ساعدوووووووووني متورطة حدي

[جود20]

السلام عليكم
كيف الحال؟؟؟
بدون مقدمات يابنات طلبتتتتتتتتتتتتكم!!!

اللي يعرف يسوي Nursing care plan
يقول لي عندي مرض معين ودورت عليه بالكتب
عشان اسوي له وماعرفت
رجااااااااااااءا اللي يعرف يقول لي عشان اقوله عن المرض وشنو الاشياء اللي ابيها في

Nursing care plan

تحياتي لكم

[nurse_mohammad]

عليكم السلام

اختي جربتي كتاب Lippincott Manual of Nursing Practice؟؟
عطيني خبر :)

[*فنتازيا*]

عطيني المرض واحاول اساعدج:c8:

[جود20]

جربت كتاب manual of nursing
بس مكتوب شي بسيط عن المرض واللي هو hernia umbilical

[nurse_mohammad]

اخت جود

Nursing Assessment:
1. Ask patient if hernia is enlarging and uncomfortable, reducible or irreducible; determine relationship to exertion and activities.
2. Assess bowel sounds and determine bowel pattern.
3. Determine if patient is exhibiting signs and symptoms of strangulation, such as distention, fever, nausea, and vomiting.

Nursing Diagnoses:
1. Chronic Pain related to bulging hernia (mechanical)
2. Acute Pain related to surgical procedure
3. Risk for Infection related to emergency procedure for strangulated or incarcerated hernia

Nursing Interventions:
Achieving Comfort
1. Fit patient with truss or belt when hernia is reduced, if ordered.
2. Trendelenburg's position may reduce pressure on hernia, when appropriate.
3. Emphasize to patient to wear truss under clothing and to apply before getting out of bed when hernia is reduced.
4. Give stool softeners as directed.
5. Evaluate for signs and symptoms of hernial incarceration or strangulation.
6. Insert NG tube for incarcerated hernia, if ordered, to relieve intra-abdominal pressure on herniated sac.

Relieving Pain Postoperatively
1. Have the patient splint the incision site with hand or pillow when coughing to lessen pain and protect site from increased intra-abdominal pressure.
2. Administer analgesics, as ordered.
3. Teach about bed rest, intermittent ice packs, and scrotal elevation as measures used to reduce scrotal edema or swelling after repair of an inguinal hernia.
4. Encourage ambulation as soon as permitted.
5. Advise patient that difficulty in urinating is common after surgery; promote elimination to avoid discomfort, and catheterize if necessary.

Preventing Infection
1. Check dressing for drainage and incision for redness and swelling.
2. Monitor for other signs and symptoms of infection: fever, chills, malaise, diaphoresis.
3. Administer antibiotics, if appropriate.

Patient Education and Health Maintenance
1. Advise that pain and scrotal swelling may be present for 24 to 48 hours after repair of an inguinal hernia:
A. Apply ice intermittently.
B. Elevate scrotum, and use scrotal support.
C. Take medication prescribed to relieve discomfort.
2. Teach to monitor self for signs of infection: pain, drainage from incision, temperature elevation. Also, report continued difficulty in voiding.
3. Inform that heavy lifting should be avoided for 4 to 6 weeks. Athletics and extremes of exertion are to be avoided for 8 to 12 weeks postoperatively, per provider instructions.

Evaluation: Expected Outcomes:
1. Hernia effectively reduced with truss or belt; patient comfortable
2. Verbalizes pain decreased to 2 or 3 level on 0-to-10 scale
3. No swelling present; afebrile, no drainage from incision


Book. Lippincott manual of nursing practice 8th ED. Page 664 - 665

[طخطوخه]

ماشاء الله
نرس محمد انت من وين جبت nursing care plan بهذي السرعه
عندك هذا الكتاب والا من النت؟؟؟؟
واذا من النت ممكن رابط الموقع ...

سي يو

[nurse_mohammad]

هع هع
لانه عندي الكتاب كبرنامج
راح ارفعه للمنتدى قريبا

[(روح المحبه)]

يعطيك الله العافيه nurse mohammad

انا في انتظار رفعك البرنامج

كليتنا ذابحينا بـــ nursing care plan

دعواتي لك بالتوفيق

[طخطوخه]

بانتظارك نيرس محمد

[جود20]

رحم الله والديك
ويعطيك الله العافيه دنيا وآآآآآآآآآآآآآآآآآآخرة
وعساك بالجنة ونعيمها
بصراحة مادري كيف اشكرك اخوي
الله يوفقك

وننتظر اللي بتنزله لنا على احر من الجمر:bye: