00100 Delayed surgical recovery

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00100 Delayed surgical recovery

Definition of the NANDA label

Increase in the number of postoperative days required by a person to initiate and carry out activities for the maintenance of life, health and well-being for their own benefit.

Extension of the number of postoperative days required to initiate and perform activities that maintain life, health, and well-being.

Defining characteristics

• Evidence of interruption of surgical wound healing:
– Redness, induration, drainage, immobility.
• Lack of appetite with or without nausea.
• Difficulty moving in the environment.
• Need for help to complete self-care.
• Fatigue.
• Reports of pain or discomfort.
• Delay in resuming work or work activities.
• Perception that more time is required to recover.

Related factors

• harmful agents.
• contamination of the surgical wound.
• perioperative or postoperative infection.

At risk population

• Extremes of age
• History of delayed wound healing

Associated condition

• American Society of Anesthesiologists (ASA) Physical Status classification score ≥ 2
• Diabetes mellitus
• Edema at surgical site
• Extensive surgical procedure
• Impaired mobility
• Perioperative surgical site infection
• Persistent nausea
• Persistent vomiting
• Pharmaceutical agent
• Prolonged surgical procedure
• Psychological disorder in postoperative period – Surgical site contamination
• Trauma at surgical site

NOC

• Consequence of physiological immobility.
• Personal care: activities of daily living (ADL).
• Wound healing: 1st intention.
• Nutritional condition.
• Pain level.
• Resistance.

NIC

• Caring for the bedridden patient.
• Help in self-care.
• Wound care.
• Care of the incision site.
• Nutrition management.
• Nutritional monitoring.
• Pain management.
• Nutritional therapy.
• Energy management.

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