Nursing Diagnosis for VIN surgery...

Published

Hi Everyone, I am doing nursing diagnosis and rationales for an OR experience that I had on Friday. The woman had surgery on her vulva for VIN and I am required to do 3 diagnosis and rationales. Here is what I have so far:

1. Acute pain related to tissue trauma, secondary to vulvar surgery, manifested by grimacing and verbalization of pain as a 7 on a scale of 0 -10 with 0 being no pain and 10 being the worst pain ever felt.

2. Risk for infection related to inadequate primary defenses (broken skin) secondary to vulvar surgery.

My question is this: do you think that disturbed body image would be a good nursing diagnosis? does anyone have any other suggestions? I need 3 diagnosis. We didnt actually see the patient except during surgery, so we dont really know how she felt afterwards, this is just something we are doing by "assuming". Any help would be greatly appreciated.

Thanks in Advance!

Up Vote Up Vote ×
Specializes in med/surg, telemetry, IV therapy, mgmt.

does this patient have a surgical wound with drainage? if so, then you should have a nursing diagnosis for impaired tissue integrity.

the risk for infection would be related to surgical intervention. inadequate primary defenses would presume she has an underlying problem with her immune system and that doesn't sound like the case here.

Up Vote Up Vote ×

emotional/coping issue?

future follow up- health maint (since CIN is usually HPV based)

Up Vote Up Vote ×
+ Join the Discussion