Question

1. what are psychosocial nursing diagnosis for patient who is obese, anemia, who have colostomy and wound vac.

2. and please provide short term and long term goal for the psychosocial diagnosis

Answer 1

Fear/Anxiety

Fear: Response to perceived threat that is consciously recognized as a danger. Anxiety: Vague uneasy feeling of discomfort or dread accompanied by an autonomic response.

May be related to

•           Situational emergency; newness to condition

•           Change in wellbeing status; risk of death

•           Separation from regular emotionally supportive networks

Possibly evidenced by

• Increased anxiety, prediction and apprehension, decreased self-confidence
• Expressed doubts about changes and their consequences
• Facial expression resembles anxiety, restlessness, focus on self
• Sympathetic stimulation on reaction

Desired Outcomes

• Acknowledge feelings and identify healthy ways to deal with them.
• Appear relaxed, able to rest/sleep sufficiently
• report that anxiety and fear levels come down.

Deficient Knowledge

Deficient Knowledge: Completely lacking or deficiency of cognitive related information related to anemia or colostomy.

May be related to

• Lack of exposure to the disease protocols/lack of recall, information misinterpretation
• Unfamiliarity with the available resources
• Unable to understand

Possibly evidenced by

• Questions/request for information; statement of misconception
• Inaccurate follow-through of instructions/development of preventable complications

Desired Outcomes

•           Verbalize comprehension of condition, impacts of system and potential intricacies.

•           Verbalize comprehension of helpful needs.

•           Correctly perform important methods and clarify explanations behind activities.