A hernia occurs when an internal part of the body pushes through a weakness in the muscle or surrounding tissue wall.
An inguinal hernia is a protrusion of abdominal-cavity contents through the inguinal canal. The inguinal canal resides at the base of the abdomen. Both men and woman have an inguinal canal. In men, the testes usually descend through this canal shortly before birth. Inguinal hernias occur more often on the right than left side. The main concern is strangulation, where the blood supply to part of the intestine is blocked. This usually produces severe pain and tenderness of the area.
Ethology
a. Congenital
Muscle weakness or muscle intra-abdominal pressure one of the predisposing factors.
b. Obesity
One cause increased intra-abdominal pressure due to more fat clogged and encourage peritoneum.
c. Straining
Straining causes increased intra-abdominal pressure
d. Lift heavy weights
Lift heavy weights can cause intra-abdominal pressure.
Nursing Management
a. Assess for signs of strangulation.
b. Perform post-operative care: inguinal hernia requires surgical repair.
c. The nurse's responsibility to post operative care, among others:
Assess the wound: observe the incision to redness or drainage, monitor the temperature.
Maintain good hydration status: give IV fluids if programmed, monitor fluid intake and output, improved diet.
Increase comfort: give analgesics as needed, to clients undergoing hydrocelectomy use a bag of ice to help relieve the pain and swelling as indicated.
Nursing Assessment
1. Activity / rest
Symptoms: a history of work that needs to lift heavy objects, sitting and driving for a long time.
2. Circulation
Symptoms: constipation, difficulty in defecation, presence of urinary incontinence or urinary retention.
3. Integrity ego
Symptoms: fear of the onset of paralysis, anxiety about work, financial and family.
Signs: looked anxious, depressed, and shy away from the family / people nearby.
4. Neuoro sensory
Symptoms: tingling, stiffness, and weakness of the hands and feet.
Signs: decreased deep tendon reflexes, muscle weakness and hypotonia.
5. Pain or comfort
Symptoms: pain like a knife wound, which will be worsened by coughing, sneezing, body bending and lifting, defecation, and pain.
Signs: how to lean on the affected body part, changes in gait, walking with a limping, and waist lifted in the affected body part.
6. Security
Symptoms: a history of problems "back" just happened.
7. Extension or learning
Symptoms: lifestyle, monotonous or hyperactivity.
8 Nursing Diagnosis
1. Acute pain r / t traumatized tissue (pinched intestine)
2. Acute pain r / t tissue trauma postoperative (surgical incision)
3. Risk for fluid volume deficit r / t bleeding.
4. Risk for infection r / t Inadequate primary defenses.
5. Risk for imbalanced nutrition: less than body requirements r / t inability to digest food.
6. Anxiety / fear r / t change in health status.
7. Activity intolerance r / t the body's response due to post-op wounds.
8. Activity intolerance r / t general weakness.
An inguinal hernia is a protrusion of abdominal-cavity contents through the inguinal canal. The inguinal canal resides at the base of the abdomen. Both men and woman have an inguinal canal. In men, the testes usually descend through this canal shortly before birth. Inguinal hernias occur more often on the right than left side. The main concern is strangulation, where the blood supply to part of the intestine is blocked. This usually produces severe pain and tenderness of the area.
Ethology
a. Congenital
Muscle weakness or muscle intra-abdominal pressure one of the predisposing factors.
b. Obesity
One cause increased intra-abdominal pressure due to more fat clogged and encourage peritoneum.
c. Straining
Straining causes increased intra-abdominal pressure
d. Lift heavy weights
Lift heavy weights can cause intra-abdominal pressure.
Nursing Management
a. Assess for signs of strangulation.
b. Perform post-operative care: inguinal hernia requires surgical repair.
c. The nurse's responsibility to post operative care, among others:
Assess the wound: observe the incision to redness or drainage, monitor the temperature.
Maintain good hydration status: give IV fluids if programmed, monitor fluid intake and output, improved diet.
Increase comfort: give analgesics as needed, to clients undergoing hydrocelectomy use a bag of ice to help relieve the pain and swelling as indicated.
Nursing Assessment
1. Activity / rest
Symptoms: a history of work that needs to lift heavy objects, sitting and driving for a long time.
2. Circulation
Symptoms: constipation, difficulty in defecation, presence of urinary incontinence or urinary retention.
3. Integrity ego
Symptoms: fear of the onset of paralysis, anxiety about work, financial and family.
Signs: looked anxious, depressed, and shy away from the family / people nearby.
4. Neuoro sensory
Symptoms: tingling, stiffness, and weakness of the hands and feet.
Signs: decreased deep tendon reflexes, muscle weakness and hypotonia.
5. Pain or comfort
Symptoms: pain like a knife wound, which will be worsened by coughing, sneezing, body bending and lifting, defecation, and pain.
Signs: how to lean on the affected body part, changes in gait, walking with a limping, and waist lifted in the affected body part.
6. Security
Symptoms: a history of problems "back" just happened.
7. Extension or learning
Symptoms: lifestyle, monotonous or hyperactivity.
8 Nursing Diagnosis
1. Acute pain r / t traumatized tissue (pinched intestine)
2. Acute pain r / t tissue trauma postoperative (surgical incision)
3. Risk for fluid volume deficit r / t bleeding.
4. Risk for infection r / t Inadequate primary defenses.
5. Risk for imbalanced nutrition: less than body requirements r / t inability to digest food.
6. Anxiety / fear r / t change in health status.
7. Activity intolerance r / t the body's response due to post-op wounds.
8. Activity intolerance r / t general weakness.
