An inguinal hernia is a protrusion of abdominal-cavity contents through the inguinal canal. Symptoms are present in about 66% of affected people. This may include pain or discomfort especially with coughing, exercise, or bowel movements. Often it gets worse throughout the day and improves when lying down. A bulging area may occur that becomes larger when bearing down. 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. (wikipedia)
Assessment
Baseline assessment in hernia patients is found in the inguinal area, occupational history, usually lifting heavy objects, pain felt like being pierced by a knife which will worsen with the presence of coughing and sneezing (Baradero, 2005).
Discharge Planing in patients with Lateral Inguinal Hernia is to avoid straining, lifting heavy objects, keeping surgical wound dressing dry and clean (Baradero, 2005).
Nursing Diagnosis According to NANDA (2005)
Nursing diagnoses that appear in cases of Lateral Inguinal Hernias are:
1. Before surgery
Acute / chronic pain related to pinching of the intestine in the latter area
Anxiety related to lack of knowledge about health conditions, surgery plans
2. During surgery
Risk for infection related to invasive procedures, tissue damage and increased environmental exposure.
Risk for injury related to the use of instrument and anesthesia treatment.
Deficient fluid volume related to surgery.
3. After surgery
Acute pain related to surgical incision wounds
Deficient knowledge; about illness, care and treatment related to lack of information, not knowing the sources of information.
Assessment
Baseline assessment in hernia patients is found in the inguinal area, occupational history, usually lifting heavy objects, pain felt like being pierced by a knife which will worsen with the presence of coughing and sneezing (Baradero, 2005).
Discharge Planing in patients with Lateral Inguinal Hernia is to avoid straining, lifting heavy objects, keeping surgical wound dressing dry and clean (Baradero, 2005).
Nursing Diagnosis According to NANDA (2005)
Nursing diagnoses that appear in cases of Lateral Inguinal Hernias are:
1. Before surgery
Acute / chronic pain related to pinching of the intestine in the latter area
Anxiety related to lack of knowledge about health conditions, surgery plans
2. During surgery
Risk for infection related to invasive procedures, tissue damage and increased environmental exposure.
Risk for injury related to the use of instrument and anesthesia treatment.
Deficient fluid volume related to surgery.
3. After surgery
Acute pain related to surgical incision wounds
Deficient knowledge; about illness, care and treatment related to lack of information, not knowing the sources of information.
