These two types of surgery can be an option: - Open surgery. Aschenbrenner, D. (2008). Ackley, B. J., Ladwig, G. B., Makic, M. B., Martinez-Kratz, M. Hiatal hernia nursing care. R., & Zanotti, M. (2020). Avoid irritants, such as spicy or acidic foods, alcohol, caffeine, and tobacco, because they increase gastric acid production. Gastrointestinal disorders: hiatal hernia, delayed gastric emptying, GERD, etc. Body weight 10% or more over ideal weight. Share this document. Irritated esophageal mucosa. Rationale: Loss of the gag reflex increases the risk of aspiration.
After developing the instrument, face and content validation was performed by three specialists in surgical nursing and nursing diagnoses. Among men, the inguinal canal is a short passage for the spermatic cord and blood vessels directed towards the testicles. The care plan I developed for my patient obviously has all these obligatory elements. So let's start with dysphagia, which is difficulty swallowing. SciELO - Brazil - Nursing diagnoses of patients in the preoperative period of esophageal surgery Nursing diagnoses of patients in the preoperative period of esophageal surgery. Glendale (CA): North American Nursing Diagnoses Association; 2002. p. 211-4. 50 clinical subjects and 20 clinical roles or settings.
Self-critique of the plan. The diagnosis of Deficient knowledge regarding the disease and perioperative period was observed in 19 of the 20 patients. The reason is still unknown, but some of the factors the study considers are poor oxygenation of tissues when breathing stops and pressure produced when snoring against a closed airway. Abnormality of the collagen strands that are genetic in the muscle and fascia could increase the possibility of hernia production. Monitor the effectiveness of each of the techniques. Assess gag reflex and ability to safely swallow. Hernia Nursing Diagnosis and Nursing Care Plan. If you're sitting upright, then gravity is working for you and those stomach contents are more likely to stay in the stomach. When a person coughs, it raises the pressure in the abdomen and exerts a lot of pressure in the abdominal cavity much more than any heavy lifting activity. Client will maintain patent airway. In addition, they may complain of throat irritation, a bitter taste. Presence of preventable complications. • If incarceration has occurred or strangulation. Provide patient with information regarding disease process, health practices that can be changed, and medications to be utilized.
In the current study, 13 patients reported they were not aware of all this information and another six patients say they know only part of the perioperative period and the anesthetic procedure. Work-related injuries. Avoid placing patient in supine position, have the patient sit upright after meals. Hiatal Hernia Nursing Care Plan - Risk For Aspiration | PDF | Gastroesophageal Reflux Disease | Vomiting. The parents will state precise information about post-operative care. Journal of Advanced Nursing 63(3), 291–301. First question a swallow evaluation is performed by what interdisciplinary team member?
Quit smoking, if applicable, reduce their alcohol intake and then elevate the head of their bed at home so they can do this with blocks. Provide us with medical details of the patient who needs nursing care, the tasks the nurse needs to do, the duration for which you need our in-home nursing services and your preferences of gender or language if any. Weakness of the posterior inguinal. Try Risk Free for 3 Days. Sedentary lifestyle. Caused by vigorous coughing. Instruct patient and/or family regarding dietary restrictions, modifying favorite foods to use lower calorie substitute ingredients, and to make choices that provide for adequate nutritional intake. Nursing interventions for hiatal hernia. 100% found this document useful (12 votes). Antacids and H2 receptor antagonistslike famotidine (Pepcid), nizatidine (Axid), or ranitidine (Zantac). Rationale: Promotes knowledge, facilitates compliance with treatment, and allows for prompt identification of potential need for changes in medication regimen to prevent complications. Prevent the hernia from sliding upward. Avoiding stimulation of gastric secretions by omitting caffeine and alcohol, which may intensify symptoms. Nursing diagnoses of patients in the preoperative period of esophageal surgery.
Past medical history. Ponciano H, Cecconello I, Alves L, Ferreira BD, Gama-Rodrigues J. Cardioplasty and Roux-en-Y partial gastrectomy (Serra-Dória procedure) for reoperation of achalasia. When you swallow, the epiglottis should close over the trachea which prevents food or fluids from entering the trachea (often called the windpipe). Have the patient swallow a sip of water. Nursing diagnosis for hiatal hernia. Determine level of consciousness.
Rationale: The tube interferes with sphincter integrity and allows reflux, especially when the patient lies flat.
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