Patient will verbalize understanding of the condition, its complications, and the treatment regimen. Emphasize the value of medical follow-up. Nursing interventions are also implemented to prevent and mitigate potential risk factors. The patient will identify the relationship of signs/symptoms to the disease process and associate these symptoms with causative factors. DiGregorio, A. M., & Alvey, H. (2020, August 24). Gastroenteritis (also known as Food Poisoning; Stomach Flu; Travelers Diarrhea ) is the inflammation of the lining of the stomach and small and large intestines. 5 Peptic Ulcer Disease Nursing Care Plans, Peptic ulcer disease occurs with the greatest frequency in people between. Risk for Imbalanced Nutrition: Less Than Body Requirements, Nursing Diagnosis: Risk for Imbalanced Nutrition: Less Than Body Requirements related to metabolic abnormalities (increased metabolic needs) and intestinal dysfunction secondary to bowel perforation. Identify the signs and symptoms that necessitates prompt medical evaluation: persistent abdominal pain and discomfort, nausea, vomiting, fever, chills, or purulent drainage, edema, or erythema around a surgical incision (if present). The nurse must closely monitor the wound and perform dressing changes as instructed. Disclosure: Included below are affiliate links from Amazon at no additional cost from you. Take note if the patient is experiencing vomiting or diarrhea. Vomiting, diarrhea, and large volumes of gastric aspirate are signs of intestinal obstruction that need additional investigation. 2. Administer medications as ordered: antidiarrheals. Symptoms of this disease include fever, anorexia, nausea, vomiting, diarrhea, and abdominal discomfort. Helicobacter pylori is considered to be the major cause of ulcer formation. Assess the patient for intake of contaminated food or water or undercooked or raw meals. https://www.ncbi.nlm.nih.gov/books/NBK537291/, https://www.msdmanuals.com/professional/gastrointestinal-disorders/gastrointestinal-bleeding/overview-of-gastrointestinal-bleeding, Atrial Fibrillation: Nursing Diagnoses, Care Plans, Assessment & Interventions, Compartment Syndrome Nursing Diagnosis & Care Plan, Patient will be able to demonstrate effective tissue perfusion as evidenced by hemoglobin and hematocrit within normal limits. Numerous antibiotics also have nephrotoxic side effects that may worsen kidney damage and urine production. St. Louis, MO: Elsevier. Gastrointestinal Care Plans Care plans covering the disorders of the gastrointestinal and digestive system. Learn how your comment data is processed. 4. Patient will be able to verbalize relief or control of pain. Pain is typically very bad, and narcotic painkillers may be necessary. 1. (2020). Pneumatic dilation may be done. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Educate the client about perianal care after each bowel movement.The anal area should be gently cleaned properly after a bowel movement to prevent skin irritation and transmission of microorganisms. 2. A risk diagnosis is not evidenced by signs and symptoms, as the problem has not occurred yet, and nursing interventions will be directed at the prevention of signs and symptoms. Get an in-depth understanding of Cholecystectomy Nursing Care Plans and Nursing Diagnosis, including the common nursing interventions and outcomes. Encourage increase fluid intake of 1.5 to 2.5 liters/24 hours plus 200 ml for each loose stool in adults unless contraindicated.Increased fluid intake replaces fluid lost in liquid stools. Evaluate lab results.Closely monitoring hemoglobin and hematocrit is essential with GI bleeding. Advise patient to eat slowly and chew food well. Saunders comprehensive review for the NCLEX-RN examination. The PEG site was leaking gastric contents. Treatment of this condition depends on its cause. C. 40 and 60 years. Evaluate the patients abdomen periodically for softening, the resumption of regular bowel noises, and the passing of flatus. It is important to provide proper patient education about the condition, prognosis, treatment options, and complications to ensure adherence with the treatment regimen. Assess the clients history of bleeding or coagulation disorders.Determine the clients history of cancer, coagulation abnormalities, or previous GI bleeding to determine the clients risk of bleeding issues. Nursing Diagnosis: Dysfunctional Gastrointestinal Motility related to gastroenteritis as evidenced by frequency of stools, abdominal pain, and urgency. Bowel perforation results from insult or injury to the mucosa of the bowel wall resulting from a violation of the closed system. The surgery is used when peptic ulcer disease causes pain or bleeding that doesn't improve with non-surgical therapies. Symptoms of ulcer may last for a few days, weeks, months, and may disappear only to reappear, often without an identifiable cause. Intestinal Obstruction: Evaluation and Management | AAFP Upon entry of food by mouth, it is transported to the stomach and eventually the small and large intestines by wave-like contractions of the gastrointestinal muscles known as peristalsis. Peristalsis may be increased, decreased, or may even be absent. Patients with bowel perforation have a very high risk of developing an infection. What are the common causes of bowel perforation? 2. Viral gastroenteritis also called stomach flu is a very contagious form of this disease. Additionally, patients may also experience signs of sepsis, such as confusion, dizziness, and low blood pressure. ulcer surgery, gastric ulcer surgery, or peptic ulcer surgery) is a procedure for treating a stomach ulcer. Nursing care planning goals of gastroesophageal reflux disease(GERD)involves teaching the patient to avoid situations that decrease lower esophageal sphincter pressure or cause esophageal irritation. waw..You did a great work. Encourage the patient to use abdominal splints.Splinting the abdomen can help reduce abdominal pressure before and after surgery when moving. 1. The sixteenth edition includes the most recent nursing diagnoses and interventions from NANDA-I 2021-2023 and an alphabetized listing of nursing diagnoses covering more than 400 disorders. Nurses pocket guide: Diagnoses, interventions, and rationales (15th ed.). Gastroesophageal reflux disease is a good example of a condition wherein motility is ineffective. Meals should be regularly spaced in a relaxed environment. 2. Although not unusual, changes in location or intensity could signal developing complications. Learn effective and evidence-based nursing interventions and nursing care management strategies to improve patient outcomes. Category: Gastrointestinal Care Plans | NurseTogether Management of Patients with Gastric and Duodenal Disorders. Includes: appendectomy, gastroenteritis, inflammatory bowel disease, live cirrhosis, and more. Discover the nursing diagnoses for liver cirrhosis nursing care plans. Signs and symptoms include: After a physical examination, diagnostic procedures like blood tests, x-rays, abdominal CT scans, upper endoscopy, or a colonoscopy may be performed to confirm the condition. Identify current medications being taken by the patient. 4. The most common cause of this disease is infection obtained from consuming food or water. To determine causative organisms and provide appropriate medications. The nurse can monitor the vital signs of the patient, especially alterations in the blood pressure and pulse rate which may indicate the presence of bleeding. 4 Gastroenteritis Nursing Care Plans - Nurseslabs Diarrhea is often accompanied by urgency, anal discomfort, and incontinence. Her experience spans almost 30 years in nursing, starting as an LVN in 1993. Reducing the metabolic rate and intestinal irritation caused by circulating or local toxins promotes healing and helps to relieve pain. Here are four (4) nursing care plans (NCP) and nursing diagnoses for Gastroenteritis: Diarrhea. Only in the Nursing Diagnosis Manual will you find for each diagnosis subjectively and objectively sample clinical applications, prioritized action/interventions with rationales a documentation section, and much more! Teach the patient how to change the dressing aseptically and wound care. Medications such as antacids or histamine receptor blockers may be prescribed. It is vital to determine the source and cause of bleeding and intervene. Statement # 1 Empiric treatment of pyloriis not recommended. It is a serious condition that often requires emergency surgery. Monitor fluid volume status by measuring urine output hourly and measure nasogastric and other bodily drainage. 4. Assessment of relief measures to relieve the pain. In juvenile trauma patients, intestinal perforation occurs somewhere between 1% and 7% of the time. Recommend resuming regular activities gradually as tolerated, allowing for enough rest. The abdomen may also feel rigid and stick outward farther than usual. Assess the patients understanding of the current condition.This will help determine the need to provide more information about the patients condition and the topics that need to be addressed. The nurse anticipates that the assessment will reveal which finding? There are three major causes of peptic ulcer disease: infection with H. pylori, chronic use of NSAIDs, and pathologic hypersecretory disorders (e.g., Zollinger-Ellison syndrome). Nursing Care Plans and Interventions 1. To provide baseline data and determine is fluid and nutrient supplementation is required. Patients with achalasia are advised to eat slowly and to drink fluids with meals. Bowel perforation occurs when the intestinal wall mucosa is injured due to a violation of the closed system. To replace losses and improve gastrointestinal function. This indicates the capacity to resume oral intake and the resumption of regular bowel function. In: StatPearls [Internet]. Choices A, B, and D are proper interventions in providing pain control. Antiemetics reduce nausea and vomiting which may worsen abdominal pain. 3. 1. Common causes of perforation include trauma, instrumentation, inflammation, infection, malignancy, ischemia, and obstruction. (n.d.). Monitor for signs and symptoms of infection, such as fever and elevated heart rate. Patient will be free from any signs of infection or further complications. Peritonitis is the inflammation of the peritoneal cavity. Nursing Diagnosis: Dysfunctional Gastrointestinal Motility related to gastroesophageal reflux disease as evidenced by nausea and vomiting, abdominal cramping, and regurgitation. Assess the patients level of pain and pain characteristics.Patients typically describe a worsening of abdominal pain and distention with bowel perforation. Place the patient in the recumbent position with the legselevated to prevent hypotension, or place the patient onthe left side to prevent. Get answers to commonly nursing interventions and nursing management for effective treatment. Gastrointestinal Perforation - Cleveland Clinic Pain will become constant and worsen with movement or when increased pressure is placed on the abdomen. Symptoms of bowel perforation may include the following: When peritonitis occurs secondary to bowel perforation, the abdomen becomes tender and painful on palpation or when the patient moves. The pattern will assist the healthcare team in providing speedy, appropriate treatment and management. This includes measurements of all intake (oral and IV) as well as losses through vomiting, urine, and bloody stools. Determine the patients threshold for bearable pain and give them painkillers to stay within it. As a result, organs enclosed within the peritoneal cavity are exposed to digestive fluids, forming a hole through the wall of the organ. 2023 Nurseslabs | Ut in Omnibus Glorificetur Deus! Buy on Amazon, Ignatavicius, D. D., Workman, M. L., Rebar, C. R., & Heimgartner, N. M. (2020). Colloids (plasma, blood) increase the osmotic pressure gradient, which aids in the movement of water back into the intravascular compartment. 2. 4. Buy on Amazon. Nursing Interventions Nursing interventions for the patient may include: RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. Antipyretics lessen the discomfort brought on by a fever. Evaluate the patients skin color, moisture and temperature. These contents can range from feces from a more distal location of perforation to extremely acidic gastric contents in more proximal bowel perforation. Anna Curran. Note and report symptoms of perforation (sudden abdominal pain, referred pain to shoulders, vomiting andcollapse, extremely tender and rigid abdomen,hypotension and tachycardia, or other signs of shock). Evaluate for any signs of systemic infection or sepsis.Alterations in the patients vital signs, including a decrease in blood pressure, increased heart rate, tachypnea, fever, and reduced pulse pressure, can indicate septic shock, leading to vasodilation, fluid shifting, and reduced cardiac output. Evaluate the patients support system.Patients who undergo serious abdominal surgery will likely require support in the hospital and at discharge. This care plan handbook uses an easy, three-step system to guide you through client assessment, nursing diagnosis, and care planning. Clients description of response to pain. Encourage the client to restrict the intake of caffeine, milk, and dairy products.These food items can irritate the lining of the stomach, hence may worsen diarrhea. Gastric Perforation Article - StatPearls 3. In addition to the typical symptoms of a bowel perforation, symptoms of peritonitis might include: The underlying causes of bowel perforation can be categorized based on their anatomic location, however many etiologies are overlapping, and these may include: Bowel perforation can also be caused by medical procedures involving the abdomen which may include: Bowel perforation in children is most likely to occur after abdominal trauma. Effective nursing care is essential for patients with gastrointestinal bleeding to alleviate symptoms, lower the risk of complications, and promote patient psychological well-being and prognoses. Desired Outcome: The patient will pass stool within 48 hours post-appendectomy. Assess dietary habits, intake, and activity level. Unresolved diarrhea may result in fluid and electrolyte imbalances that may cause cardiac complications. Here are four (4) nursing care plans (NCP) and nursing diagnoses for Gastroenteritis: Diarrhea is a common symptom of acute gastroenteritis caused by bacterial, viral, or parasitic infections because these microorganisms can damage the lining of the digestive tract and lead to inflammation, which can cause fluid and electrolytes to leak from the body. Thank you Marianne! This article looks at . NURSING | Free NURSING.com Courses The introduction of antibiotics to eradicate H. pylori and of H2 receptor antagonists as a treatment for ulcers has greatly reduced the need for surgical interventions. In some cases, a temporary colostomy may be required to allow the bowel to heal. Irregular mealtimes may cause constipation. Patients presenting with abdominal pain and . To make up for blood and fluid loss and to keep GI circulation and cellular function intact, IV fluids, blood products, and electrolytes are often required.
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