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Nursing Care for Appendicitis

The patient presented with acute abdominal pain localized to the right lower quadrant. After an assessment, the diagnosis was determined to be appendicitis likely caused by a blocked appendix. The plan was for 4 hours of nursing interventions including positioning the patient, moving them slowly, applying comfort measures, and removing noxious stimuli to help manage the patient's pain. After 4 hours, the patient was able to demonstrate relaxation skills to promote comfort, indicating the nursing interventions were effective in relieving their pain.

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12K views2 pages

Nursing Care for Appendicitis

The patient presented with acute abdominal pain localized to the right lower quadrant. After an assessment, the diagnosis was determined to be appendicitis likely caused by a blocked appendix. The plan was for 4 hours of nursing interventions including positioning the patient, moving them slowly, applying comfort measures, and removing noxious stimuli to help manage the patient's pain. After 4 hours, the patient was able to demonstrate relaxation skills to promote comfort, indicating the nursing interventions were effective in relieving their pain.

Uploaded by

don-timothy-abenojar-7956
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Appendicitis Bea A.

Abenojar III-A Group 1

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION


Independent:
 Subjective: Acute pain related to After 4 hours of nursing Investigate pain reports, Changes in After 4 hours of
inflammation of interventions, the noting location, duration, location or intensity are nursing
“Masakit ang tissues. patient will demonstrate intensity (0-10 scale), and not uncommon but may interventions, the
tiyan ko” as use of relaxation skills, characteristics (dull, reflect developing patient was able to
verbalized by Appendix is kinked other methods to sharp, constant). complications. demonstrate use of
patient. or occluded by a promote comfort. relaxation skills,
fecalith, tumor, or Maintain semifowler’s Reduces abdominal other methods to
 Objective: foreign body position. distention, thereby promote comfort.
↓ reduces tension.
Facial mask Inflammation
of pain. ↓ Move patient slowly and Reduces muscle
Increase intraluminal deliberately. tension or guarding,
Rebound pressure which may help
tenderness. ↓ minimize pain of
Pain localized at the movement.
V/S taken as right lower quadrant Provide comfort Promotes relaxation
follows: of the abdomen measure like back rubs and may enhance
T: 37.3 ↓ and deep breathing. patient’s coping
P: 80 Appendix is filled Provide diversional abilities by refocusing
R: 18 with pus activities attention.
BP: 110/90
Remove noxious Reduces nausea and
Environmental stimuli. vomiting, which can
increase intra-
abdominal pressure or
pain.

Collaborative:
Administer Reduces
analgesics as metabolic rate
prescribed. and aids in pain
relief and
promotes
healing.
Appendicitis Bea A. Abenojar III-A Group 1

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