Nursing Diagnosis : 1. Pain ( acute / chronic ) elated to the presence of abnormal epithelial cells, nerve impulse disorders of the stomach.
Goal : Pain is reduced, controlled.
Expected outcomes :
- The patient was not seen grimacing.
- Pain scale of 0 (no pain).
- The patient seemed more relaxed.
Intervention :
1. Assess characteristics of pain and discomfort ; location, quality, frequency, duration, etc.
Rational : provide a basis for assessing changes in the level of pain and evaluate interventions.
2. Reassure the patient that you know, the pain is real and that you will assist the patient in reducing the pain.
Rational :
Fear can increase anxiety and reduce pain tolerance.
3. Collaboration in analgesic administration to improve circulation within the optimal pain prescription.
rational :
Tend to be more effective when given early in the cycle of pain.
4. Teach the patient new strategies to relieve pain and discomfort with distraction, imagination, relaxation.
rational :
Improving alternative pain relief strategies appropriately.
Nursing Diagnosis : 2. Imbalanced Nutrition : less than body requirements related to anorexia.
Goal : Nutritional needs of clients are met.
Expected outcomes :
- The client will maintain nutrient inputs to the metabolic needs.
- Increased appetite.
- No weight loss.
1. Teach the patient the following things : avoid the sight, smell, sounds unpleasant in the environment during meal times.
Rational :
Anorexia can be stimulated or enhanced by noxious stimuli.
2. Suggest eating preferred and well tolerated by the patients, better food with high content of calories / protein. Respect the patient's food preferences based on ethnicity.
Rational :
A food that is well tolerated and high in calories and protein will maintain nutritional status during periods of increased metabolic needs.
3. Encourage adequate fluid intake, but limit fluids at mealtime.
Rational :
Fluid level is necessary to eliminate waste products and prevent dehydration.
4. Increase fluid levels with food can lead to a state of satiety. Consider the cold food, if desired.
Rational :
Cold foods high in protein can often be well tolerated and does not smell than hot food.
5. Collaborative provision of commercial liquid diet by way of enteral feeding through a tube, elemental diet.
Rational :
Feeding through a tube may be necessary in the patient with very weak gastrointestinal system is still functioning.
Nursing Diagnosis : 3. Anxiety related to malignancy advanced disease.
Goal : Anxiety clients decreased.
Expected outcomes :
- Clients are more relaxed.
- The normal pulse.
- No increase in respiration.
1. Provide a relaxed environment and non-threatening.
Rational :
The patient can express fear, problems, and the possibility of anger due to the diagnosis and prognosis.
2. Encourage active participation of the patient and family in care and treatment decisions.
Rational :
To maintain independence and control of the patient.
3. Instruct the patient to discuss personal feelings with the supporters of such clergy if desired.
Rational :
Facilitating the process of grieving and spiritual care.
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