Brain Tumor Assessment, Pre and Post Operative Nursing Diagnosis

Nursing Assessment for Brain Tumor

1. Health Perception and Health Management

• A family history of tumors.
• Exposed to excess radiation.
• A history of visual problems; lost visual acuity and diplopia.
• Alcohol Addiction, heavy smokers.
• There was a feeling abnormal.
• Personality disorder / hallucinations.

2. Nutritional Metabolic Pattern

• History of epilepsy.
• Loss of appetite
• The presence of nausea, vomiting during the acute phase.
• The loss of sensation on the tongue, cheeks and throat.
• Difficulty swallowing (interference on the palate and pharyngeal reflex).

3. Elimination Pattern

• Changes in the pattern of urination and bowel movements (incontinence).
• Bowel sounds; negative.

4. Activity and Exercise Pattern

• Disorders of muscle tone, the muscle weakness, impaired level of consciousness.
• Risk of trauma due to epilepsy.
• Hamiparese, ataxia.
• vision disorders.
• Feel tiredness, loss of sensation.

5. Sleep Rest Pattern

• Hard or easy to relax and fall asleep.

6. Cognitive-Perceptual Pattern

• Dizziness.
• Headache.
• weakness.
• Tinnitus.
• Motor aphasia.
• Loss of sensory stimuli contra-lateral.
• Impaired sense of taste, smell and sight.
• Decline in memory, problem solving.
• Lost the ability influx of visual stimuli.
• Impairment of consciousness up to coma.
• Not able to record images.
• Not able to distinguish right / left.

7. Self-Perception-Self-Concept Pattern

• The feeling of helplessness and despair.
• Emotions unstable and difficult to express.

8. Role-Relationship Pattern

• Speech problems.

9. Reproduction

• The existence of disturbances and irregularities.
• Influence / relationship to disease.

10. Coping-Stress Tolerance Pattern

• Existence of feelings of anxiety, fear, impatient or angry.
• Coping mechanism commonly used.
• Feelings of helplessness, hopelessness.
• Emotional response to the client's current status.
• People who help in solving the problem.
• Irritability.

11. Value-Belief Pattern

• The religion, whether religious activities interrupted.

Nursing Diagnosis for Brain Tumor Pre-Surgery

1. Imbalanced Nutrition Less than Body Requirements related to nausea, vomiting and loss of appetite / growth of cancer cells.
2. Acute Pain / Chronic Pain ; head related to the growth of cancer cells in the brain.
3. Impaired physical mobility related to movement disorders and weakness.
4. Impaired Verbal Communication related to damage to the cerebral circulation.
5. Low self-esteem related to dependency, role changes, changes in self-image.
6. Knowledge Deficit; about the condition and treatment of diseases related to lack of information.
7. Anxiety related to surgical plan.

Nursing Diagnosis for Brain Tumor Post-Surgery

1. Acute Pain related to the effects of surgery.
2. Low self-esteem related to dependency, role changes, changes in self-image.
3. Knowledge Deficit; about brain tumors related to ignorance about resources
4. Anxiety related to chronic disease and an uncertain future.

Brain Tumor - 4 Nursing Diagnosis and Interventions

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