Gastric Cancer Nursing Care Plan

 

Nursing Care Plan for Gastric Cancer

Nursing Diagnosis

Pain ( acute / chronic )related to the presence of abnormal epithelial cells, nerve impulse disorders of the stomach.

Goal

Pain is reduced, controlled.

Expected outcomes
  • The patient was not seen grimacing.
  • Pain scale of 0 (no pain).
  • The patient seemed more relaxed.
Intervention
  • Assess characteristics of pain and discomfort ; location, quality, frequency, duration, etc.
    • Rationale : provide a basis for assessing changes in the level of pain and evaluate interventions.
  • Reassure the patient that you know, the pain is real and that you will assist the patient in reducing the pain.
    • Rationale : Fear can increase anxiety and reduce pain tolerance.
  • Collaboration in analgesic administration to improve circulation within the optimal pain prescription.
    • Rationale :Tend to be more effective when given early in the cycle of pain.
  • Teach the patient new strategies to relieve pain and discomfort with distraction, imagination, relaxation.
    • Rationale : Improving alternative pain relief strategies appropriately.
Nursing Diagnosis
Imbalanced Nutrition : less than bodyrequirements related to anorexia.

Goal

Nutritional needs of clients are met.

Expected outcomes
  • The client will maintain nutrient inputs to the metabolic needs.
  • Increased appetite.
  • No weight loss.
Intervention
  • Teach the patient the following things : avoid the sight, smell, sounds unpleasant in the environment during meal times.
    • Rationale : Anorexia can be stimulated or enhanced by noxious stimuli.
  • Suggest eating preferred and well tolerated by the patients, better food with high content of calories / protein. Respect the patient’s food preferences based on ethnicity.
    • Rationale : A food that is well tolerated and high in calories and protein will maintain nutritional status during periods of increased metabolic needs.
  • Encourage adequate fluid intake, but limit fluids at mealtime.
    • Rationale : Fluid level is necessary to eliminate waste products and prevent dehydration.
  • Increase fluid levels with food can lead to a state of satiety. Consider the cold food, if desired.
    • Rationale :Cold foods high in protein can often be well tolerated and does not smell than hot food.
  • Collaborative provision of commercial liquid diet by way of enteral feeding through a tube, elemental diet.
    • Rationale : Feeding through a tube may be necessary in the patient with very weak gastrointestinal system is still functioning.
Nursing Diagnosis
Anxiety related to malignancy advanced disease.

Goal

Anxiety clients decreased.

Expected outcomes
  • Clients are more relaxed.
  • The normal pulse.
  • No increase in respiration.
Intervention
  • Provide a relaxed environment and non-threatening.
    • Rationale : The patient can express fear, problems, and the possibility of anger due to the diagnosis and prognosis.
  • Encourage active participation of the patient and family in care and treatment decisions.
    • Rationale : To maintain independence and control of the patient.
  • Instruct the patient to discuss personal feelings with the supporters of such clergy if desired.
    • Rationale : Facilitating the process of grieving and spiritual care.