Question

Scenario Shamsa is a 35 year old female admitted at Female Medical Ward with a chief complaint of burning pain in epigastric region during meals or an hour after eating spicy foods and drinking coffee, that radiates to lower abdomen when standing. On admission Shamsa was asked by the nurse on duty to rate her pain using the pain scale of 1-10 and she said that it is 7. Her vital signs were also taken and recorded as follows: Temp: 37.2 C; RR: 22 b/min.; PR: 80beats/min; Bp: 135/84 mmHg. After thorough assessment by the doctor Shamsa was diagnosed of having Peptic ulcer. U

write the NCP

2 wfite Addendum

Answer 1

The nursing care plan for a patient with peptic ulcer is

Assessment

Subjective data :

• Burning pain in epigastric region
• Radiating pain to lower abdomen

Objective data

• Pain reading score of 7
• T.:37.2
• R:22 breath /min
• P: 80bpm
• BP:135/84 mmHg

Nursing diagnosis

Acute pain (in epigastric region) related to ulceration in the gastrointestinal tract as evidenced by pain after eating ,pain score

Goal

The patient will have no pain in a day

Nursing interventions and rationale

• Assess the level of the pain ,to plan for care
• Administer antacids ,proton pump inhibitor as per order to prevent acid secretions and relieve pain
• Provide a bland ,soft diet for easy digestion and absorption gastric irritation
• Encourage to take milk ,butter milk to soothe the gastrointestinal tract

Evaluation

The patient will be relieved of pain and able to eat a normal diet