Nursing Care Plan For Peptic Ulcer N nv4j

Student Nurses’ Community ASSESSMEN T SUBJECTIVE: “Sumasakit ang sikmura ko pagkatapos kumain” (I’ve been experiencing abdominal pain immediately after eating) as verbalized by the patient. OBJECTIVE:  Abdominal guarding  Restlessness  Facial grimacing  Pain scale of 6 out of 10  V/S taken as

DIAGNOSIS

INFERENCE

Acute pain in r/t Chemical burn of gastric mucosa

Chemical burn of gastric mucosa ↓ Damage to the G.I lining ↓ Acute pain

NURSING CARE PLAN ─ Peptic Ulcer PLANNING

INTERVENTI ON

RATIONALE

After 8 hours Independent:  Pain is not of nursing  Note reports always interventions, of pain, present, but the patient including if present will verbalize location, should be relief of pain. duration, compared intensity (0with >Demonstrat 10 scale) patient’s e relaxed  Review previous body posture factors that pain and be able to aggravate or symptoms. sleep/rest alleviate This appropriately. pain. comparison  Identify and may assist limit foods in diagnosis that create of etiology discomfort of bleeding such as and spicy or developmen carbonated t of drink. complicatio  Encourage ns. small  Helpful in frequent establishing meals. diagnosis  Encourage and patient to

EVALUATION

Goal met, patient has verbalized relief of pain. >Demonstrat ed relaxed body posture and be able to sleep/rest appropriately.

Student Nurses’ Community follows: T: 37.5 °C P: 65 R: 14 BP: 110/80

assume treatment position and needs.  Food has an comfort. acid neutralizing effect and dilutes the gastric contents.  Small meals prevent distension and the release of gastrin.  Reduces abdominal tension and promotes sense of control.