Question

Janet Owen is a 47-year-old Caucasian female with a history of alcoholic cirrhosis of the liver and alcohol abuse, with chief complaint of abdominal pain, directly admitted from physician's office for pancreatitis. One live birth, 12 years ago. Multiple recent admissions for abdominal pain, pancreatitis, and liver cirrhosis.

Broken arm 1 year ago. Healed without complications. Has been ordered high-calorie, high-protein, low-fat diet, but admits to inability to follow diet. Has a pressure ulcers stage I – Intact skin with non-blanchable redness of localized area. Patient lives with her son (age 12) and sister. Sister has 4 children and is recently divorced. Patient continues to use alcohol and tobacco. Minimal social support system aside from her sister, who is busy. Patient is unemployed and stressed financially.

what is a nursing diagnosis for the above patient (Acute pancreatitis) provide with 5 nursing intervention and 5 evaluation.

Answer 1

•Nursing Diagnosis.

Acute pain in abdomen related to inflammation of pancreas and liver cirrhosis as evidenced by patient's facial expression.

•Nursing Interventions.

1) Patient's pain level is assessed ( location, severity, frequency, intensity) to get baseline data.

2) Calm and quite environment is provided to the patient to make comfortable.

3) Ryles tube feeding is provided.

4) Bed sore dressing and back care is done.

5) Analgesic is given as per doctor's order.

•Evaluation.

1) Patient's pain level is reduced to some extent.

2) Patient gets comfort.

3) Patient's nutritional status is maintained.

4) Patient's fluid electrolyte balance is maintained.

5) Patient's bed sore healing is promoted.