This free nursing care plan diagnosis, and interventions for the following conditions: Disturbed Body Image, Residual Limb, Amputation, and Amputee
What are nursing care plans? How do you develop a nursing care plan? What nursing care plan book do you recommend helping you develop a nursing care plan?
This care plan is listed to give an example of how a Nurse (LPN or RN) may plan to treat a patient with those conditions.
Important Disclosure: Please keep in mind that these care plans are listed for Example/Educational purposes only, and some of these treatments may change over time. Do not treat a patient based on this care plan.
Care Plans are often developed in different formats. The formatting isn’t always important, and care plan formatting may vary among different nursing schools or medical jobs. Some hospitals may have the information displayed in digital format, or use pre-made templates. The most important part of the care plan is the content, as that is the foundation on which you will base your care.
Nursing Care Plan for: Disturbed Body Image, Residual Limb, Amputation, and Amputee
If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. Otherwise, scroll down to view this completed care plan.
Scenario: |
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Your patient, who is a 42 year old male, is post-opt day 5 from an emergent right below the knee amputation due to a bulldozer accident. The patient’s incision is open to air with staples well intact. No drainage or swelling is noted. The patient’s wife has verbalized concern to you that her husband doesn’t understand that he will need therapy to help him walk again with a prosthesis. She shares concerns that “it is like he thinks his leg is still there”. You note that the patient refuses to look or touch his right residual limb. When you start to ask the patient about how he feels about therapy the patient cuts you short and says “I don’t understand why everyone is making a big deal about this. Once my staples are gone I will be able to walk. I don’t need therapy. My legs are fine.” During the md rounds, you discuss with the md about your concern with the patient accepting his amputation. The md order a psych consult.
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Nursing Diagnosis: |
| Disturbed body image related to permanent alterations in structure and function of right leg as evidence by refusal to discuss or acknowledge change and refusal to look or touch right residual limb. |
Subjective Data: |
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The patient’s wife has verbalized concern to you that her husband doesn’t understand that he will need therapy to help him walk again with a prosthesis. She shares concerns that “it is like he thinks his leg is still there”. “I don’t understand why everyone is making a big deal about this. Once my staples are gone I will be able to walk. I don’t need therapy. My legs are fine.”
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Objective Data: |
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Your patient, who is a 42 year old male, is post-opt day 5 from an emergent right below the knee amputation due to a bulldozer accident. The patient’s incision is open to air with staples well intact. No drainage or swelling is noted. During the md rounds, you discuss with the md about your concern with the patient accepting his amputation. The md order a psych consult.
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Nursing Outcomes: |
| -The patient will look and touch his residual limb before discharge.-The patient will verbalize and acknowledge he has a right below the knee amputation before discharge.
-The patient’s wife will report an increase in patient’s willingness to accept his amputation by discharge. -The patient will verbalize his concerns and needs to the nurse regarding his amputation by discharge. |
Nursing Interventions: |
| -The nurse will consult the psych doctor per md request within 1 hour.-The nurse will encourage the patient to talk about his amputation during each shift.
-The nurse will encourage the patient to look and touch his residual limb during each shift. -The nurse will educate the patient’s wife on 3 techniques to use on how to get the patient to understand and accept his amputation. -The nurse will assess for patient’s acceptance regarding his amputation every shift. |