nursing diagnosis question

[ohellemarie]

really confused about this but maybe can get some help...I keep thinking these would be risk for diagnoses because we don't know all the information. my professor said no, need to think critically and I offered the suggestion of denial/depression and she said I was on the right track. Even though we dont have sufficient information to make that diagnosis I think she wants us to assume..Any help is appreciated!Consider the following Patients:

* A 54-year old man diagnosed with colon cancer who now has a new sigmoid Colostomy.*

A 21 year old female with an inflammatory bowel disorder who has just had an ileostomy place*

A 36 year old trauma victim who has a new double barrel transverse colostomy*

3. List 2 NANDA approve nursing diagnosis for each patient- Actual (not the entire statement, ** *only the nursing diagnosis). *Include source and page number (5 points)

[tippytootagon]

Perhaps something related to disturbed body image? A colostomy or ileostomy really affects the way you look, and can affect the clothes you wear, etc... I know that if I were to receive a colostomy, that would definitely be among one of my top concerns (as shallow as it seems)

[mamiof2]

What about knowledge deficit they both got something new. the disturbed body image is def a good one. Risk for infection is always there, impaired skin integrity, and Pain. someone always has pain. hope this helps

[nurseprnRN, BSN, RN]

you can't make a nursing diagnosis from a medical diagnosis alone-- the nurse has to do some assessing. i hate this assignment because students always assume that you can write nursing diagnoses as if they were some sort of subset of the medical diagnosis, and this assignment just reinforces that erroneous notion.

that said: if these case studies don't give you more than the medical diagnosis, then you need to read up on all three of those surgical procedures and see what occurs to you. i agree that if i were any of those patients i would have body image problems, maybe role changes within my family or intimate relationship, a steep learning curve, perhaps post-traumatic stress (yes, that's a nursing diagnosis), pain, sleep disturbance... put yourself in the patient's place and empathize.