The nursing care plan outlines the assessment, diagnosis, planning, interventions, rationale and evaluation for a 40-year-old male patient experiencing pain and swelling related to inflammation and distortion of the gallbladder. The short term goals are for the patient to report reduced pain and be able to swallow without difficulty within 24-48 hours of receiving pain medication and after the procedure. The long term goals are for the patient to have no signs of infection in the incision site after 2 weeks and be able to resume normal activities within 4 weeks of the procedure with a successful recovery and no complications.
The nursing care plan outlines the assessment, diagnosis, planning, interventions, rationale and evaluation for a 40-year-old male patient experiencing pain and swelling related to inflammation and distortion of the gallbladder. The short term goals are for the patient to report reduced pain and be able to swallow without difficulty within 24-48 hours of receiving pain medication and after the procedure. The long term goals are for the patient to have no signs of infection in the incision site after 2 weeks and be able to resume normal activities within 4 weeks of the procedure with a successful recovery and no complications.
The nursing care plan outlines the assessment, diagnosis, planning, interventions, rationale and evaluation for a 40-year-old male patient experiencing pain and swelling related to inflammation and distortion of the gallbladder. The short term goals are for the patient to report reduced pain and be able to swallow without difficulty within 24-48 hours of receiving pain medication and after the procedure. The long term goals are for the patient to have no signs of infection in the incision site after 2 weeks and be able to resume normal activities within 4 weeks of the procedure with a successful recovery and no complications.
The nursing care plan outlines the assessment, diagnosis, planning, interventions, rationale and evaluation for a 40-year-old male patient experiencing pain and swelling related to inflammation and distortion of the gallbladder. The short term goals are for the patient to report reduced pain and be able to swallow without difficulty within 24-48 hours of receiving pain medication and after the procedure. The long term goals are for the patient to have no signs of infection in the incision site after 2 weeks and be able to resume normal activities within 4 weeks of the procedure with a successful recovery and no complications.
Subjective Acutepain Short term goal: 1. Assess the client's 1. Monitor the After 2 weeks of Data: relatedto 1. The airway and breathing client's airway and nursing 1.Pain in the client will status regularly. breathing status. inflammationa 2. Administer interaction, the neck area nd distortionof report reduced 2. Administer client can 2.Difficulty medications as pain in the neck medications as the prescribed to manage verbalize positive swallowing area within 24 prescribed to manage pain and 3.Lump in the gallbladderas pain and inflammation. concept of self, hours of inflammation. neck area evidencedby receiving pain 3.Encourage the client to know his 3. Encourage Objective Data: verbalreportso medication. perform deep breathing the client to perform strengths and 1.Swelling in f pain. 2. The and coughing exercises to deep breathing and limits as a the neck area client will be prevent respiratory coughing exercises to person. 2.Visible lump complications. prevent respiratory able to swallow complications. in the neck 4. Provide education At the end of without 4. Provide area 3.Redness to the client on how to nursing or warmth difficulty within care for the incision site education to the 48 hours of the client on how to interaction, the around the and how to prevent care for the incision procedure. client's lump infection. site and how to 4. Difficulty 3. The 5. Monitor the participation in prevent infection. breathing client will client for signs of 5. Monitor the daily activities, Vital sign: demonstrate infection, such as fever, client for signs of shows eagerness Blood pressure proper incision redness, and increased infection, such as to socialize with 120/80mmHg pain. fever, redness, and other people, site care within Temperature 5. Encourage the increased pain. copes well with 24 hours of 6. Encourage 98F client to rest and limit problems receiving the client to rest and Pulse 76/m physical activity until the through omission education. limit physical activity Labs: incision site has healed. until the incision site of negative CBC 6. Provide has healed. Long term goal: thinking,accepta HCV emotional support to 7. Provide 1. The the client and family nce of honest HBV emotional support client will have members. to the client and appraisal, and PT no signs of family members. express emotions 7. Collaborate with RBC infection in the the healthcare team to productively. platelet incision site ensure the client receives Urea after 2 weeks. appropriate care. Creatinine 2. The client will be able to resume normal activities and return to work or school within 4 weeks of the procedure. 3. The client will have a successful recovery with no complications . Submitted to: Mam Rubina Kousor