NURSING DIAGNOSIS:
WOUND MANAGEMENT. IMPARIED SKIN INTEGRITY.
Related to: Abdominoperineal Resection. Invasion of a structure of the body. Changed circulation. Malnutrition.
Desired outcome:
Short Term Goals o To prevent infection while the wound is healing.
Long Term Goals o To promote healing and recovery quickly without and complications.
Assessment/Interventions:
Rationales:
Regularly take notes and observe the wound, record all characteristics of the site with each bag change.
It is import that the correct documentation of the site is recorded to ensure the site is recovering over time. In addition, it is vital to take note as within the first 48hours, “postoperative haemorrhage is most likely to occur” (Doenges, Moorhouse & …show more content…
Providing Simon of this knowledge will allow him to understand what foods to reduce and/or avoid to help control the activeness of his stoma and diarrhoea output (Dougherty & Lister 2015, p.198).
Communicate foods and drinks that could lead to flatus that causes more frequent stoma bag changes.
Providing Simon with information about foods that can cause flatus can help him to identify and reduce eating these. These foods that can increase flatus include, “cabbage, onions, beans, eggs, and so on” (Eating and drinking for the person with a colostomy 2015).
Communicate with Simon his emotional status and feelings with the information given and lifestyle changes that will need to be adopted.
Ensure Simon is verbalising about his condition and talks about the way he is feeling.
It is common for someone like Simon to feel anxiety and other emotions; it is important that he talks about these feelings as this emotional support and education on his colostomy decreases the anxiety he may feel (White, Duncan & Baumle 2012, p.766). These interventions allow Simon to start to accept his new body image and emotions he is feelings to enable and return a quality of life through education (White, Duncan & Baumle 2012, …show more content…
Use Images and posters to explain as well as show the structural changes he has done.
Providing information on Simon’s surgery may help him to identify himself and his new body structure change. Showing anatomy posters can also help him to visually see what Simon has had done during his Abdominoperineal Resection.
Ensure to communicate with Simon if he has any questions in relation to his surgery or his care.
Asking Simon if he has any questions will allow him a time to bring up any concern or queries that he may not have raised otherwise. This also provides a therapeutic relationship with Simon as time has been taken to ask him a question (Paul & Charura 2014, pp.249-250).
Communicate to Simon that he should speak to his healthcare provider and pharmacist to have medications reviewed or changed to better facilitate his stoma.
It is important that Simon is aware that an Abdominoperineal Resection has changed a large part of his normal body function. It must be relayed that Simon knows that he makes his healthcare provider and pharmacist aware of his new condition so that they can change the way they diagnose and prescribe medications to suit his stoma (Ignatavicius, Workman & Winkelman 2015,
WOUND MANAGEMENT. IMPARIED SKIN INTEGRITY.
Related to: Abdominoperineal Resection. Invasion of a structure of the body. Changed circulation. Malnutrition.
Desired outcome:
Short Term Goals o To prevent infection while the wound is healing.
Long Term Goals o To promote healing and recovery quickly without and complications.
Assessment/Interventions:
Rationales:
Regularly take notes and observe the wound, record all characteristics of the site with each bag change.
It is import that the correct documentation of the site is recorded to ensure the site is recovering over time. In addition, it is vital to take note as within the first 48hours, “postoperative haemorrhage is most likely to occur” (Doenges, Moorhouse & …show more content…
Providing Simon of this knowledge will allow him to understand what foods to reduce and/or avoid to help control the activeness of his stoma and diarrhoea output (Dougherty & Lister 2015, p.198).
Communicate foods and drinks that could lead to flatus that causes more frequent stoma bag changes.
Providing Simon with information about foods that can cause flatus can help him to identify and reduce eating these. These foods that can increase flatus include, “cabbage, onions, beans, eggs, and so on” (Eating and drinking for the person with a colostomy 2015).
Communicate with Simon his emotional status and feelings with the information given and lifestyle changes that will need to be adopted.
Ensure Simon is verbalising about his condition and talks about the way he is feeling.
It is common for someone like Simon to feel anxiety and other emotions; it is important that he talks about these feelings as this emotional support and education on his colostomy decreases the anxiety he may feel (White, Duncan & Baumle 2012, p.766). These interventions allow Simon to start to accept his new body image and emotions he is feelings to enable and return a quality of life through education (White, Duncan & Baumle 2012, …show more content…
Use Images and posters to explain as well as show the structural changes he has done.
Providing information on Simon’s surgery may help him to identify himself and his new body structure change. Showing anatomy posters can also help him to visually see what Simon has had done during his Abdominoperineal Resection.
Ensure to communicate with Simon if he has any questions in relation to his surgery or his care.
Asking Simon if he has any questions will allow him a time to bring up any concern or queries that he may not have raised otherwise. This also provides a therapeutic relationship with Simon as time has been taken to ask him a question (Paul & Charura 2014, pp.249-250).
Communicate to Simon that he should speak to his healthcare provider and pharmacist to have medications reviewed or changed to better facilitate his stoma.
It is important that Simon is aware that an Abdominoperineal Resection has changed a large part of his normal body function. It must be relayed that Simon knows that he makes his healthcare provider and pharmacist aware of his new condition so that they can change the way they diagnose and prescribe medications to suit his stoma (Ignatavicius, Workman & Winkelman 2015,