Acute Pain - Nursing Care plan for Cholelithiasis

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 therapy
• Somatostatin secreting tumors
• Family history of cholelithiasis

Pigment stones:

• Cirrhosis
• Hemolysis
• Sickle cell disease
• Bacterial or helminthic biliary tract infections

Nursing Care plan for Cholelithiasis

Nursing Diagnosis : Acute Pain


related to:

• obstruction,
• spasm,
• iflamasi process,
• ischemic tissue,
• infection

Goal: reduced pain

Outcomes:

• reported reduced pain,
• shows the relaxation skills,
• maintain a relaxed expression.

Intervention:

1. Observe and record the location, severity and character of pain;
2. Increase bed rest;
3. Give a comfortable position,
4. Encourage use of relaxation techniques;
5. Environmental temperature control,
6. Give analgesics as ordered.