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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; statement of misconception/misinformation Inaccurate follow-through of instruction/performance of ostomy care Inappropriate or exaggerated behaviors (e.g., hostile, agitated, apathetic, withdrawal) Desired Outcomes Knowledge: Disease Process (NOC) Verbalize understanding of condition/disease ...

NURSING DIAGNOSIS: Sexual Dysfunction, risk for Risk factors may include Altered body structure/function; radical resection/treatment procedures Vulnerability/psychological concern about response of SO Disruption of sexual response pattern, e.g., erectile difficulty Possibly evidenced by [Not applicable; presence of signs and symptoms establishes an actual diagnosis.] DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL: Sexual Functioning (NOC) Verbalize understanding of relationship of physical condition to sexual problems. Identify ...

NURSING DIAGNOSIS: Constipation/Diarrhea, risk for Risk factors may include Placement of ostomy in descending or sigmoid colon Inadequate diet/fluid intake Possibly evidenced by [Not applicable; presence of signs and symptoms establishes an actual diagnosis.] Desired Outcomes Bowel Elimination (NOC) Establish an elimination pattern suitable to physical needs and lifestyle with effluent of appropriate amount and consistency. 10 Ileostomy & Colostomy Nursing Care Plan ...

NURSING DIAGNOSIS: Sleep Pattern, disturbed May be related to External factors: necessity of ostomy care, excessive flatus/ostomy effluent Internal factors: psychological stress, fear of leakage of pouch/injury to stoma Possibly evidenced by Verbalizations of interrupted sleep, not feeling well rested Changes in behavior, e.g., irritability, listlessness/lethargy Desired Outcomes Sleep (NOC) Sleep/rest between disturbances. Report increased sense of well-being and feeling ...

NURSING DIAGNOSIS: Nutrition: imbalanced, risk for less than body requirements Risk factors may include Prolonged anorexia/altered intake preoperatively Hypermetabolic state (preoperative inflammatory disease; healing process) Presence of diarrhea/altered absorption Restriction of bulk and residue-containing foods Possibly evidenced by [Not applicable; presence of signs and symptoms establishes an actual diagnosis.] Desired Outcomes Nutritional Status (NOC) Maintain weight/demonstrate progressive weight gain toward goal with ...

NURSING DIAGNOSIS: Fluid Volume, risk for deficient Risk factors may include Excessive losses through normal routes, e.g., preoperative emesis and diarrhea; high-volume ileostomy output Losses through abnormal routes, e.g., NG/intestinal tube, perineal wound drainage tubes Medically restricted intake Altered absorption of fluid, e.g., loss of colon function Hypermetabolic states, e.g., inflammation, healing process Possibly evidenced by [Not applicable; presence of ...

NURSING DIAGNOSIS: Skin/Tissue Integrity, impaired May be related to Invasion of body structure (e.g., perineal resection) Stasis of secretions/drainage Altered circulation, edema; malnutrition Possibly evidenced by Disruption of skin/tissue: presence of incision and sutures, drains Desired Outcomes Wound Healing: Primary Intention (NOC) Achieve timely wound healing free of signs of infection. 10 Ileostomy & Colostomy Nursing Care Plan (NCP) Risk for ...

NURSING DIAGNOSIS: Pain, acute May be related to Physical factors: e.g., disruption of skin/tissues (incisions/drains) Biological: activity of disease process (cancer, trauma) Psychological factors: e.g., fear, anxiety Possibly evidenced by Reports of pain, self-focusing Guarding/distraction behaviors, restlessness Autonomic responses, e.g., changes in vital signs Desired Outcomes Pain Level (NOC) Verbalize that pain is relieved/controlled. Display relief of pain, able to ...