Introduction for Nursing Diagnosis: Risk of Delay in Surgical Recovery
Nursing diagnosis is an essential element of nursing practice because it allows the nurse to plan, individualise and evaluate the client’s care. Risk Of Delay In Surgical Recovery is a NANDA-I nursing diagnosis which whenever identified as a potential or actual problem will encourage organizations to create the conditions for successful surgical recovery.
Nursing Diagnosis Definition
Risk Of Delay In Surgical Recovery, as defined by NANDA International, is an increased susceptibility to impediments to achieve successful surgical recovery due to reduced reserve, deficits in knowledge, or physical and psychological health.
Defining Characteristics
Subjective
- Fear of surgery or anesthesia
- Self-reported inability to cope with pain
- Lack of information regarding surgical procedures
- Unrealistic expectations related to surgical recovery
Objective
- Signs of anxiety
- Altered mobility
- Decrease ability to reason
- Alteration in nutritional status
- Non-compliance with medical regime, diet and physical therapy
- Inadequate family support
- Financial constraints
- Insufficient access to health services
- Psychological or emotional disturbances
- Unrealistic demands on self
Risk Population
- Elderly clients
- Patients with inadequate coping skills
- Clients with adjustment disorders
- People who had been prescribed a lengthy postoperative rehabilitation regimen
Associated Problems
- Pain
- Impaired physical Mobility
- Social Interaction Impaired
- Post-Trauma Syndrome
- Moderate to Severe Stress Response
Suggestions of Use
- Assessment at preoperatively and postoperatively
- Assessment of specific risk factors
- Conducting anencounter with client and family about potential delays in surgical recovery
- Developing individualized patient care plan
Suggested Alternative Nursing Diagnosis
- Fear
- Knowledge Deficit
- Fatigue
- Ineffective Health Maintenance
- Impaired Social Interaction
Usage Tips
- Assess patient condition daily
- Evaluate patient's understanding, attitude and behavior towards surgical procedure and recovery
- Identify patient's own unique resources to manage current condition
- Encourage adequate rest periods
- Promote active participation in activities
NOC Results
- Anxiety level: Patient's anxiety level is monitored during preoperative, intraoperative and postoperative period
- Mobility status: Patient is encouraged to engage in safe, active activities for surgical recovery
- Communication: Patient expresses understanding of surgical procedure and postoperative instructions
- Health Perception/Health Management: Patient follows postoperative instructions for timely recovery
- Tissue integrity: Patient avoids danger of infection and wound dehiscence during healing process
NIC Interventions
- Health Education / Counseling: Patient and family are provided with resources and instruction in basic anatomy and physiology of surgical intervention and healing.
- Education: Family members are educated on the importance of compliance with postoperative instructions and wound circumvention.
- Therapeutic Communication: Patient is encouraged to express feelings and concerns openly to healthcare staff.
- Energy Conservation: Patient is encouraged to conserve energy by taking breaks from physical activities and rest periods when needed.
- Physical Restraint: Patient is placed in physical restraints to prevent self-inflicted injury when necessary.
Conclusion
Risk Of Delay In Surgical Recovery is a valid and important nursing diagnosis that must be considered when assessing patients preoperative and postoperatively. Early identification and treatment of risk factors can help improve patient outcomes and increase the chances of successful surgical recovery.
FAQs
- What is included in the Nursing Diagnosis: Risk Of Delay In Surgical Recovery? This NANDA-I nursing diagnosis encompasses increased susceptibility to impediments to achieve successful surgical recovery due to reduced reserve, deficits in knowledge, or physical and psychological health.
- How to assess patients with Risk Of Delay In Surgical Recovery? Assessment should be done at preoperative, intraoperative, and postoperative stages. Assessment involves evaluating patient's understanding, attitude and behavior towards surgical procedure, monitoring for signs of anxiety, altered mobility and nutrition, non-compliance with medical regime, and insufficient access to health services.
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