10 January 2012

What is Appendicitis ? Symptoms NCP Nursing Diagnosis Intervention

Whats is Appendicitis?
Appendicitis is an inflammation of the appendix. The appendix is a tube-shaped piece of tissue, the size of a finger, which connects to the large intestine at the lower right side of the abdomen. The inside of the appendix forms a pouch that opens to the large intestine.

Sign and Symptoms of Appendicitis:
  • Abdominal pain
  • Loss of appetite
  • Nausea
  • Vomiting
  • cramps
  • Tenderness and swelling 
  • Diarrhea
  • Constipation
Treatment of Appendicitis
There is no way to prevent appendicitis after it has developed, surgery is the only treatment. There are two types of appendicitis surgery – the first one is the appendectomy or appendicectomy and the second is laparoscopy.

Patient Identity

  • The identity of the client's name, age, sex, marital status, religion, tribe / nation, education, occupation, income, address and registration number.
  • Nursing History
  • Health history now : complaints of pain in post operative wounds, nausea, vomiting, increased body temperature, increased leukocytes.
  • Health history of the past
  • Physical examination
  • Cardiovascular System: To check vital signs, presence or absence of jugular vein distension, pale, edema, and abnormal heart sounds.
  • Hematological System: To determine whether there is increase in leukocytes is a sign of infection and bleeding, nosebleeds splenomegaly.
  • Urogenital System: There are at least tension of the bladder and back pain complaints.
  • Musculoskeletal System: To determine whether there is difficulty in movement, pain in bones, joints and there is a fracture or not.
  • The immune system: To determine whether there is lymph node.
  • Examination Support
  • Routine Blood tests: to determine an increase in leukocytes is a sign of infection.
  • Abdominal x-ray examination: to know the existence of post-surgical complications.

Nursing Diagnosis
Pain related to abdominal wound incision in the lower right quadrant of postoperative

Nursing Intervention:

Goal :
Pain is reduced / lost

Result Criteria :
Seemed relaxed and could sleep properly.

Intervention :
  • Assess the scale of pain location, pain characteristics and report changes accordingly.
  • Maintain a break with the semi powler.
  • Encourage early ambulation.
  • Give your entertainment activities.
  • Collaborate with team doctors in the provision of analgesics.

Rational :
  • Useful in the supervision and efficient medicine, healing progress, changes and characteristics of pain.
  • Eliminating stress is increased by abdominal supine position.
  • Improve kormolisasi organ function.
  • Increase relaxation.
  • Pain relief.