Risk for bleeding nursing diagnosis

[KarlaNolan]

Hello, and thank-you in advance for reading,

I am trying to write out a nursing diagnosis for a patient who has an Aortic Aneurysm. There are no specific details about this patient in my assignment.

So far I have: Risk for bleeding R/T an enlarged abdominal aorta AEB pulsating abdominal mass in periumbilical area.

I just want to know if this sounds ok or should I choose a different NANDA diagnosis entirely?

Thanks again!

[Esme12, ASN, BSN, RN]

Do you have an assessment on this patient? Look up aortic aneurysm...risk of bleeding isn't the only risk that this patient is at risk for.

http://my.clevelandclinic.org/disorders/aneurysms/hic_abdominal_aortic_aneurysm.aspx

http://www.mayoclinic.org/diseases-conditions/abdominal-aortic-aneurysm/basics/definition/con-20023784

http://www.hopkinsmedicine.org/healthlibrary/test_procedures/cardiovascular/abdominal_aortic_aneurysm_repair_92,P08291/

Of you have an assessment or more information let us know and we can help

[nurseprnRN, BSN, RN]

"Risk for" nursing diagnoses do not require evidence. All you need is the risk factor, which, in this case is the medically diagnosed aneurysm.

However, I agree c Esme. There are a lot of other possibilities. HAve you looked in the NANDA-I 2012-2014, not just a "handbook"?

[tulip5]

Ya know what... there are people walking around who have AAA's and don't know it. There are others that know it and are just being monitored... to make sure it doesn't get any worse. And then there are those that are burst and you have WWIII on your hands and the issue is hypovolemic shock.

Makes me crazy when faculty ask students to pull nursing diagnoses, outcomes, actions, and evaluations out of thin air with no assessment data.

But here is a possible avenue for you to go. What causes vascular wall damage? Do you know about the Law of LaPlace and that even teeny increases in the diameter of the aneurysm can make its rate of expansion increase? So, you'd want to think about (maybe) blood pressure control.

[nurseprnRN, BSN, RN]

Students: blood pressure control is a medical issue, not a nursing issue. There is no nursing diagnosis of high blood pressure or risk for it. Of course we have to know and understand medical aspects of care-- many of us know a good deal more about medicine than the average resident :)-- and we are delighted to help you understand them.

But nursing students here generally specifically ask about and need to know about nursing, not just implementing the nursing parts of a medical plan of care. They are in school to learn how to plan and deliver/delegate nursing care, not only to deliver the parts of the medical plan of care legally derogated to nurses.

I'd like to encourage more experienced nurses to try to bring their answers around to helping students understand nursing as the dominant concept if that's what they're asking; make nursing the center of the answer, not just the agent of medical care. :) Students, try to think of this when you try to tease out answers to your school questions.