Friday, January 11, 2013

Nursing Care Plan for Hemorrhoids

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hemorrhoids

Nursing Care Plan for Hemorrhoids
Pre-operative Nursing Diagnosis and Nursing Interventions
Impaired sense of comfort: acute pain related to the mass of the anal or anus, anal area marked lumps, pain and itching in the anal region

PURPOSE:
To fulfill the criteria of comfort with reduced pain itching reduced mass decreases.

INTERVENTION:

1. Give soak seat
Rationalization: Reduce local discomfort, reduce edema and promote healing.
2. Give lubricant during defecation wouldRationalization: Assist in the conduct of defecation so it does not need straining.
3. Give a diet low in residual
Rationalization: Reduce stimulation of the anus and weaken the feces.
4. Instruct the patient to do a lot of standing or sitting (must be in balance).
Rationalization: The force of gravity will affect the incidence of hemorrhoids and sitting can increase intra-abdominal pressure.
5. Observation of patient complaints
Rationalization: It helps to evaluate the degree of discomfort and lack of effectiveness of actions or states of complications.
6. Provide an explanation of the emergence of pain and explain briefly
Rationalization: Education about it helps in patient participation to prevent / reduce pain.
7. Give the patient suppository
Rationalization: It can soften the stool and can reduce the patient to avoid straining during defecation.


Post-operative Nursing Diagnosis and Nursing Interventions
Impaired sense of comfort: acute pain related to the sutures in surgical wound

PURPOSE:
Fulfillment of comfort with the criteria there is no pain, and patients can perform light activity.

INTERVENTION:

1. Give the patient a pleasant sleeping position.
Rationalization: May decrease the voltage of the abdomen and increase the sense of control.

2. Change the bandage every morning according to aseptic techniques
Rationalization: Protecting the patient from cross contamination during replacement of bandages. Wet bandage acts as an absorber of external contamination and cause discomfort.

3. Exercise road as early as possible
Rationalization: It can reduce the problems that occur due to immobilization.

4. Observation of the rectal area if there is bleeding
Rationalization: Bleeding on the network, local imflamasi or the occurrence of infection may increase the pain.

5. Chimney anus is released according to physician advice (orders)
Rationalisation: Improve physiological functions anus and gives comfort to the patient's anal region because there is no blockage.

6. Provide an explanation of the purpose of installation of flue-anus (anus to funnel to drain the remnants of bleeding that occurs in order to get out).
Rationalization: Knowledge of the benefits of the chimney can make the patient understand the anus to funnel anus to cure the wound.
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