Acute Pain and Anxiety : Nursing Care Plan for Peritonitis
Nursing Diagnosis for Peritonitis: Acute Pain related to chemical irritation of the peripheral peritoneum.
Goal: reduce / eliminate the pain
Nursing Intervention:
a. Review the report of pain, record the location, duration, intensity (scale 0-10) and characteristics (shallow, sharp, constant).
Rational: the change in location / intensity is not common but may indicate the occurrence of complications.
b. Maintain semi-Fowler position as indicated
Rational: to facilitate drainage of fluids / injured because of gravity and helps minimize the pain due to movement.
c. Provide comfort measures, eg the back massage, deep breathing, relaxation exercises / visualization.
Rational: increase relaxation and may increase the patient's coping abilities by refocusing attention.
d. Give frequent mouth care. Eliminate unpleasant environmental stimuli.
Rational: reduce nausea / vomiting, which can increase the pressure / intra-abdominal pain.
Nursing Diagnosis for Peritonitis: Anxiety or fear related to the threat of death / change in health status.
Goal: to reduce or eliminate anxiety
Nursing Intervention:
a. Evaluation of anxiety levels, record verbal responses and non-verbal patients. Encourage the free expression of emotions.
Rational: fear can occur because of severe pain, increasing pain, it is important to the diagnostic procedures and possible surgery.
b. Provide information about the disease process and the anticipated action
Rational: knowing what is expected to reduce anxiety.
c. Schedule adequate rest and sleep periods stop
Rational: limiting weaknesses, save energy, and can enhance coping abilities.
