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Hysterectomy is the surgical removal of the uterus, most commonly performed for malignancies and certain nonmalignant conditions (e.g., endometriosis/tumors), to control life-threatening bleeding/hemorrhage, and in the event of intractable pelvic infection or irreparable rupture of the uterus. A less radical procedure (myomectomy) is sometimes performed for removing fibroids while sparing the uterus. Abdominal hysterectomy types include the following: Subtotal (partial): Body of ...

NURSING DIAGNOSIS: Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs May be related to Lack of exposure/recall Information misinterpretation Unfamiliarity with information resources Possibly evidenced by Questions/request for information; statement of misconception Inaccurate follow-through of instructions, development of preventable complications DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL: Knowledge: Disease Process (NOC) Verbalize understanding of condition and potential complications. Identify ...

NURSING DIAGNOSIS: Sexual dysfunction, risk for Risk factors may include Altered body structure/function, e.g., shortening of vaginal canal; changes in hormone levels, decreased libido Possible change in sexual response pattern, e.g., absence of rhythmic uterine contractions during orgasm; vaginal discomfort/pain (dyspareunia) Possibly evidenced by [Not applicable; presence of signs and symptoms establishes an actual diagnosis.] Desired Outcomes Sexual Functioning (NOC) Verbalize understanding ...

NURSING DIAGNOSIS: Tissue Perfusion, risk for ineffective (specify) Risk factors may include Hypovolemia Reduction/interruption of blood flow: pelvic congestion, postoperative tissue inflammation, venous stasis Intraoperative trauma or pressure on pelvic/calf vessels: lithotomy position during vaginal hysterectomy Possibly evidenced by [Not applicable; presence of signs and symptoms establishes an actual diagnosis.] Desired Outcomes Tissue Perfusion: (Specify) (NOC) Demonstrate adequate perfusion, as evidenced by ...

NURSING DIAGNOSIS: Constipation/Diarrhea, risk for Risk factors may include Physical factors: abdominal surgery, with manipulation of bowel, weakening of abdominal musculature Pain/discomfort in abdomen or perineal area Changes in dietary intake Possibly evidenced by [Not applicable; presence of signs and symptoms establishes an actual diagnosis.] Desired Outcomes Bowel Elimination (NOC) Display active bowel sounds/peristaltic activity. Maintain usual pattern of elimination. 6 Hysterectomy ...

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 ...

NURSING DIAGNOSIS: Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs May be related to Lack of exposure/recall, misinterpretation Unfamiliarity with information resources Possibly evidenced by Questions; request for information; statement of misconception Inaccurate follow-through of instructions/development of preventable complications Desired Outcomes Knowledge: Disease Process (NOC) Verbalize understanding of surgical procedure and prognosis and potential complications. Knowledge: ...

This post contains 10 Nursing Care Plans (NCP) for patients with Ileostomy or Colostomy which you can use. An ileostomy is an opening constructed in the terminal ileum to treat regional and ulcerative colitis and to divert intestinal contents in colon cancer, polyps, and trauma. It is usually done when the entire colon, rectum, and anus must be removed, in which case ...