Quote from ajrenee
It's the end of the quarter and my brain is fried or something. Here is what I have: 82 yo male, 7 days post op from a hemicolectomy, discharged and then returns to the ER complaining of vomiting and inability to eat. Turns out he had a small bowel obstruction. My problem is, I need an "anticipated nursing diagnosis" and one anticipated body system to assess. I'm thinking the GI system, but honestly, how do you assess that? listen for bowel tones? He was NPO so I can't use increase fluids as an intervention. Help, Please!!
Care plans are all about the assessment. What is your assessment? I know that many schools give scenarios...is this a real patient?
What semester are you? Do you have a care plan book? I use Ackley: Nursing Diagnosis Handbook, 9th Edition.
YOU are looking at it from a medical diagnosis....What is a SBO? what would a patient with a SBO (small bowel obstruction) need? what would you expect to find? What is causing the obstruction? Is it mechanical or paralytic?
What would you be concerned about if a patient can't eat or drink? Deficient Fluid volume
How would you assess their hydration? If they can't eat then they may not have enough protein to heal...
Imbalanced Nutrition: less than body requirements.
..does this cause a Delayed Surgical recovery
If they are vomiting....they must have Nausea
. Are they expereincing any Acute Pain
in the abdomen?
Your nursing care plan book should have some good nursing interventions. How do you normally assess the abdomen. If a patient has a SBO.....do they have bowel sounds? What interventions are usually ordered for a patient with a SBO?