Nursing Care Plan for Intestinal Obstruction
Nursing Diagnosis : Imbalanced Nutrition Less Than Body Requirements
Intestinal obstruction is an urgency in abdominal surgery is often encountered, is 60-70% of all cases of acute abdomen were not acute appendicitis.
The most common cause is the adhesion / streng, while it is known that abdominal surgery and obstetric-gynecologic surgery performed more frequently which is mainly supported by advances in the field of diagnostic abdominal abnormalities.
Imbalanced Nutrition Less Than Body Requirements related to impaired absorption
characterized by: abdominal pain, quickly full after eating.
Goal: balanced nutrition.
Outcomes:
- Stable weight.
- Return to normal bowel sounds: 6-12x/menit.
- Bloating and abdominal distension decreased.
Nursing Interventions:
1) Assess the nutritional needs of the client.
Rationale: By knowing the nutritional needs of the client can be observed the extent of the client's nutritional deficiencies and subsequent action.
2) Observation of signs of nutritional deficiencies.
Rationale: To determine the extent to which lack of nutrients due to excessive vomiting.
3) Encourage activity restrictions during the acute phase.
Rationale: Reduces the need to prevent a decrease in metabolic calorie and energy savings.
4) Evaluate periodically the condition of intestinal motility.
Rationale: As the basic data for the provision of nutrition.
5) If the obstruction is severe, avoid oral intake.
Rationale: if the obstruction is severe, oral intake can aggravate abdominal distension.
6) Give parenteral nutrition.
Rationale: parenteral nutrition does not cause abdominal distension.
7) Give food in small portions but often.
Rational: small amounts of food can reduce gastric compliance and reduce compliance and reduce labor intestinal peristalsis and facilitate intestinal absorption of food right.
8) Provide oral care.
Rationale: The flavors are delicious, the smell of the mouth can decrease appetite and stimulates nausea and vomiting.
9) Collaboration with a nutritionist about the types of nutrients that will be used by the patient.
Rationale: Nutritionists should be involved in determining the composition and the type of food that will be provided in accordance with individual needs.
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