Develop a nursing care plan for a patient with cholecystitis.
1. Make sure you include all the phases of the nursing process
2. Provide a brief discharge planning
3. Give some teaching examples correlating with the teaching plan (e.g. cholecystitis.).
4. Provide NANDA nursing diagnosis only.
5. Provide a teaching plan for this pathology.
1, Nursing process for Cholecystitis:
cholecystitis is the inflammation of the gall bladder..when there
is blockage between gall bladder and small intestine,bile
accumulate inside the gall bladder and cause inflammation..surgical
removal of the gall bladder is needed..
patient have a symptoms of nausea,loss of appetite,abdomen pain and
there will be signs fever,vomiting,jaundice,abnormal lab
values,clay-colored stools..
Nursing process included in cholecystitis
-Assess the vital signs,patient may have fever,tachycardia due to
inflammation...
- listen abdomen sounds for belching,look for distention,feel for
tenderness.
- make IV access ready for any surgical procedures..IV solution
administration and medication..
-We can control the symptoms pain with medication..make patient
comfortable in bed with semi-fowler's position
-Provide adequate bed rest
-administer antibiotics,Antiemetics,Analgesics to manage the
symptoms as per doctors advice..
-Do routine blood investigation of liver function test,urinalysis,
ultrasound,CT, MRI, as per physician order.
-Prepare patient for diagnostic procedure for endoscopic retrograde
cholangio pancreatography(ERCP) and Hepatobiliary Iminodiacetic
Acid scan(HIA) for investigation..
2, Discharge planning:
-Advice patient about weight control,encourage diet and
exercise.
- Advice to avoid foods like pork,gravies,butter,fried foods
etc..
- Advice to avoid alcohol,coffee,tea etc..
-advice to avoid gas producing foods like cabbage,beans,carbonated
beverages..
-advice to come for routine followup
-If there is any pain or any side effects increased should contact
the doctor immediately
- Add fiber rich diet
3, encourage the patient to eat low fat diet to reduce the
weight..low fat diet in cholecystitis helps to reduce the weight
and prevent fat deposition in the gall bladder..
advice patient to do regular exercise and eat three balance meal
every day..In cholecystitis it helps for weight reduction and
reduce pain.
4, NANDA nursing diagnosis:
Acute pain:
- Check pain scale the level of pain for the patient
-Administer pain medication and Anticholinergic as per doctor
advice..
- Promote adequate bed rest
-Provide relaxation technique and make pleasant environment..
Fluid volume Deficient:
- Monitor intake and output record
- Assess patient skin and mucous membrane for any dehydration
- Administer Intravenous solution infusion as per doctor
advice..
Imbalanced nutrition:
- Calculate patient nutrition requirement.
-check patient weight daily
- Provide pleasant atmosphere at meal time
- Get dietition opinion for nutrition requirement
-check patient abdomen distension and pain, and bowel sound
- Increase activity as tolerated.
Knowledge Deficit:
- Explain patient about their condition,test procedure and
followup..
-Keep proper communication with patient and family to avoid
fear..
- Advice to avoid high fat,gas producers etc..
-Explain about signs and symptoms..
-Explain about comfortable position (semi-fowlers) after
meal.
- advice to avoid aspirin and it containing products..
Develop a nursing care plan for a patient with cholecystitis. 1. Make sure you include all...
Develop a nursing care plan for a patient with cholecystitis. 1. Make sure you include all the phases of the nursing process 2. Provide a brief discharge planning 3. Give some teaching examples correlating with the teaching plan (e.g. cholecystitis.). 4. Provide NANDA nursing diagnosis only. 5. Provide a teaching plan for this pathology.
Develop a nursing care plan for a patient with cholecystitis. 1. Make sure you include all the phases of the nursing process 2. Provide a brief discharge planning 3. Give some teaching examples correlating with the teaching plan (e.g. cholecystitis.). 4. Provide NANDA nursing diagnosis only. 5. Provide a teaching plan for this pathology.
Develop a nursing care plan for a patient with cholecystitis. 1. Make sure you include all the phases of the nursing process 2. Provide a brief discharge planning 3. Give some teaching examples correlating with the teaching plan (e.g. cholecystitis.). 4. Provide NANDA nursing diagnosis only. 5. Provide a teaching plan for this pathology.
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Create a care plan for a patient with visually impaired problem related to a history of diabetes: - Make sure you include all the phases of the nursing process - Provide a brief discharge planning - Give some teaching examples correlating with the teaching plan (e.g. Visual impairment). - Provide NANDA nursing diagnosis only. - Provide appropriate definition for the following terminology: - Vision acuity - Glaucoma - Retinal detachment ...
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