Question

What are the nursing diagnosis, goal, intervention/rationale for the following questions please

George Smith, a 55-year-old patient is admitted to the intensive care unit after a thoracotomy approach was used for an esophagectomy to remove an early stage adenocarcinoma of the distal esophagus and gastroesophageal junction. The patient has a history of GERD and Barrett’s esophagus. The patient sought medical treatment for dysphagia with solid foods, feeling that there was a lump in his throat and substernal pain with swallowing and subsequent regurgitation of undigested food and the development of hiccups. The patient has no other medical problems.

Evelyn bean, 52 years of age is admitted to same day surgical unit for an elecive laparoscopic cholecystectomy. The patient present with jundice of the skin and sclera. The patient urine is dark and the patient stated that she as clay- coloured stool. She stated that she has occasional coliky pain the her right upper quadrant of her abdomen radiating to her back. The patient as pre admission testing one week ago and the result are on the patient chart. The record of patient education and an informed written consent are also on the chart.

. The Health Promotion nurse at a state university plans a series of educational programs focusing on female reproductive health issues for incoming ?first-year female students. Because cervical cancer is the third most common female reproductive cancer and affects over 10,000 women annually in the United States, the nurse has planned the first session to focus on cervical cancer screening and prevention

Answer 1

ANSWERS :

1. NURSING DIAGNOSIS - Patient nursing diagnosis is Dysphagia (difficulty in swallowing)

GOAL - To reduce pain

INTERVENTION - Assess the patients pain level

Provide comfortable position

Provide easily digestible and swallowed diet

Administer clear fluids and liquids

Avoid hard and difficulty foods that cause pain

2.  NURSING DIAGNOSIS - Patient nursing diagnosis is coliky abdominal pain at right upper quadrant of abdomen

GOAL - To relieve pain

INTERVENTION - Assess the patient pain level

Monitor the vital signs

Administer the medications prescribed by the physician

Provide comfortable devices

Changing of patient position every hourly

Provide for warm applications