Question

Write and submite a nursing care plan;

1) one frrom any of the GI diagnosis

Answer 1

NURSING CARE PLAN FOR PEPTIC ULCER (GI Diagnosis)

ASSESSMENT	NURSING DIAGNOSIS	GOAL	INTERVENTION	IMPLEMENTATION	EVALUATION
Objectibe assessment: 1. oain in left side of abdomen 1. blood vomiting 3. blood in stool 4. weakness 5. stomach burning Subjective assessment: 1. haematuria 2. haematoemesis 3. nausea 4. pain	1. acute pain related to the effect of gastric acid secretion on dameged tissue as evidenced by verbalisation of the client	to relieve pain and to make the client comfertable	1. assess the level of pain. 2. provide extra support to the client 3. teach the client relaxation technique. 4.review the aggravating factor for pain. 5.administer medication as per the doctors order. 6. make comfertable and advise for rest and sleep.	1. pain score is assessed and documented. 2. extra pillows and cold therapy to the pain area. are provided. 3. ask the patient to take long breathing and listen music . 4. the aggravating factor for pain reduced like over crowding, excessive noise etc. 5. according to doctors prescription medication is administered. 6. make the environment calm and cool so the client will able to sleep without any disturbance.	now the client verbalise decrease in pain and he is feeling better.
objective assessment: 1.very much afraid 2. crying subjective assessment: 1. vrbalisation of client 2. fizzy facial expression 3. un co-operative	2. anxiety related to acute illness as evidenced by anoyed behaviour of the client.	to decrease anxiety of the client.	1. assess the level of anxiety of the client. 2. counsell the client 3. ventilate the clients mind. 4. help the client to sleep.	1. anxiety level is assessed. 2.the client is counselled after taking medication the pain will deprive. 3. interpersonal relationship maintained with the client. 4. swiched on AC and provided cool and calm environment.	anxiety level is decreased.
objective assessment: 1. feeling weak subjective assessment: 1. weakness 2. dryness of mouth 3. dry skin 4. hard stool	3. imbalance nutrition related to changes in the diet as evidenced by diet plan.	to maintain the nutritional status of the client.	1. assess the nutritional status of the client. 2. provide proper hydration therapy 3. encourage small frequent meals. 4. identify and limit those food which upset GIT 5. teach regarding nutrition pattern of client.	1. the nutritional score is assessed and odcumented. 2. the client is drinling sufficient amount of liquid. 3. the client is taught to take small and frequent meale. over meal need to avoid. 4. the client is adviced to avoid spicy food, oily food which upset GIT 5. the client and his family member specially taught to take care of client and to avoid tea, coffee, any beverages, noodles. take small and frequent meal. avoid over eating. avoid to hot drinks and food also.	the client nutritional status is balanced and the skin looks healthy.