NANDA

Alison Bautista
12/2/08

Low Self-Esteem

Interventions:
Self-esteem enhancement
-Encourage patient to identify strengths
-Assist in setting realistic goals to achieve higher self-esteem
-Treat client with respect and as an equal to maintain positive self-esteem
-Assess for low and negative effect (expression of feelings)
-Assess the client’s previous experiences with health care and coping with illness to determine the level of education and support needed
-Teach client a systematic problem-solving process
-Encourage client to find a self-help or therapy group that focuses on self- esteem enhancement


Outcomes:
-State accurate self-appraisal
-Demonstrate the ability to self-evaluate
-Demonstrate the ability to make decisions independent of primary peer group
-Express effects of media on self-appraisal
-Express influences of substances on self-esteem
-Identify strengths and healthy coping skills
-State life events and change as influencing self-esteem

Week 3 Update

Pts Needs
Call the physician immediately to clean/suture the wound site.
BMI is low. Re-educate the importance of nutritional intake.
Ask for a X-ray of the abdomen
Ask pt to point to where the pain is occurring
Pts Nursing Diagnosis
Impaired skin integrity-Kevin and LaShare
Chronic Pain-Ruth and Roxy
Fluid Volume Deficit-Chris and Aja
Risk for Infection-Maria and Jenny B
Risk for Falls- Lizzie and Katie
Nutrition Imbalance; less than body requirements-Cory and Dustin
Body Image-Chad and David
Coping, Ineffective-Allison and Pearl
Nausea-Maria B
Risk for Constipation-Marcos
Self-Care Deficit-Rafael
Low-self Esteem- Allison and Pearl
Ineffective-role performance-Roxy and Ruth
Family processes interrupted- Chris and Aja
Risk for unstable glucose- Lizzie and Katie
Risk for tissue perfusion- Maria and Jenny B

Pts Medical Diagnosis
Anorexia
Bulimia
Hysterectomy
Bowel Obstruction
UTI
Depression
Diabetes

Chris is going to do the drug look-up

Understanding Endometriosis

Hi Everyone -

I came across a few websites that may be of additional help in understanding endometriosis.
They are short and to the point as far as symptoms and causes of the disease are concerned.
There is even an interactive flash movie that you visual learners can check out...
The flash movie can be viewed here.

I also researched to see if endometriosis could result in uterine cancer. According to http://www.medicinenet.com/uterine_cancer/article.htm
it states the following:

"Endometriosis is another benign condition that affects the uterus. It is most common in women in their thirties and forties, especially in women who have never been pregnant. It occurs when endometrial tissue begins to grow on the outside of the uterus and on nearby organs. This condition may cause painful menstrual periods, abnormal vaginal bleeding, and sometimes loss of fertility (ability to get pregnant), but it does not cause cancer. Women with endometriosis may be treated with hormones or surgery. "

These websites are also helpful:

• http://www.centerforwomen.com/MainFrames/endometriosis.htm
• http://www.endo-resolved.com/picture.html (This one has great pictures.)

- Maria B.

Welcome Group 1

Hey all... please let me know if you are having any problems getting on this as an author. Anyone can view it without logging as an author by going to: http://www.labmonkies.blogspot.com/

Cory