NURSING DIAGNOSIS: Urinary Elimination, impaired/Urinary Retention [acute] May be related to Mechanical trauma, surgical manipulation, presence of local tissue edema, hematoma Sensory/motor impairment: nerve paralysis Possibly evidenced by Sensation of bladder fullness, urgency Small, frequent voiding or absence of urinary output Overflow incontinence Bladder distension Desired Outcomes Urinary Elimination (NOC) Empty bladder regularly and completely. 6 Hysterectomy Nursing Care Plan ...
Read More » Search Results for: nursing interventions for hematoma
Risk for Trauma — Laminectomy Nursing Care Plan (NCP)
NURSING DIAGNOSIS: Trauma, risk for (spinal) Risk factors may include Temporary weakness of vertebral column Balancing difficulties, changes in muscle coordination Possibly evidenced by [Not applicable; presence of signs and symptoms establishes an actual diagnosis.] Desired Outcomes Risk Control (NOC) Maintain proper alignment of spine. Recognize need for/seek assistance with activity as appropriate. 8 Laminectomy Nursing Care Plan (NCP) Impaired Physical Mobility — ...
Read More »Ineffective Tissue Perfusion — Laminectomy Nursing Care Plan (NCP)
NURSING DIAGNOSIS: Tissue Perfusion, ineffective (specify) May be related to Diminished/interrupted blood flow (e.g., edema of operative site, hematoma formation) Hypovolemia Possibly evidenced by Paresthesia; numbness Decreased ROM, muscle strength Desired Outcomes Neurological Status (NOC) Report/demonstrate normal sensations and movement as appropriate. 8 Laminectomy Nursing Care Plan (NCP) Impaired Physical Mobility — Laminectomy Nursing Care Plan (NCP) Ineffective Tissue Perfusion — Laminectomy Nursing ...
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