18 May 2012

Nursing Goal Diagnosis and Interventions of Pancreatitis

Pancreatitis is a rare disease in which the pancreas becomes inflamed. Pancreatic damage occurs when the digestive enzymes are activated and begin attacking the pancreas.

Nursing Diagnosis for Pancreatitis
  • Ineffective breathing pattern related to severe pain, pulmonary infiltrates, pleuraleffusion, atelectasis, and elevated diaphragm
  • Imbalanced nutrition, less than body requirements, related to reduced food intake andincreased metabolic demands
  • Acute pain related to inflammation, edema, distention of the pancreas, and peritonealirritation
  • Impaired skin integrity related to poor nutritional status, bed rest, multiple drains, andsurgical wound
Nursing Goal for Pancreatitis Client
  • Improved respiratory function
  • Improved nutritional status
  • Prevent complications
  • Maintenance of skin integrity
  • Relief of pain and discomfort
Nursing Interventions of Pancreatitis
  • Keep environment free of food odors.
  • Administer analgesics in timely manner (smaller, more frequent doses).
  • Maintain meticulous skin care, especially in presence of draining abdominal wall fistulas.
  • Withhold food and fluid as indicated.
  • Maintain gastric suction when used.
  • Investigate verbal reports of pain, noting specific location and intensity (0–10 scale). Note factors that aggravate and relieve pain.
  • Maintain bedrest during acute attack. Provide quiet, restful environment.
  • Promote position of comfort, e.g., on one side with knees flexed, sitting up and leaning forward.
  • Provide alternative comfort measures (e.g., back rub), encourage relaxation techniques (e.g., guided imagery, visualization), quiet diversional activities (e.g., TV, radio).
  • Prepare for surgical intervention if indicated.