Pain related to Distention - Nursing Diagnosis for Abdominal Pain

-
Pain related to Distention - Nursing Diagnosis for Abdominal Pain

Abdomen is the part of the body between the thorax and the pelvis, which is separated from the thorax by a diaphragm and from the true pelvis by an imaginary plane. Anteriorly the anterior abdominal wall supports it and posteriorly, the spine and back muscles. Skin, superficial fascia, deep fascia, muscles, layers of fascia (Fascia transversalis), extra peritoneal connective tissue and the outer layer of peritoneum form the anterior abdominal wall. The abdominal cavity extends upwards in to the concavity of diaphragm and downwards in to the pelvic cavity. Since there is overlapping by the ribs in the upper part and pelvic bones in the lower part, the exact size of the abdominal cavity is masked.

Abdominal pain can be a sign of a serious condition. Fortunately, minor causes for abdominal pain are much more frequent than major ones. Abdominal pain can come from the esophagus, the stomach, the bowel, the female organs, the rectum, the gallbladder, r from other organs. Appendix pain usually occurs in the right lower quarter, kidney pain involves the back. The gallbladder involves the right upper quarter, the stomach the upper abdomen, and the bladder, colon, or female organs the lower areas. Exceptions to these rules do occur. Pain from hollow organs such as bowel or gallbladder tends to be intermittent and to resemble gas pains or colic. Pain from solid organs such as kidneys, spleen, or liver tends to be more constant. There are exceptions to these rules also.

If the pain eventually proves to be due to a serious problem, and the stomach should be empty to allow the prompt surgery or diagnostic tests. Anticipate this possibility. Sips of water or other clear fluids may be taken, but avoid solid foods. A bowel movement, passage of gas through the rectum, or a good belch may give relief - don't hold back. If you have not had a bowel movement for several days, an enema can sometimes give relief. Be gentle. A warm bath helps some of you. The key is periodic reevaluation. Any persistent pain should be evaluated at the emergency room or the physician's office. This treatment should be reserved for mild pains that resolve within 24 hours or are clearly identifiable as viral gastroenteritis, gas pains, heartburn, or another minor problem.

Nursing Diagnosis for Abdominal Pain : Pain related to Distention

Objective: pain is resolved or controlled

Expected outcomes: the patient revealed a decrease in discomfort; expressed pain at tolerable levels, indicating relaxation.

Intervention:
  1. Maintain bed rest in a comfortable position: do not support the knee.
  2. Assess the location, weight and type of pain
  3. Assess the effectiveness and monitor side effects anlgesik; avoid morphine
  4. Give a planned rest period.
  5. Assess and advise doing Lathan active or passive range of motion every 4 hours.
  6. Change positions frequently and give a back rub and skin care.
  7. Auscultation bowel sounds; noticed increased rigidity or pain.
  8. Provide and encourage alternative pain relief measures.

Comments

Post a Comment

Popular posts from this blog

Nursing Care Plan for Chest Pain

-
Chest pain is feeling pain / bad that disrupt the chest area and often the pain is projected on the chest wall. Chest pain varies from person to person. It may feel like a sharp, stabbing pain or a dull ache. While chest pain may be a sign of a serious heart-related problem, it may also have other common, non–life-threatening causes. Causes of Chest Pain heart attack angina—chest pain due to blockages in the blood vessels leading to your heart pericarditis—inflammation of the sac around the heart myocarditis—inflammation of the heart muscle cardiomyopathy—heart muscle disease aortic dissection—a rare condition involving rupture of the heart’s main artery Signs and symptoms that commonly accompany chest pain are: Heartburn Headache Pain is projected to arms, neck, back Diaphoresis / cold sweat Shortness of breath Tachycardia Pale Skin Difficulty sleeping (insomnia) Nausea, Vomiting, Anorexia Anxiety, restlessness, focus on yourself Weakness Tense face, moaning
Read more

Acute Pain - Nursing Care Plan for Coronary Artery Disease

-
Nursing Diagnosis and Interventions for Coronary Artery Disease : Acute Pain Coronary artery disease is coronary artery pathological condition characterized by abnormal accumulation of lipids or fatty material and fibrous tissue in the walls of blood vessels resulting in changes in the structure and function of arteries and reduced blood flow to the heart (Brunner and Suddarth) The main cause of coronary artery disease is atherosclerosis. Atherosclerosis is the hardening of the artery walls. Arteriosclerosis characterized by the accumulation of fat, cholesterol, intimate layer of the artery. This heap is called atheroma or plaque. Nursing Diagnosis for Coronary Artery Disease : Acute Pain related to a decrease in myocardial blood flow, increased cardiac workload / oxygen consumption Outcomes: Stating chest pain disappeared / controlled. Demonstrating the use of relaxation techniques. Showed reduced tension, relaxed, easy to move. Interventions: 1. Monitor / record t
Read more

Acute Pain - Nursing Care plan for Cholelithiasis

-
Image
Nursing Care plan for Cholelithiasis Cholelithiasis is the medical term for gallstone disease. Gallstones are concretions that form in the biliary tract, usually in the gallbladder. Increased frequency of cholelithiasis is seen in women over the age of 40 years and in those with prior or current pregnancy, estrogen use, diabetes, prolonged fasting (eg, in total parenteral nutrition [TPN] patients), rapid weight loss, hemolysis, or cirrhosis. Symptomatic gallstone disease is treated with cholecystectomy (preferred treatment). In cases where surgery is not desired cholecystostomy may be considered. Dissolution of gallstones with medication, lithotripsy, and other techniques are generally futile. Causes and risk factors Cholesterol stones: Age over 40 years Female gender Parity Estrogen therapy Rapid weight loss High-calorie diet Sedentary lifestyle Diabetes mellitus type 2 Dyslipidemia (increased LDL cholesterol level) TNP Gastric bypass surgery Octreotide therap
Read more