Sample of Nursing Diagnosis - Interventions for Gastritis

Nursing Care Plan for Gastritis : Sample of Nursing Diagnosis and Nursing Interventions


1. Nursing Diagnosis: Risk for Fluid Volume Deficit related to inadequate intake and excessive fluid output (nausea and vomiting)

Goal:
After nursing actions, adequate fluid intake.

Expected outcomes are:

• The mucosa of the lips moist
• Good skin turgor
• Good capillary refill
• Input and output balanced

Nursing Interventions:

• Fill your individual needs. Encourage clients to drink.
• Provide additional IV fluids as indicated.
• Monitor vital signs, evaluation of skin turgor, capillary refill and mucous membranes.
• Collaboration: the provision of drugs.

Rational:

• Adequate fluid intake will reduce the risk of patient dehydration.
• Replacing lost fluids and improve fluid balance in the immediate phase.
• Indicate the status of dehydration or the possibility of the need to increase fluid replacement.
• Provision of drugs serves to inhibit gastric acid secretion.

2. Nursing Diagnosis: Acute pain related to irritation of the gastric mucosa secondary to psychological stress.

Goal:
After the act of nursing, pain can be reduced, patients can rest and generally good condition.

Expected outcomes are:

• Clients express the pain diminished or disappeared.
• The client does not grimace in pain.
• Vital signs are within normal limits.
• The pain intensity was reduced (reduced pain scale 1-10).
• Demonstrate relax, rest, sleep, increased activity quickly.

Nursing Interventions:

• Investigate complaints of pain, note the location, intensity of pain, and pain scale.
• Instruct patient to report pain as soon as it began.
• Monitor vital signs.
• Explain the causes and effects of pain on the client and his family.
• Encourage rest during the acute phase.
• Encourage relaxation techniques.
• Provide an environment conducive situation.
• Collaboration with the medical team in the delivery of the action.

Rationale:

• To find out where the pain and facilitate interventions to be performed.
• Early intervention to facilitate recovery of muscle control pain by decreasing muscle tension.
• Autonomic responses include, changes in blood pressure, pulse, respiration, associated with pain relief.
• With the causes and consequences of pain the client is expected to participate in treatment to reduce pain.
• Reduce pain that was exacerbated by movement.
• Decrease muscle tension, increase relaxation, and increased sense of control and coping abilities.
• Provide support (physical, emotional, increased sense of control, and coping skills).
• Eliminate or reduce the client's complaints of pain.

3. Nursing Diagnosis : Imbalanced Nutrition: Less Than Body Requirements related to the lack of food intake.

Goal:
After the patient's nutritional needs of nursing actions are met.

Expected outcomes are:

• General condition is quite
• Good skin turgor
• Increased weight
• Difficulty swallowing is reduced

Nursing Interventions :

• Instruct patient to eat small meals but frequently.
• Give soft foods.
• Perform oral hygiene.
• Measure weight basis.
• Texture observation, the patient's skin turgor.
• Observations of nutritional intake and output.

Rationale:

• Keeping the patient remained stable nutritional prevent nausea and vomiting.
• To facilitate the patient to swallow.
• Oral hygiene can stimulate the appetite of the patient.
• Knowing the development of nutritional status of patients.
• Knowing a patient's nutritional status.
• Knowing a patient's nutritional balance.