Nanda Nursing Diagnosis

Most colon cancers originate from small, noncancerous (benign) tumors called adenomatous polyps that form on the inner walls of the large intestine. Some of these polyps may grow into malignant colon cancers over time if they are not removed during colonoscopy. Colon cancer cells will invade and damage healthy tissue that is near the tumor causing many complications. Colon cancer is not necessarily the same as rectal cancer, but they often occur together in what is called colorectal cancer. Rectal cancer originates in the rectum, which is the last several inches of the large intestine, closest to the anus. Cancer symptoms are quite varied and depend on where the cancer is located, where it has spread, and how big the tumor is. It is common for people with colon cancer to experience no symptoms in the earliest stages of the disease. However, when the cancer grows, symptoms include: Diarrhea or constipation Changes in stool consistency Narrow stools Rectal bleeding or blood in the stool

Nursing Diagnosis for Rheumatoid Arthritis: Impaired Physical Mobility related to: skeletal deformity painful discomfort activity intolerance decreased muscle strength. Can be evidenced by: Reluctance to try moving / inability to move in with their own physical environment. Limiting the range of motion, coordination imbalances, decreased muscle strength / control and mass (advanced stage). The expected outcomes / evaluation criteria, patients will: Maintaining a function of position in the absence / restrictions contractures. Maintain or improve strength and function of and / or compensation of the body. Demonstrate techniques / behaviors enabling activities. Nursing Interventions : Impaired Physical Mobility - Rheumatoid Arthritis 1. Keep the rest bed rest / activity schedule to sit if necessary to provide a continuous period and nighttime sleep uninterrupted. Rationale: Systemic Rest is recommended during acute exacerbations, and all phases of the disease is important to prevent ex

Preeclampsia/eclampsia is a complex hypertensive disorder of pregnancy affecting multiple systems. Preeclampsia is a condition that pregnant women can get. Preeclampsia and eclampsia are complications of pregnancy. In preeclampsia, the woman has dangerously high blood pressure, swelling, and protein in the urine. 7 Nursing Diagnosis for Preeclampsia 1. Acute pain reated to post Caesarean section incision 2. Alteration in Bowel Elimination: Constipation related to decreased intestinal peristalsis. 3. Risk for Infection related to tissue trauma / skin damage 4. Risk for Fluid Volume Deficit related to the bleeding 5. Altered family processes related to the preparation of infant acceptance. 6. Sleep pattern disturbance related to the tension during the birth process, pain. 7. Knowledge Deficit: perawtan about babies, family planning, nutrition related to inadequate information.  Source : http://nanda-nurse-diary.blogspot.com/2012/11/nanda-7-nursing-diagnosis-for.html

Nursing Diagnosis for Patent Ductus Arteriosus (PDA) Decreased Cardiac Output related to malformations of the heart. Impaired Gas Exchange related to pulmonary congestion. Activity Intolerance related to imbalance between oxygen consumption by the body and oxygen supply to the cells. Delayed Growth and Development related to an inadequate supply of oxygen and nutrients to the tissues. Imbalanced Nutrition Less than Body related to fatigue at mealtime and increased caloric needs. Risk for Infection related to decreased health status. Nursing Interventions for Patent Ductus Arteriosus (PDA) 1. Maintain adequate cardiac output: Observation of the quality and strength of heart rate, peripheral pulses, skin color and warmth. Enforce the degree of cyanosis (circumoral, mucous membranes, clubbing). Monitor signs of CHF (restlessness, tachycardia, tachypnea, spasms, fatigue, periorbital edema, oliguria, and hepatomegaly). Collaboration of drugs in accordance with the order, using toxicity haza

Nursing Diagnosis and Interventions: Nursing Diagnosis 1. Acute Pain related to inflammation Goal: pain can be reduced. Expected outcomes: Reported pain reduced / controlled. Facial expression / posture relaxed. Interventions and Rationale : 1. Assess the level of pain with a pain scale R /: Giving info to assess the response to intervention. 2. Assess and record the patient’s response to intervention R: Assist in providing interventions. 3. Collaboration give analgesic preparations R /: Reduce pain. 4. Replacing the fuse when experiencing auditory canal edema R /: To keep the canal open. Nursing Diagnosis 2. Anxiety related to lack of knowledge about the disease, the cause of infection and preventive actions. Goal: reduce anxiety Expected outcomes: Clients do not show signs of restlessness Clients look calm Interventions and Rationale: 1. Listen carefully to what the client is saying about the disease and actions. R /: Listening enables the detection and correction of the misconcepti