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Specializes in Peds/Neo CCT,Flight, ER, Hem/Onc.

Sorry, you're going to have to do your own homework but here's some points to ponder. James is 7. He's been reading for maybe a year. He's in a strange, scary place and being removed from his mother. He's probably been told he'll be "put to sleep". He's having his groin cut open, his intestines (which aren't exactly the cleanest things) man-handled and he already has documented problems with bowel movements. Go from there. I'm sure there is tons of info on the net regarding hernias. Actually I know this because I just googled it.

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You will get a LOT of help here if YOU come in with ideas of your own, and don't just "drop off" your homework....who's going to think for you after graduation? :)

What are you thinking about this situation- and what do your texts say?

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
Hi guys.. just joined allnurses..

kinda need help here with a paediatrics case study..

I don't have any experience with kids so im finding it hard to do this assignment... the case study is as followed...

''James is a child of seven years. For a number of years he has been having problems with bowel

movements, and it is eventually discovered that he has a unilateral inguinal hernia. He is due to

have planned surgery. He is one of two children. His mother works, and his father has not been on

the scene since he was a baby''..

the teacher gave us the following marking criteria to guide us with the assignment

Analysis, application and discussion

* Clinical signs and symptoms and pathophysiology of the condition

* Nursing diagnoses (actual and risk) and collaborative problems

* Diagnosis prioritisation

* Evidence based nursing interventions and treatment strategies

* Family centred care/family nursing

the trouble im having is identifying nursing diagnosis pre-ope and post-ope, esp since I found it hard to find much info on hernia..

can any one help with pre-ope and post-open nursing diagnosis and interventions based on the case study??

it would mean A LOT to me! Thanks guys..

Google it.......

http://tinyurl.com/3p6zb2q

http://www.pterrywave.com/nursing/care%20plans/Nursing%20Care%20Plans%20TOC.aspx

https://allnurses.com/general-nursing-student/help-care-plans-286986.html

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Specializes in LTC, Psych, Hospice.

Add me to the list of those who want to know what YOU are thinking. We can help, but PLEASE do not expect us to do your homework.

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Hard to find info on hernias? They are very common in kids.... It's only hard if you're not looking :) Really do want to hear YOUR thoughts :up:

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No problem... I wasnt really intending to ''hand it out'' on here...

I simply just wanted a direction to start ahead.. after all this is here to help each other out right? I know there is google but getting a simple direction from experianced nurses does give me a confidence.. I know I can do this on my own... anyway I wouldn't have joined or asked this if I knew I was gonna get this response. thanks anyway.

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
no problem... i wasn't really intending to ''hand it out'' on here...

i simply just wanted a direction to start ahead.. after all this is here to help each other out right? i know there is google but getting a simple direction from experienced nurses does give me a confidence.. i know i can do this on my own... anyway i wouldn't have joined or asked this if i knew i was gonna get this response. thanks anyway.

i gave you plenty of places to start including a care plan site that has pre done sample care plans for you to see(free nursing care plans http://www.pterrywave.com/nursing/care%20plans/nursing%20care%20plans%20toc.aspx ) as well as an extensive step by step "how to do a care plan". you got plenty of help but i won't do your work for you. you tell me your ideas and i'll tell you if you are in the right direction

inguinal hernia

what is an inguinal hernia?

an inguinal hernia is a common condition in infancy and childhood, and is the most common surgical operation in childhood. an inguinal hernia occurs when tissue or part of the intestine pushes through a weak spot in the abdominal wall in the groin area, causing a bulge in the groin or scrotum.

http://surgery.med.umich.edu/pediatric/clinical/patient_content/a-m/inguinal_hernia.shtml

care plan basics:

every single nursing diagnosis has its own set of symptoms, or defining characteristics. they are listed in the nanda taxonomy and in many of the current nursing care plan books that are currently on the market that include nursing diagnosis information. you need to have access to these books when you are working on care plans. there are currently 188 nursing diagnoses that nanda has defined and given related factors and defining characteristics for. what you need to do is get this information to help you in writing care plans so you diagnose your patients correctly.

here are the steps of the nursing process and what you should be doing in each step when you are doing a written care plan:

  1. assessment (collect data from medical record, do a physical assessment of the patient, assess adl's, look up information about your patient's medical diseases/conditions to learn about the signs and symptoms and pathophysiology)
  2. determination of the patient's problem(s)/nursing diagnosis (make a list of the abnormal assessment data, match your abnormal assessment data to likely nursing diagnoses, decide on the nursing diagnoses to use)
  3. planning (write measurable goals/outcomes and nursing interventions)
  4. implementation (initiate the care plan)
  5. evaluation (determine if goals/outcomes have been met)

https://allnurses.com/general-nursing-student/help-care-plans-286986.html

and pain

http://wps.prenhall.com/wps/media/objects/354/362846/child%20-%20postoperative.pdf

http://www.dh.gov.uk/en/publicationsandstatistics/publications/publicationspolicyandguidance/browsable/dh_4867919

http://www.chla.org/site/c.ipinktoajsg/b.4452593/

i apologize if that isn't sufficient for you to start your care plan...what are you missing?

the purpose of care plans is to teach you what to look for and how to "plan" or prioritize your patients care and their needs. without researching them yourself it will be difficult for you to learn how to priortize care or know where to look for it. we are not being mean we are trying to see what you do and don't know and where you are in thought process.

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i gave you plenty of places to start including a care plan site that has pre done sample care plans for you to see(free nursing care plans http://www.pterrywave.com/nursing/care%20plans/nursing%20care%20plans%20toc.aspx ) as well as an extensive step by step "how to do a care plan". you got plenty of help but i won't do your work for you. you tell me your ideas and i'll tell you if you are in the right direction

inguinal hernia

what is an inguinal hernia?

an inguinal hernia is a common condition in infancy and childhood, and is the most common surgical operation in childhood. an inguinal hernia occurs when tissue or part of the intestine pushes through a weak spot in the abdominal wall in the groin area, causing a bulge in the groin or scrotum.

http://surgery.med.umich.edu/pediatric/clinical/patient_content/a-m/inguinal_hernia.shtml

care plan basics:

every single nursing diagnosis has its own set of symptoms, or defining characteristics. they are listed in the nanda taxonomy and in many of the current nursing care plan books that are currently on the market that include nursing diagnosis information. you need to have access to these books when you are working on care plans. there are currently 188 nursing diagnoses that nanda has defined and given related factors and defining characteristics for. what you need to do is get this information to help you in writing care plans so you diagnose your patients correctly.

here are the steps of the nursing process and what you should be doing in each step when you are doing a written care plan:

  1. assessment (collect data from medical record, do a physical assessment of the patient, assess adl's, look up information about your patient's medical diseases/conditions to learn about the signs and symptoms and pathophysiology)
  2. determination of the patient's problem(s)/nursing diagnosis (make a list of the abnormal assessment data, match your abnormal assessment data to likely nursing diagnoses, decide on the nursing diagnoses to use)
  3. planning (write measurable goals/outcomes and nursing interventions)
  4. implementation (initiate the care plan)
  5. evaluation (determine if goals/outcomes have been met)

https://allnurses.com/general-nursing-student/help-care-plans-286986.html

and pain

http://wps.prenhall.com/wps/media/objects/354/362846/child%20-%20postoperative.pdf

http://www.dh.gov.uk/en/publicationsandstatistics/publications/publicationspolicyandguidance/browsable/dh_4867919

http://www.chla.org/site/c.ipinktoajsg/b.4452593/

i apologize if that isn't sufficient for you to start your care plan...what are you missing?

the purpose of care plans is to teach you what to look for and how to "plan" or prioritize your patients care and their needs. without researching them yourself it will be difficult for you to learn how to priortize care or know where to look for it. we are not being mean we are trying to see what you do and don't know and where you are in thought process.

thank you so much!!! those are great sources for care plans....i've already started doing my care plan but this is great also as it gives me more references to use! thanks again.. and i'm sorry for giving an impression that i was asking for you guys to do my work. i really wasn't.

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Specializes in Peds/Neo CCT,Flight, ER, Hem/Onc.

I also pointed you in the direction you might want to think although not nearly as well as Esme did.

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I also pointed you in the direction you might want to think although not nearly as well as Esme did.

Yes you have and it helped so Thank you!!! :)

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Specializes in Peds/Neo CCT,Flight, ER, Hem/Onc.

Very glad to hear it.

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