Nursing Diagnosis Appendicitis : Pain, Impaired skin integrity, Anxiety

DIAGNOSIS
The nurses in the short stay unit identify the following nursing diagnoses for Ms. Lynn after surgery.
• Impaired skin integrity, related to surgical incisions
• Pain, related to surgical intervention
• Anxiety, related to situational crisis

EXPECTED OUTCOMES
The expected outcomes for the plan of care are:
• Incisions will heal without infection or complications.
• Will verbalize adequate pain relief.
• Will verbalize decreased anxiety.
• Returns to preoperative activities.

PLANNING AND IMPLEMENTATION
The following nursing interventions are planned
and implemented for Ms. Lynn.
• Assess pain using a pain scale; provide analgesics as needed.
• Teach pain management following discharge.
• Teach abdominal splinting during coughing, turning, or ambulating as needed.
• Teach home care of incisions.
• Discuss activity limitations as ordered.
• Instruct to report fever or warmth, redness, or drainage from
the incisions.

EVALUATION
On discharge the following evening, Ms. Lynn is fully ambulatory.
Her appetite has returned, and she is tolerating food and fluids
well. Her temperature is normal.The nurse provides Ms. Lynn with
written and verbal information on postoperative care following an
appendectomy.

11 Diabetes Nanda Nursing Diagnosis

Diabetes mellitus, or simply diabetes, is a group of metabolic diseases in which a person has high blood sugar, either because the pancreas does not produce enough insulin, or because cells do not respond to the insulin that is produced.[2] This high blood sugar produces the classical symptoms of polyuria (frequent urination), polydipsia (increased thirst) and polyphagia (increased hunger).

There are three main types of diabetes mellitus (DM).

Type 1 DM results from the body's failure to produce insulin, and presently requires the person to inject insulin or wear an insulin pump. This form was previously referred to as "insulin-dependent diabetes mellitus" (IDDM) or "juvenile diabetes".
Type 2 DM results from insulin resistance, a condition in which cells fail to use insulin properly, sometimes combined with an absolute insulin deficiency. This form was previously referred to as non insulin-dependent diabetes mellitus (NIDDM) or "adult-onset diabetes".
The third main form, gestational diabetes occurs when pregnant women without a previous diagnosis of diabetes develop a high blood glucose level. It may precede development of type 2 DM.


Common nursing diagnosis found in Diabetes Mellitus

Imbalanced Nutrition: More than Body Requirements, Fear, Risk for Injury, Activity Intolerance, Deficient Knowledge, Risk for Impaired Skin Integrity, Ineffective Coping, Deficient knowledge (diagnosis and treatment), Disturbed sensory perception: Visual, tactile, Imbalanced nutrition: Less than body requirements, Impaired urinary elimination, Ineffective tissue perfusion: Renal, cardiopulmonary, peripheral, Risk for infection, Sexual dysfunction


13 Diabetes Nanda Nursing Diagnosis by nursing priority

1. Imbalanced Nutrition: Less/More than Body Requirements
2. Ineffective tissue perfusion: Renal, cardiopulmonary, peripheral
3. Impaired urinary elimination
4. Disturbed sensory perception: Visual, tactile
5. Activity Intolerance
6. Ineffective Coping
7. Sexual dysfunction
8. Fear
9. Deficient Knowledge
10. Deficient knowledge (diagnosis and treatment)
11. Risk for Impaired Skin Integrity
12. Risk for Injury
13. Risk for Infection

4 Pneumonia Nursing Diagnosis

What are the nursing diagnosis for pneumonia

Impaired gas exchange related to effects of alveolar-capillary membrane changes.

Ineffective airway clearance related to effects of infection, excessive tracheobronchial secretions, fatigue and decreased energy, chest discomfort and muscle weakness.

Clients with pneumonia may have one or more of the following:

Acute pain related to the effects of inflammations of parietal pleura, coughing

Deficient fluid volume related to increased respiratory rate.

Deficient fluid volume related to fever, infection and increased metabolic rate.

Disturbed sleep pattern related to pain, dyspnea, unfamiliar environment (hospitalization).

Potential for pleural effusion.

According to Medical-Surgical Nursing: Critical Thinking for Collaborative Care 5th ed. Donna D. Ingnatavicius and M. Linda Workman

Nursing Diagnosis List

Nursing Diagnosis for Activity Intolerance
Nursing Diagnosis for Acute Confusion
Nursing Diagnosis for Acute Pain
Nursing Diagnosis for Acute respiratory distress syndrome (ARDS)
Nursing Diagnosis for Alteration in Bowel Elimination : Constipation
Nursing Diagnosis for Altered Sleep
Nursing Diagnosis for Alzheimer's Disease
Nursing Diagnosis for Anemia
Nursing Diagnosis for Angina Pectoris
Nursing Diagnosis for Anxiety
Nursing Diagnosis for Appendicitis
Nursing Diagnosis for ARDS - Acute Respiratory Distress Syndrome
Nursing Diagnosis for Asthma
Nursing Diagnosis for Atrial Septal Defect
Nursing Diagnosis for Bartolinitis
Nursing Diagnosis for Benign Prostatic Hyperplasia BPH
Nursing Diagnosis for Bowel incontinence
Nursing Diagnosis for Bronchopneumonia
Nursing Diagnosis for Cholera
Nursing Diagnosis for Chronic Pain
Nursing Diagnosis for Cirrhosis
Nursing Diagnosis for Colon Cancer
Nursing Diagnosis for Congestive Heart Failure (CHF)
Nursing Diagnosis for COPD
Nursing Diagnosis for Cushing's Syndrome
Nursing Diagnosis for Cystitis
Nursing Diagnosis for Decreased Cardiac Output
Nursing Diagnosis for Deficient Fluid Volume
Nursing Diagnosis for Deficient Knowledge
Nursing Diagnosis for Dementia
Nursing Diagnosis for Diabetes Mellitus
Nursing Diagnosis for Disturbed Body Image
Nursing Diagnosis for Disturbed Sleep Pattern
Nursing Diagnosis for Dysentery
Nursing Diagnosis for Dyspepsia
Nursing Diagnosis for Empyema
Nursing Diagnosis for Encephalitis
Nursing Diagnosis for Endocarditis
Nursing Diagnosis for Excess Fluid Volume
Nursing Diagnosis for Fatigue
Nursing Diagnosis for Glomerulonephritis
Nursing Diagnosis for Goitre
Nursing Diagnosis for Hemorrhagic Stroke
Nursing Diagnosis for Hepatitis
Nursing Diagnosis for Hepatocellular Carcinoma
Nursing Diagnosis for Hydatidiform Mole
Nursing Diagnosis for Hydrocephalus
Nursing Diagnosis for Hyperemesis Gravidarum
Nursing Diagnosis for Hypertension
Nursing Diagnosis for Hyperthermia
Nursing Diagnosis for Imbalanced Nutrition : Less Than Body Requirements
Nursing Diagnosis for Impaired Gas Exchange
Nursing Diagnosis for Impaired Physical Mobility
Nursing Diagnosis for Impaired Skin Integrity
Nursing Diagnosis for Impaired Verbal Communication
Nursing Diagnosis for Ineffective Airway Clearance
Nursing Diagnosis for Ineffective Breathing Pattern
Nursing Diagnosis for Ineffective Coping
Nursing Diagnosis for Ineffective Thermoregulation
Nursing Diagnosis for Ischemic Stroke
Nursing Diagnosis for Kidney Stones / Nephrolithiasis
Nursing Diagnosis for Kwashiorkor
Nursing Diagnosis for Lung Abscess
Nursing Diagnosis for Marasmus
Nursing Diagnosis for Meningitis
Nursing Diagnosis for Myocardial Infarction
Nursing Diagnosis for Myocarditis
Nursing Diagnosis for Myopia
Nursing Diagnosis for Nephrotic Syndrome
Nursing Diagnosis for Osteoarthritis
Nursing Diagnosis for Osteoporosis
Nursing Diagnosis for Peptic Ulcer
Nursing Diagnosis for Placenta Previa
Nursing Diagnosis for Pleural Effusion
Nursing Diagnosis for Pneumonia
Nursing Diagnosis for Poliomyelitis
Nursing Diagnosis for Pregnancy Induced Hypertension
Nursing Diagnosis for Pyelonephritis
Nursing Diagnosis for Risk for Deficient Fluid Volume
Nursing Diagnosis for Risk for Imbalanced Body Temperature
Nursing Diagnosis for Risk for Infection
Nursing Diagnosis for Risk for Injury
Nursing Diagnosis for Scabies
Nursing Diagnosis for Schizophrenia
Nursing Diagnosis for Self Care Deficit
Nursing Diagnosis for Self-Care Deficit
Nursing Diagnosis for Sepsis
Nursing Diagnosis for Sleep Pattern Disturbance
Nursing Diagnosis for Smallpox
Nursing Diagnosis for Spinal Cord Tumor
Nursing Diagnosis for Stroke
Nursing Diagnosis for Tuberculosis
Nursing Diagnosis for Tuberculous Spondylitis
Nursing Diagnosis for Typhoid Fever
Nursing Diagnosis for Urolithiasis
Nursing Diagnosis for UTI Urinary Tract Infections
Nursing Diagnosis for Violence

Impaired Physical Mobility Sample NCP

Impaired physical mobility related to (i.e. ordered bedrest fx, ortho. surgery, stroke, etc.) as evidenced by (i.e. poor skin turgor, unsteady gait, cast, traction, paralysis,etc.)


Planned Nursing Actions/Orders

1. Assess joint mobility, muscle strength, and ability to move at the start of shift and q4hr


2. Teach and monitor ROM exercises q4hr & prn


3. Teach & monitor leg & ankle exercises q4hr & prn


4. Assess for pain-location, quality, & severity q3hr & prn


5. Medicate for pain as ordered prn

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