Wednesday, May 20, 2015

Nursing Diagnosis Plan

 When women are diagnosed with Ovarian Cancer, there are many nursing diagnoses to think about. Some of the most significant ones are:

  1. Disturbed body image r/t removal of reproductive organs, or hair loss
  2. Acute pain r/t gynecologic surgery 
  3. Ineffective sexuality pattern r/t physiologic limitations and mood 
  4. Risk for infection r/t immuno-suppressed status in chemo
Scars from traditional "bikini-cut" hysterectomy surgery.  Women may have concerns about body image after a surgery.

Here, I address the different elements of nursing care for a woman with disturbed body image r/t surgery scars and removal of reproductive organs. 
Pt goal: Patient will verbalize positive body image statements, and is able to look at, touch, and talk about the surgery and scars in a comfortable manner.
Nursing Plan: teach patient about the normalcy of grief and the grieving process; help patient identify coping mechanisms that have been useful in the past; introduce patient to support groups for patients experiencing similar struggles; incorporate motivational interviewing into patient interactions

For more information on nursing care for patients with disturbed body image, see these websites:
http://www1.us.elsevierhealth.com/SIMON/Ulrich/Constructor/diagnoses.cfm?did=74
http://medsurggroup6.wikispaces.com/6.+Nursing+Management

Picture from: http://www.healthychief.com/health-news/what-is-ovarian-cancer

 

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