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Testicular Torsion

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by tiffanyleigh0212 tiffanyleigh0212 (New Member) New Member

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I'm doing a C-MAP on testicular torsion and am coming up short on nursing diagnosis. I've looked all through my book and nursing diagnosis book. The main thing that is said is about the pain, so obviously pain will be my number 1 priority, but I still need to come up with 2 more. I don't know if I'm just thinking too much into this or what, but any input would help. So far I have - Acute Pain, and then others I've thought that could maybe work are Disturbed Body Image, Risk for Infection, Impaired Urinary Elimination, Activity Intolerance/Risk For. Does it seem like I'm on the right track?

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Moogie works as a GRA.

1 Article; 22,217 Visitors; 1,796 Posts

I think you are definitely on track with these nursing diagnoses, particularly Acute Pain and Disturbed Body Image. Why do you think the patient presenting with testicular torsion might have a risk for infection, impaired urinary elimination or risk for activity tolerance due to this problem?

Keep up the good work! :up:

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2,363 Visitors; 121 Posts

I was thinking risk for infection because of surgery, and activity intolerance due the surgery too.

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TerpGal02 has 6 years experience and works as a RN Community Mental Health.

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Impaired tissue perfusion r/t impaired blood flow to the testicle, maybe risk for injury r/t narcotic pain mmeds

And you are right on track w/ the acute pain. My bro had that when he was 13. He said the pain was unimaginable and my mom said she knew something was really wrong because he was basically curled in the fetal position and white as a sheet from the pain.

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2,363 Visitors; 121 Posts

Thanks so much for yalls help. TerpGal I didn't even think of tissue perfusion and risk for injury, those are great.

While going through reading my case study again I realized that it says since the pt came in within 6 hrs, his testicle has a good chance of being saved. So if it is saved, disturbed body image wouldn't be an option, right? Our teacher said for us to look at the physiological aspects as well as psychosocial, that's why I keep coming back to the disturbed body image. Could I do something like "Risk for Disturbed Body Image r/t possible removal of testicle" I know Risk for Disturbed Body Image isn't an "official" diagnosis, so I didn't know if I could use that or not.

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PacoUSA has 7 years experience as a BSN, RN and works as a PCU Nurse.

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Note to self: Skip the threads with titles that at first glance sound painful :crying2:

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Moogie works as a GRA.

1 Article; 22,217 Visitors; 1,796 Posts

Thanks so much for yalls help. TerpGal I didn't even think of tissue perfusion and risk for injury, those are great.

While going through reading my case study again I realized that it says since the pt came in within 6 hrs, his testicle has a good chance of being saved. So if it is saved, disturbed body image wouldn't be an option, right? Our teacher said for us to look at the physiological aspects as well as psychosocial, that's why I keep coming back to the disturbed body image. Could I do something like "Risk for Disturbed Body Image r/t possible removal of testicle" I know Risk for Disturbed Body Image isn't an "official" diagnosis, so I didn't know if I could use that or not.

Ask your instructor about that one to see if it would work. As an instructor, it would be fine with me but your instructor may feel differently. If he/she wants you to include a psychosocial nursing dx along with physiological aspects, then you might want to explore this one a bit further. Even if the testicle can be saved, the patient might still have concerns about his body image, future fertility, even his masculinity due to this issue.

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