Question

what is good NANDA Pcychosocial Nursing diagnosis for a patient who is obese , have colostomy, wound Vac . pls provide a short term and lonh term goal for the diagnosis

Answer 1

1. Disturbed Body Image may be related presence of stoma; loss of control of bowel elimination evidenced by verbalization of change in perception of self, negative feelings about body, fear of rejection/reaction of others, not touching/looking at stoma, and refusal to participate in care.

Short term Goals:

After four hours of nursing intervention, client will be able to

• Verbalise acceptance of self to the situation.
• Discuss with family about the situation and changes occurred.

Long term goal:

After 40 hours of nursing intervention, the client will be able to

• Verbalize the relief of anxiety and adaptation of changed body image without negating self esteem
• Verbalize on the realistic plans for future.

2. Impaired Social Interaction related to fear of embarrassing situation secondary to altered bowel control with loss of contents, odor, possibly evidenced by reduced participation and verbalized/observed discomfort in social situations.

Short term goals:

After 2 days of nursing intervention, the client will be able to

• Participate in one activity
• Discuss the feelings that lead to impairment in the social interaction.

Long term goals:

After 5 days of nursing intervention, the client will be able to

• Voluntarily attend a group therapeutic meeting in the hospital.
• Interact freely with family and friends.
• Attend community social activity like church activity

Patient will state and demonstrate progress in the resumption of sustaining relationships with friends and family members within one month.