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.