Rationale: To identify presence of iron-deficiency anemia. Thus, this diagnosis is not specific for this type of surgery, but for patients with increased environmental exposure to pathogens. Client will experience no, or less, pain during the post-surgery recovery period. • It is the protrusion of an organ or part of an organ through the. Share this document. An inguinal hernia happens when the intestine or the bladder bulges through the abdominal wall or into the inguinal canal in the groin. Tables with the description of the diagnostic reasoning, along with the respective formulated diagnoses and the data collection instrument, were handed over to three registered nurses with extensive experience in nursing diagnosis issues (teaching, care and research), in order to confirm the diagnoses identified by the author or not, or to include new diagnoses. Nursing diagnosis identification in a group of patients provides knowledge about altered human answers, thus contributing to the development of oriented and individualized nursing interventions. Inguinal Hernia – The tear in the abdominal wall leading to protrusion of abdominal tissues like the intestinal tissue through a weak spot, is known as inguinal hernia. • Inguinal hernia, Umbilical hernia, Incisional or ventral hernia, and Hiatal hernia. Assist with the reduction in caloric intake. Hiatal hernia how diagnosed. Table 2 presents the real diagnoses with the related factors identified in the study patients. Pairing food with other activities.
Dysphagia or difficulty swallowing. The drain sponge is placed into a loose stitch so that the remains of blood and ichor from the wound could be eliminated from the organism. Impaired swallowing. Nursing Care Plan & Diagnostics: Hiatal Hernia - 1992 Words | Case Study Example. As well, such an approach will allow tracing and eliminating any side-effects of the medication on the client. Nursing Diagnosis: Deficient Knowledge related to lack of information about postoperative care secondary to hernia as evidenced by requesting details about allowed daily activities, proper wound care, diet plan, bathing, and appropriate comfort measures. • It is classified by location. Sliding hernia may cause dysphagia, heartburn (with or without regurgitation of gastric contents into the mouth), or restrosternal or substernal chest pain from gastric reflux. Client will have increased knowledge of actions that reduce reflux. Imbalanced Nutrition: Less Than Body Requirements.
This type of hernia is less common among men, but greatly affects older women, especially pregnant and obese. Upper gastric intestinal series with barium contrast shows outline of hernia in esophagus. Encourage small frequent meals of high calories and high protein foods.
Rationale: Facilitates adeuqate nutritional intake and calorie reduction. Lose weight if necessary. Returned to the abdominal cavity, it is. 2004 July-September; 41(3):155-61. They should try to eat smaller meals, so maybe like five smaller meals as opposed to three large meals.
Rationale: Used to identify the type and extent of tissue damage. Nursing Cheatsheets. Nurse's Pocket Guide Diagnoses, Prioritized Interventions, and Rationales (11th ed. Food should be cut into small pieces. Nursing diagnosis hiatal hernia. It affects both men and women. So aspiration pneumonia is where food or liquid ends up down in the airways, so in the lungs, and that causes inflammation and infection. His respiratory rate fluctuates between 18 and 20 breathing per minute. The care plan I developed for my patient obviously has all these obligatory elements.
Nursing diagnoses in specific patient groups have been the focus of a variety of studies; however, few have focused on the diagnoses of preoperative patients, regardless of the surgery. The patient displays normal levels of activity. Aschenbrenner, D. (2008). Rationale: Alcohol can increase the production of stomach acid and can also lower the esophageal sphincter, which allows stomach acids to move up into the esophagus. Gastroesophageal Reflux Disease Nursing Care Plan & Management. In terms of patient teaching, we want to advise our patient to avoid fatty, fried, and spicy foods. Carry out regular monitoring of the patient's condition regarding the post-surgical pain and the effectiveness of the administered medication.
Thus, you can expect the best services from our staff. Rationale: The tube interferes with sphincter integrity and allows reflux, especially when the patient lies flat. Os diagnósticos de enfermagem identificados com freqüência maior que 50% foram: deglutição prejudicada (100%), risco para infecção (100%), conhecimento deficiente sobre a doença e período perioperatório (95%) e dor crônica (75%). Symptoms mimicking those of a heart attack. 278704181-Hiatal-Hernia-Nursing-Care-Plan-Risk-for-Aspiration.doc - NURSING DIAGNOSIS Risk For Aspiration Related to Reflux of Gastric Contents Defining | Course Hero. My patient is a 30-year old white American, who was hospitalized with complaints about sharp and acute pain in his neck and shoulders. Avoid lifting heavy objects. Note: A risk diagnosis is not evidenced by signs and symptoms as the problem has not yet occurred and the goal of nursing interventions are aimed at prevention.
Straining related to constipation has a major role in increasing intra-abdominal pressure and increasing the risk of hernia formation. Another risk factor related to this diagnosis and observed in 15 patients was the performance of invasive procedures with the presence of venous punctures. Also, a low fiber diet resulting in constipation is related to the increased risk of hernia. Teach the patient dietary changes to reduce reflux. Pain in the groin is experienced most of the time, commonly when bending over, coughing, and lifting heavy objects. Wire or mesh over the defect. In terms of signs and symptoms, the patient will exhibit dyspepsia, which is a fancy name for indigestion.
Among the studies found, the most frequent diagnoses were: Risk for infection (100%), Risk for ineffective breathing pattern (66. 6%), Impaired physical mobility (3. Carvalho EC, Jesus CAC. • Often are congenital, caused by. Another hypothesis is that there would be a relationship between the great number of patients who presented the diagnosis of Deficient knowledge and the small number of patients who presented the diagnosis of Anxiety because, although lack of knowledge can lead to anxiety, lack of information can also be a minimizing factor. Only after they complete this training, are they assigned to you. Patients who have frequent coughs secondary to smoking, bronchitis, asthma, COPD, acid reflux, or post-nasal drip are at risk of developing an inguinal hernia. Several techniques will allow selecting the most effective one; – Monitoring will condition the proper choice of technique (Muller-Staub, et al., 2008, p. 293). The patient can also properly formulate his needs and wishes. 31. form of discount special customer treatment gift customer purchase product. Pyrosis (i. e. burning sensation in the esophagus). Intolerance of fatty foods. Care24's trained nurses provide high quality home care nursing services for hospital like care at home. Hernias are generally classified into two categories, based on their position.
But if the patient wants something like coffee, you have to mix this special thickening powder in with the coffee to thicken those liquids, which makes it easier to swallow. The patient can fall asleep during bedtime without taking any medications. Identify amount of weight loss needed for optimal body size and frame. Refraining from lying down for at least 1 hour after meals. Report this Document. Obtain a nutritional history. Share on LinkedIn, opens a new window. The factor related to the effects of esophageal cancer was associated to pain in patients who presented a medical diagnosis of esophageal cancer (2). Hiatus Hernia Nursing Care Plan Features: Identifies the symptoms and issues experienced. They should avoid eating right before bedtime. Glendale (CA): North American Nursing Diagnoses Association; 2002. p. 211-4.
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