DX Hysterectomy PDF

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Nursing Care Plan 53-1

Patient having Abdominal Hysterectomy

Nursing Diagnosis
Disturbed Body Image
Etiology: Perceived loss of femininity and future inability to conceive
Supporting data: Crying, weeping, depression, states perceived loss of femininity and/or
ability to conceive

Patient Goals
1. States confidence in ability to adjust to postsurgical state
2. States acceptance of self and changes resulting from surgery

Outcomes (NOC) Interventions (NIC) and Rationales


Sexual Identity Body Image Enhancement
 Affirms self as a sexual  Determine patient’s body image expectations to establish
being _____ need and plan for interventions.
 Uses healthy coping  Determine patient’s and family’s perceptions of the
behaviors to resolve alteration in body image versus reality to provide
sexual identity crisis accurate facts and decrease fear of consequences of
_____ hysterectomy.
 Reports healthy intimate  Determine if a change in body image has contributed to
relationships _____ increased social isolation to identify need for
intervention.
Measurement Scale  Identify support groups available to patient to minimize
1 = Never demonstrated emotional impact of hysterectomy through open
2 = Rarely demonstrated discussion.
3 = Sometimes demonstrated
 Assist the patient to discuss stressors affecting body
4 = Often demonstrated
5 = Consistently demonstrated image due to surgery (e.g., surgical menopause) so
patient is informed about possible treatment (e.g.,
hormone replacement therapy).

Nursing Diagnoses
Impaired Breathing, Acute Pain, Nausea, Risk for Infection, Risk for VTE, Urinary
Retention

Postoperative care of the patient with an abdominal hysterectomy includes nursing


diagnoses and collaborative problems for the postoperative patient found in NCP 19-1:
Postoperative Patient, available on the Evolve website for that chapter.

Copyright © 2020 by Elsevier, Inc. All rights reserved.

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