nursing care plan for bowel perforation
INTESTINAL OBSTRUCTION SWATILEKHA DAS M.SC NURSE 2. Goal: Client expressed pain diminished or disappeared. Learn about your health condition and how it may be treated. This membrane is called the peritoneum. For related articles and author guidelines visit our online archive at www.nursing-standard.co.uk and search using the keywords Caring for the patient with an intestinal obstruction Time out 1 Spend a moment thinking about the structure and function of the gastro-intestinal tract. She lives alone in a low-income housing complex for elders. Intestinal obstruction with Nursing Management 1. CARE AGREEMENT: You have the right to help plan your care. A perforated bowel is a hole or tear that occurs anywhere in the lower part of the digestive system, which includes the stomach, small intestine, and colon. This nursing care plan is for patients who are experiencing bowel incontinence. This most often affects children between 3 months and 3 years of age and can be a serious, life-threatening emergency. This hole allows bile and digestive contents into the peritoneal cavity. Bowel perforation and the spread of blood, bacteria, and chemical irritants can cause diminished or absent bowel sounds. Auscultate bowel sounds, noting absent or hyperactive sounds. Intervention: 1. Note presence of vomiting, diarrhea. Give drug therapy according to the program: 2. Etiology. Discuss treatment options with your healthcare providers to decide what care you want to receive. Some of these reasons include: impaired control of rectal sphincter, cognitive impairment, over distention of the rectum due to fecal impaction, just to name a few. This article has been subject to double-blind review. Desired Outcome: The patient will be able to re-establish normal bowel elimination. You always have the right to refuse treatment. A bowel perforation could become life-threatening with or without treatment. Nursing Interventions. Nursing Diagnosis: Constipation related to inflammatory process of diverticulitis as evidenced by type 1-2 stools on Bristol stool chart, inability to open bowels in the last 3 days, irritability. Nursing Care Plan 4. INTRODUCTION An intestinal obstruction is a potentially serious condition in which the intestines are blocked. The blockage may be either partial or complete, occurring at one or more locations. Nursing Care Plan helping nurses, students / professionals, creating NCP in different areas such as medical surgical, psychiatric, maternal newborn, and pediatrics. Bowel sounds in the chest may signal a ruptured diaphragm with herniation of the small bowel into the thoracic cavity. 4 Nursing Diagnosis and Interventions for Peptic Ulcer 1. Nursing Interventions For Bowel Perforation - What is it and What Do I Do About it Bowel Perforation A bowel perforation occurs when a hole is formed somewhere within the gastrointestinal (GI) tract: the stomach, the small intestine, or the large intestine. Acute pain related to irritation of the mucosa and muscle spasms. The cause is not known exactly. Patients can experience bowel incontinence for numerous reasons. Causes of peritonitis Most often, peritonitis is caused by the introduction of an infection from a perforation of the bowel such as a ruptured appendix or diverticulum. Her two chil-dren live with their families in a city approximately 150 miles away. Definition of Peritonitis Peritonitis is an inflammation of the membrane which lines the inside of the abdomen and all of the internal organs. NURSING CARE PLAN Altered Bowel Elimination ASSESSMENT DATA NURSING DIAGNOSIS DESIRED OUTCOMES Nursing Assessment Mrs. Emma Brown is a 78-year-old widow of 9 months. Rationale: Although bowel sounds are frequently absent, inflammation and irritation of the intestine may be accompanied by intestinal hyperactivity, diminished water absorption, and diarrhea. Nursing Index. Instruct to avoid drugs are sold freely, especially those containing salicylates. Monitor NG tube output. Tissue death, bowel perforation and infection may occur. .