Hypospadias Nursing Diagnosis and Interventions

1. Nursing Diagnosis: Pain (acute / chronic) related to physical factors

example: damage to the skin / tissue (incision)
Characterized by:

• Objective Data : Conduct careful / distraction, anxiety, changes in vital signs
• Subjective Data : Report of pain

Goal :

• reduced pain

Expected Outcomes :

• Saying controlled pain
• Shows the pain disappeared, was able to sleep / rest appropriately

Intervention:

• Assess pain, note the location, characteristics, intensity (scale 0-10)
• Encourage the patient to say the problem
• Provide comfort measures such as: change the position
• Encourage use of relaxation techniques
• Collaboration, give medication as indicated for example: analgesic

Rational:

• Helps to evaluate: the degree of discomfort and the effectiveness of analgesics or may declare the occurrence of complications.
• Reduce anxiety / fear may increase the relaxation / comfort
• Prevent discomfort, increase relaxation and coping skills can be improved.
• Helping patients to rest more effective and refocus attention thus decreasing pain and discomfort
• Reduce pain, increase comfort.

2. Nursing Diagnosis : Impaired skin integrity related to surgical trauma

Characterized by:

• Objective Data: Damage to the skin, impaired healing
• Subjective Data: Report of the wound still not healed

Goal:

• Normal skin, no visible damage

Expected Outcomes:

• Demonstrate appropriate wound healing without complications

Interventions:

• Protect the incision when changing position, coughing, deep breathing and ambulation
• Observe the incision is periodically
• Provide routine maintenance incision

Rational:

• Reduce the possibility of an open wound sutures
• Affects choice of interventions
• Increases healing

3. Impaired urinary elimination related to surgical diversion, tissue trauma
Characterized by

• Objective Data: Changes in the amount of urine, the character of urine
• Subjective Data: Difficult in urination

Goal: Elimination of urine is normal / to be like before the illness

Expected Outcomes : Demonstrate continuous flow of urine with urine output is adequate for individual situations.

Intervention:

• Record of urine output, probe reduction / cessation of flow suddenly urien
• Observe and record the color of urine
• Show catheterization techniques
• Encourage increased fluid intake and maintain accurate
• Monitor vital signs

Rational

• Decrease in urine flow may indicate a sudden obstruction / dysfunction
• The color of urine should be clear
• Periodic catheterization to empty the container
• Maintain good hydration and urine flow
• The indicator shows the level of hydration fluid balance and fluid replacement therapy effectiveness.

Evaluation

1. Assessment to change the perceived / actual
2. Complications can be prevented / minimal
3. Procedure / prognosis, therapeutic programs, potential complications understood and sources of support are identified.

Nursing Care Plan for Hypospadias with Assessment and Diagnosis