Sample of Nursing Diagnosis - Interventions for Gastritis

Tuesday, July 10, 2012 ·
Nursing Diagnosis for GastritisNursing Care Plan for Gastritis : Sample of Nursing Diagnosis and Nursing Interventions


1. Nursing Diagnosis: Risk for Fluid Volume Deficit related to inadequate intake and excessive fluid output (nausea and vomiting)

Goal:
After nursing actions, adequate fluid intake.

Expected outcomes are:
  • The mucosa of the lips moist
  • Good skin turgor
  • Good capillary refill
  • Input and output balanced
Nursing Interventions:
  • Fill your individual needs. Encourage clients to drink.
  • Provide additional IV fluids as indicated.
  • Monitor vital signs, evaluation of skin turgor, capillary refill and mucous membranes.
  • Collaboration: the provision of drugs.
Rational:
  • Adequate fluid intake will reduce the risk of patient dehydration.
  • Replacing lost fluids and improve fluid balance in the immediate phase.
  • Indicate the status of dehydration or the possibility of the need to increase fluid replacement.
  • Provision of drugs serves to inhibit gastric acid secretion.
2. Nursing Diagnosis: Acute pain related to irritation of the gastric mucosa secondary to psychological stress.

Goal:
After the act of nursing, pain can be reduced, patients can rest and generally good condition.

Expected outcomes are:
  • Clients express the pain diminished or disappeared.
  • The client does not grimace in pain.
  • Vital signs are within normal limits.
  • The pain intensity was reduced (reduced pain scale 1-10).
  • Demonstrate relax, rest, sleep, increased activity quickly.
Nursing Interventions:
  • Investigate complaints of pain, note the location, intensity of pain, and pain scale.
  • Instruct patient to report pain as soon as it began.
  • Monitor vital signs.
  • Explain the causes and effects of pain on the client and his family.
  • Encourage rest during the acute phase.
  • Encourage relaxation techniques.
  • Provide an environment conducive situation.
  • Collaboration with the medical team in the delivery of the action.
Rationale:
  • To find out where the pain and facilitate interventions to be performed.
  • Early intervention to facilitate recovery of muscle control pain by decreasing muscle tension.
  • Autonomic responses include, changes in blood pressure, pulse, respiration, associated with pain relief.
  • With the causes and consequences of pain the client is expected to participate in treatment to reduce pain.
  • Reduce pain that was exacerbated by movement.
  • Decrease muscle tension, increase relaxation, and increased sense of control and coping abilities.
  • Provide support (physical, emotional, increased sense of control, and coping skills).
  • Eliminate or reduce the client's complaints of pain.

3. Nursing Diagnosis : Imbalanced Nutrition: Less Than Body Requirements related to the lack of food intake.

Goal:
After the patient's nutritional needs of nursing actions are met.

Expected outcomes are:
  • General condition is quite
  • Good skin turgor
  • Increased weight
  • Difficulty swallowing is reduced
Nursing Interventions :
  • Instruct patient to eat small meals but frequently.
  • Give soft foods.
  • Perform oral hygiene.
  • Measure weight basis.
  • Texture observation, the patient's skin turgor.
  • Observations of nutritional intake and output.
Rationale:
  • Keeping the patient remained stable nutritional prevent nausea and vomiting.
  • To facilitate the patient to swallow.
  • Oral hygiene can stimulate the appetite of the patient.
  • Knowing the development of nutritional status of patients.
  • Knowing a patient's nutritional status.
  • Knowing a patient's nutritional balance.

0 komentar:

Recent Posts

Nursing Interventions