7/25/2019 Nursing Care Plan for Appendectomy - NCP

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Student Nurses’ Community

NURSING CARE PLAN Appendectomy ─ 

ASSESSM

ENT

DIAGNO

SIS

INFERENC

E

PLANNI

NG

INTERVENT

ION

RATIONA

LE

EVALUATI

ONSUBJECTIVE

:

“Sumasakit

ang sugat

ng opera

ko.” (I feel

pain aroun

t!e in"ision

site# as$er%ali&e

%' t!e

patient.

BJECTIVE:

• )uaring

%e!a$ior

in t!e

a%omen

• *a"ial mask

of pain

• +istra"tion

%e!a$iors

• V,S taken

as follo-s:

 T: /.0 1C2: 03: 45B2:

446,06

7"ute

pain ma'

%e relate

to

istention

of 

intestinal

tissue %'

in8ammat

ion anpresen"e

of surgi"al

in"ision.

Appendect

omy  is t!e

remo$al of 

t!e in8ame

appeni9. In

an open

"on$entional

an

un"ompli"at

eappene"to

m' t!e

surgeon

remo$es t!e

appeni9

t!roug! an

in"ision

appro9imate

l' in"!es

long in t!e

lo-er rig!t

;uarant.

 T!e in"ision

is larger if 

t!e

appeni9 is

in a t'pi"al

position or if 

peritonitis is

present.

7fter 4

!our of

nursing

inter$enti

ons t!e

patient

-ill report

pain is

relie$e

or"ontrolle

an

appear to

%e

rela9e

a%le to

sleep an

rest

appropriat

el'.

Inepenent

• 7ssess pain

noting

lo"atiosn

"!ara"terist

i"s an

se$erit' (6

to 46

s"ale#.

In$estigatean report

"!anges in

pain as

appropriate.

• 2ro$ie

a""urate

!onest

information

to patient

or

signi<"ant

ot!ers.

• =eep at rest

in semi>

*o-ler?s

position.

• Useful in

monitorin

g

e@e"ti$en

ess of

mei"atio

n an

progressi

on of

!ealing.C!anges

in

"!ara"ter

isti" of

pain ma'

ini"ate

e$elopin

g a%s"ess

or

peritoniti

s

re;uiring

prompt

mei"al

e$aluatio

n an

inter$enti

on.

• Being

informe

a%out t!eprogress

of

situation

pro$ies

emotiona

l

7fter 4

!our of

nursing

inter$entio

ns t!e

patient -as

a%le to

report pain

is relie$e

or"ontrolle

an appear

to %e

rela9e

a%le to

sleep an

rest

appropriate

l'.

7/25/2019 Nursing Care Plan for Appendectomy - NCP

http://slidepdf.com/reader/full/nursing-care-plan-for-appendectomy-ncp 2/2

support

!elping

to

e"rease

an9iet'.

• )ra$it'

lo"ali&es

in8amma

tor'

e9uates

into lo-er

a%omina

l tension.

g