Nursing Care Plan for Diverticulitis
1. Risk for Impaired Tissue Integrity: peristomal are related to sensitivity to the materials used.
Goal: Maintain the integrity of the peristomal tissue.
Expected outcomes: Peristomal skin and tissue remain intact.
Interventions:
Post-colostomy
- Give pectin, containing methylcellulose, solid-shaped skin barrier
- around the stoma.
- Give the system a two-sheet pouch or bag with the access cover.
- Empty the bag when the full one-third to one-half by faeces
- or gas.
Rationale:
- To protect the peristomal skin from contact with feces, which will
- cause irritation.
- In order stoma can be inspected for its contents every 12 to 24 hours.
- To maintain the seal bag remains safe.
2. Knowledge Deficit related to the surgical procedure, routine preoperative and postoperative care.
Expected outcomes:
- Patients express knowledge of surgical procedures, including preoperative preparation and sensation, and demonstrated postoperative exercises and using the tool prior to surgical procedures or in emergency surgery, during the immediate postoperative period.
Intervention
- Assess the patient's understanding of the diagnosis, surgical procedures, routine preoperative and postoperative program.
- Clarification and explain the diagnosis and surgical procedures as needed.
- Allow time for patients to ask questions and express feelings of anxiety; be calming and supportive.
- Determining the surgical experience of the past and the positive or negative effects on the patient. Assessing the nature of the problem or fear with regard to surgery. And document assessment and inform others involved in patient care.
- Provide written information simple to reinforce the lesson.
Rationale:
Provide written and verbal information in the native language of the patient. Willing to accommodate the main problem.
To document the backflow of normal bowel function.
3. Chronic pain related to obstruction.
Goal : The quality of the patient's pain felt lost or reduced.
Expected outcomes:
- In 1 hour intervention, patients' subjective perception of discomfort decreased, documented by pain scale.
- Patients did not show indicators nonverbal pain.
- Indicator autonomic reduced or absent.
- Verbal response, such as crying or moaning; no.
Interventions:
- Develop a systemic approach to the management of pain for each patient.
- Monitor patients at frequent intervals for inconvenience. Use of formal methods of pain assessment.
- Evaluation of patients with acute and chronic pain to nonverbal indicator of discomfort.
- Evaluation of patients with acute pain of the autonomic indicators.
- Evaluation of the patient's medical history against the use of alcohol or drugs.
- To achieve the best results, the primary nurse should collaborate with a team of pain control, surgeons, anatesi, and patients.
- One method allows the patient to stretch discomfort on a scale of 0 (no discomfort) to 10 (worst pain). Other methods can be used, but the method chosen must be used consistently.
- Be aware that patients with chronic pain (more than 6 months) may not be
- show autonomic responses.
- Positive history of addiction to alcohol or drugs that affect the effective dose of analgesics (ie. It may take more or less). Consultation control pain when available. All health care providers should be consistent in barring the situation while providing effective control of pain through pharmacological and non-pharmacological methods. Psychiatric consultation may be required.
Nursing Care Plan for Diverticulitis
