C. Pylorus. Since analgesics can conceal symptoms and indications, they may be withheld throughout the first diagnostic process. Frequently change the patients position. 3. Pain is typically very bad, and narcotic painkillers may be necessary. Intestinal Obstruction: Evaluation and Management | AAFP Imbalanced Nutrition: Less Than Body Requirements. Assess and monitor the patients NG tube output. B. This provides information about organ function and hydration. D. Staphylococcus aureus. Restrict intake of caffeine, milk, and dairy products. Immediate medical care must be provided to patients with bowel perforation to prevent complications. Certain drugs can slow down peristalsis and contribute to constipation, i.e. 3. The treatment is symptomatic, although cases of bacterial and parasitic infections require antibiotic therapy. In: StatPearls [Internet]. 6. Keep all abdominal drains, incisions, open wounds, dressings, and invasive sites sterile at all times. Monitor the patients skin moisture, color, and temperature.Warm, dry, and flushed skin are early signs of sepsis. Antacids without aspirin and proton pump inhibitors may alleviate heartburn. Encourage the patient to follow up with care.Monitoring after surgical intervention for bowel perforation is essential to avoid complications like a fistula or hernia. RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. Encourage to increase physical activity and exercise as tolerated. New to this edition are ICNP diagnoses, care plans on LGBTQ health issues, and on electrolytes and acid-base balance. This exposes the structures within the peritoneal cavity to gastrointestinal contents. These notes are a-mazing! Unresolved diarrhea may result in fluid and electrolyte imbalances that may cause cardiac complications. The nurse can assess by asking the patient to rate their pain with the use of pain assessment tools applicable to the patient and determine whether the pain is constant, aching, stabbing, or burning. Recommend patient to maintain a normal weight, or to lose weight if needed. Her nursing career has led her through many different specialties including inpatient acute care, hospice, home health, case management, travel nursing, and telehealth, but her passion lies in educating through writing for other healthcare professionals and the general public. To maintain H&H, administer blood products as necessary. Any bleeding that takes place in the gastrointestinal tract is referred to as gastrointestinal (GI) bleeding. For more information, check out our privacy policy. Teach the patient how to change the dressing aseptically and wound care. Desired Outcome: The patient will practice appropriate behaviors to assist with resolution of condition. Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. National Center for Biotechnology Information. Peptic Ulcer Nursing Care Plan 1 Nursing Diagnosis: Imbalanced Nutrition: Less than Body Requirements related to abdominal pain secondary to Peptic Ulcer Disease, as evidenced by burning stomach pain, bloating, weight loss, nausea and vomiting, loss of appetite, heartburn Patients presenting with abdominal pain and . Eating or drinking contaminated food or water predisposes the patient to intestinal infection. Desired Outcome: The patient will demonstrate improved fluid balance as evidenced by stable vital signs, adequate urinary output with normal specific gravity, moist mucous membranes, prompt capillary refill, good skin turgor, and weight within normal range. Nursing Care Plans Related to Gastrointestinal Bleed Due to the regurgitation of food, a common complication is aspiration pneumonia. Patient will be able to verbalize relief or control of pain. Take note if the patient is experiencing vomiting or diarrhea. A hole in your stomach or small intestine can leak food or digestive fluids into your 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. Anna Curran. Peptic Ulcer Disease Nursing Care and Management - Nurseslabs Evaluate the patients skin color, moisture and temperature. [Updated 2022 Oct 24]. Please visit our nursing test bank for more NCLEX practice questions. A peptic ulcer may be referred to as a gastric, duodenal, or esophageal ulcer, depending on its location. Discover the key nursing diagnoses for managing inflammatory bowel disease. Bowel Perforation - StatPearls - NCBI Bookshelf 1. Gastrointestinal Care Plans Care plans covering the disorders of the gastrointestinal and digestive system. Management of Patients with Gastric and Duodenal Disorders. If left untreated, this may further develop to sepsis or worse, death. Cleveland Clinic. Monitor intake and output.To track and record trends, the nurse must maintain precise intake and output (I&O) documentation. Auscultate the bowels for irregular, absent, or hyperactive bowel sounds. Good content you are having on this page loved to be a member of this page keep up the good work guyz, you are doing a great job for awareness. Nursing diagnoses handbook: An evidence-based guide to planning care. Symptoms of ulcer may last for a few days, weeks, months, and may disappear only to reappear, often without an identifiable cause. Buy on Amazon. The patient will verbalize an understanding of the individual risk factor(s). Doenges, M. E., Moorhouse, M. F., & Murr, A. C. (2019). 2. Other recommended site resources for this nursing care plan: More nursing care plans related to gastrointestinal disorders: document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Paul Martin R.N. Stopping the source of gastrointestinal bleeding will also control the fluid volume deficiency. The pattern will assist the healthcare team in providing speedy, appropriate treatment and management. - Identify and limit foods that aggravate condition or cause increased discomfort. 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! Administer medications as ordered: antidiarrheals. The nurse can ask and observe for coping mechanisms that the patient uses. 4. Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. The ingestion of foods contaminated with chemicals (lead, mercury, arsenic) or the ingestion of poisonous species of mushrooms or plants or contaminated fish or shellfish can also result in gastroenteritis. Peptic ulcers occur mainly in the gastroduodenal mucosa. Constipation is a condition wherein there is an abnormal decrease in frequency or irregularity of defecation.
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