Posted by Shahzad Khan on Friday, May 18, 2012
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.