Question

Name some diagnosis for metasis bladder cancer?

also for;

skin breakdown
constipation
not eating

Nursing diagnosis

Answer 1

Bladder cancer:

   Cancer of bladder: there is a number of cells of bladder divides uncontrolled and spreads to surrounding tissues

Signs and symptoms of cancer of the bladder

An individual with bladder cancer may have signs and symptoms of the pain, frequency and urgency of urine, painful urination. There is a chance of infection

Nursing diagnosis:

1. Pain in the pelvic pain related to metastasis of cancer in the bladder as evidenced by showing grimace while urinating, vocal reporting

                   Intervention:

· assess the pain by scale in order to provide care

· Educate the patient to take rest. movement causes pain

· Provide comfortable measures to decrease pain

· Educate relaxation therapy and breathing exercise therapy to divert from pain

· Administer the pain medication

2. Impaired urinary elimination related to uncontrolled number of cells obstructing the urinary flow as evidenced by the frequent visit to bathroom

       Intervention:

· Asses the urinary elimination pattern to assess type of urinary problem

· Monitor intake and output in order to assess amount of urine retention

· Provide him urinal at bed side to assess amount of urine passed

· Educate him how to measure the urine amount and intake of fluid

· Advise him to assume comfortable position to pass urine

              

3. Imbalanced nutrition less than body requirement related to decreased intake of food as a result of cancer that causes anorexia

      Intervention:

· Assess the nutritional status of the patient to provide baseline date

· Educate to consume small and frequent feedings to enable him to consume diet

· Monitor weight daily to check for weight loss

· Educate him to do mouth care before and after having food to provide him freshness

· Provide him pleasant environment to increase gastrointestinal stimulation

· Provide immuo mediated diet to prevent infection

4. Fatigue related to frequent visit to bathroom, less intake of food and pain as evidenced by the lethargic, depressive mood

           Intervention:

· Assess energy level of the patient to provide baseline data

· Advise him to take rest in between activity to conserve energy

· Provide him urinal at bedside to avoid going to bathroom

· Provide comfortable measures to reduce pain and provide comfort

· Provide him small and frequent diet to provide energy

5. Anxiety related to lack of knowledge regarding management and prognosis

6. Knowledge deficit related to management of the disease

7. Disturbed sleep pattern related to frequency and urgency of urine as evidenced by frequent visit to bathroom

Skin breakdown:

     Skin breakdown occur when the blood supply to the area is disrupted mostly occur in the pressure ulcer

   Signs and symptoms: pain as a result of lack of blood and oxygen to tissue, sore, blisters, edema, leaking of fluid

Nursing diagnosis:

1. Pain in the particular area related to hypoxia of tissue as a result of nerve involvement

Intervention:

· Assess the pain level; by using pain scale to provide baseline data

· Provide comfortable position to avoid compression on wound

· Educate about diversional therapies that could be used by the patient to divert mind

· Administer analgesic to decrease pain

  

2. impaired skin integrity related to decreased blood supply to tissue as evidenced by sore

     Intervention:

· assess the skin integrity of the patient

· position the patient and turn the patient every 2 hours

· keep the pillows in between the legs to avoid injury to pressure points

· educate patient to avoid massage over the area to prevent tissue injury

3. body image disturbance related to edema, sore and open skin

intervention:

assess the psychological staus of the individual

listen the verbal expression of the patient]

provide positive reinforcement to the patient

show the patient with same condition

4. knowledge deficit related to management of skin as evidenced by frequent questioning

intervention :

assess the knowledge of the [patient to provide baseline data

provide explanation to each question to remove confusion

encourge to ask question to get clear information

support him and family  in the care of managment of wound

5. anxiety related to prognosis of disease as evidenced by facial expression

6. risk for infection related to open skin as evidenced by leaking of fluid

Constipation

       Constipation occurs when the bowel movements of an individual are infrequent that causes hard and dry stool

Signs and symptoms of the constipation and nursing diagnosis. pain, bloating of abdomen

1. pain and discomfort in the abdomen and anal region related to less bowel movements as evidenced by tenderness while touching abdomen and vocal expression

2. dysfunctional gastrointestinal motility related to less fluid intake and fiber intake as evidenced by assessment of bowel sounds

3. deficient fluid volume related to intake of less food as evidenced by the hard and dry stool

4. imbalanced nutrition less than body requirement related to low fiber intake as evidenced by reviewing dietary pattern, oral information

5. knowledge deficit related to management as evidenced by frequent question

6. risk for bleeding such as hemorrhoid related to compression of hard stools on the veins

Anorexia: loss of appetite or not eating properly

Signs and symptoms: cognitive changes such as memory loss, giddiness. Physiological changes such as hypoglycemia, hypotension, and thin body built, hair loss, skin problem. Psychological changes such as mood swings, less concentration

Nursing diagnosis:

1. imbalanced nutrition less than body requirements related to less intake of food as evidenced by review of diet plan

2. fatigue related to decreased energy for activities as evidenced by lethargic

3. Disturbed sleep pattern related to less oxygen and nutrition to brain as evidenced frequent wakefulness

4. Deficient knowledge related to consumption of food as evidenced

5. Disturbed body image related to less consumption of food for structuring the body

6. Risk for infection related to nutritional deficiencies as a result of less intake of food