Friday, September 6, 2013

Deficient Knowledge related to Laparotomy

Nursing Care Plan for Laparotomy - Nursing Diagnosis : Deficient Knowledge


A laparotomy is a surgical procedure involving a large incision through the abdominal wall to gain access into the abdominal cavity. It is also known as celiotomy. (wikipedia)

Deficient Knowledge

Absence or deficiency of cognitive information related to a specific topic

Defining Characteristics:

  • Verbalization of the problem;
  • inaccurate follow-through of instruction;
  • inaccurate performance of test;
  • inappropriate or exaggerated behaviors (e.g., hysterical, hostile, agitated, apathetic)


Nursing Diagnosis for Laparotomy : Deficient Knowledgerelated to lack of information, do not know the source of information.

Outcomes:
  • Reveals an understanding of the disease process and treatment.

Interventions and Rational :

1. Review the procedure and postoperative expectations.
R /: To provide basic knowledge of where the patient can make an informed choice.

2. Discuss the importance of adequate fluid intake, dietary needs.
R /: Increases healing and normalization of bowel.

3. Demonstrate belutan wound care or appropriate.
R /: Increases healing, reduce the risk of infection, providing an opportunity to observe the wound.

4. Revisit gastrotomi hose care when the patient is discharged with this tool.
R /: Increase the independence, improve self-care skills.

5. Identify signs that require medical evaluation, fever settled, swelling, erythema, artau opening the wound edges, change drainage characteristics.
R /: Early recognition of complications and immediate intervention can prevent progression of the situation serious, life-threatening.

6. Encourage gradual increase in activity in accordance tolernsi and balance with adequate rest periods.
R /: Prevent fatigue, stimulate circulation and normalizing organ function, improve healing.

No comments:
Write comments

Followers