OBJECTIVES:
General Objective:
At the end of the case presentation, the students will be able to comprehend and
recognize important points to remember when dealing with patients who manifested
intestinal obstruction; its nature, causes, clinical manifestations, and management. This
is to enhance the student’s awareness, understanding, and knowledge in order to
promote health.
Specific Objectives:
At the end of the case analysis the students will be able to:
Knowledge:
● Define what an Intestinal Obstruction is.
● Recognize the signs and symptoms.
● Formulate care plan specific for the patient.
● Identify the risk factors of the disease.
Skills:
● Perform appropriate nursing intervention according to the needs of the patient.
● Implement a nursing care plan in managing patient's signs and symptoms using
the nursing process.
● Document correctly patient's condition and evaluation.
● Develop the skills in identifying the exact nursing diagnosis of the patient to
provide adequate nursing care to patients. In order help, alleviate their suffering
with proper health care.
Attitude:
● Establish rapport with patients and members of the family.
● Recognize patients need using holistic approach.
● Show outmost confidence in managing patients.
NURSING CARE PLAN
ASESSMENT NURSING PLANING NURSING RATIONALE EVALUATION
DIAGNOSIS INTERVENTION
SUBJECTIVE: Acute pain SHORT TERM: 1. Established SHORT TERM:
“ Gasakit ang related to the After 3 hours rapport to the 1. To gain After 3 hours
akon tyan .’ as accumulation of nursing patient. patient’s trust of nursing
verbalized by the of air, food interventions, 2. Monitor vital and interventions,
patient. and fluid in the patient will be signs cooperation. patient was
intestinal able to report frequently. 2. To see able to report
OBJECTIVE: lumen causing decreased 3. Assess the trends decreased
Pain scale: inflammation abdominal precipitating including abdominal
7/10 and pain. factors, type, progress of pain.
Distended perforation quality, condition or
abdomen secondary to LONG TERM: intensity, and any unusual LONG TERM:
Slight facial the intestinal After 8 hours severity of signs. After 8 hours
grimace obstruction, of nursing pain. 3. Top identify of nursing
intervention, 4. Monitor pain the severity of intervention,
RATIONALE: the patient score. pain and the patient
Intestinal will be able to 5. Provide a provide was able to to
obstruction to verbalize comfortable appropriate verbalize relief
refers to a lack relief from bed and extra interventions. from pain as
of movement pain as pillow to 4. To assess evidence by
of the evidence by support pain the extent and decreased in
intestinal decreased in site. cause the pain pain score
contents pain score 6. Provide a calm and provide from7/10 to
through the from7/10 to and conductive intervention. 3/10.
intestine. 3/10. environment 5. To provide
Because of its and avoid comfort.
smaller lumen, unnecessary 6. To induce
obstruction are noise. sleep and
more common 7. Assess the relieves pain.
and occur needs for 7. To relieve
more rapidly in surgical intestinal
the small management obstruction
intestine,but and prepare and thereby
they can occur and assist the relive pain.
in large patient in 8. To ensure
intestine as surgery. correct
well. 8. Monitor NGT placement and
Depending on frequently. patency. And
the cause and 9. Provide also to avoid
location, psychological aspiration.
obstruction support. 9. To support
may manifest and comfort
as an acute the client.
problem or a
gradually
developing
situation.
Reference:
https://
[Link]
[Link]/
health/
conditions-
and-
[Link]/
article/
intestinalobstru
ction
NURSING CARE PLAN
ASESSMENT NURSING PLANING NURSING RATIONALE EVALUATIO
DIAGNOSIS INTERVENTION N
SUBJECTIVE: Anxiety related
After 2 hours 1. Monitor vital 1. To obtain baseline After 2 hours
“Maga ayo bala to the change of nursing signs. data. of nursing
ako pag katapos in health
interventions 2. Provide pre 2. It can provide interventions,
sang akon status as
, the patient operative assurance and the patient
operasyon?.” as evidenced by will be able education, alleviate patient’s reported
verbalized by expressed to report including visit with anxiety as well as decreased
the patient. concern decrease OR personnel provide information fear and
regarding fear and before surgery for formulating anxiety
OBJECTIVE: changes. anxiety when possible. intraoperative care. reduced to a
Appearance reduce to a 3. Check out and 3. Provides a manageable
of being RATIONALE: manageable explore what knowledge base for level.
restless an Due to level. information the the nurse to enable
anxious. upcoming patient has about the reinforcement of
surgery diagnosis, needed information,
patients are expected surgical and helps identify
usually intervention, and patients with high
experiencing
future therapies. anxiety, low capacity
anxiety. The
4. Identify fear for information
brain signals
levels that may processing, and need
our body part
necessitate for special attention.
to initiate
postponement of 4. Persistent fears
responses
surgical result in excessive
such as
procedure. stress reaction,
fatigue,
5. Validate source potential risk of
nausea, and
of fear. Provide adverse reaction to
abdominal
accurate factual procedure.
pain
information. 5. Identification of
6. Note specific fear helps
Reference:
expression of patients deal with it.
https://
distress and 6. Patient may
[Link]
feelings of already be grieving
[Link]/
helplessness, loss represented by
article/surgery-
preoccupation of anticipated surgical
anxiety
anticipated procedure.
change. 7. Extraneous noise
7. Control external and commotion may
stimuli. accelerate anxiety.
8. Provide 8. To be able the
accurate patient to gain
information about understanding about
the situation. the surgery.
9. Consider the 9. Rehabilitation is
role of an essential
rehabilitation after component of
surgery. therapy intended to
meet physical, social,
emotional, and
vocational needs so
that the patient can
achieve the best
possible level of
physical and
emotional
functioning.
