Question

Develop 2 priority and 2 at risk nursing diagnoses for a 65 yo patient with vasculitis, sleep apnea, and vitamin D deficiency. The patient has had 4 children with 3 births and a partial hysterectomy 20 yr ago. She eats a lot of fish and vegetables.

Nursing Diagnosis must be prioritized. Must be Nanda using a three-part statement (Based on systems: cardio, resp, GI/GU, mobility, Neuro, Safety, skin, pain, psychosocial). Stem (DX): Etiology (Cause): as evidenced by (Signs and symptoms) Abnormal Assessment Findings.

Answer 1

After a hysterectomy, a healthy lifestyle is no longer an option -- it's a necessity. Suddenly, weight gain is an issue. You may not sleep well. You may feel irritable. Your hormones are changing, and so is your body.

The good news: With good nutrition, exercise, and stress reduction, you can offset the downside of a hysterectomy.

• You'll keep weight under control.
• You’ll sleep better.
• And you can protect yourself against a host of diseases: heart disease, stroke, broken bones (because of osteoporosis), type 2 diabetes, cancer, and possibly the onset
  of Alzheimer's disease.

Nursing goal for patients who are to undergo Hysterectomy or TAHBSO includes prevention or minimization of complications, supporting adaptation to change, preventing complications, and providing information on the prognosis and treatment regimen is well understood, and management of pain.

Listed below are six (6) nursing care plans (NCP) and nursing diagnosis for Hysterectomy and TAHBSO:

1. Low Self-Esteem
2. Impaired Urinary Elimination
3. Risk for Ineffective Tissue Perfusion
4. Sexual Dysfunction
5. Constipation/Diarrhea
6. Deficient Knowledge
7. Other Possible Nursing Care Plans
   

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