Nanda Nursing Diagnosis

Assessment History: Data collected by nurses from clients with possible appendicitis include: age, sey, surgical history, and other medical history, oral / rectal barium administration, history of diit especially fibrous foods. a. Subjective Data Before surgery • Navel area pain radiates to the lower right abdomen • Nausea, vomiting, bloating • No appetite, fever • The right leg cannot be straightened • Diarrhea or constipation After surgery • Pain in the surgery area • Weak • Thirst • Nausea, bloating • Dizzy b. Objective data Before surgery • Tenderness at McBurney point • Muscle spasm • Tachycardia, tachypnea • Pale, nervous • Bowel noise is reduced or absent • Fever 38 - 38.5 degrees C After surgery • There are surgical wounds in the right lower quadrant of the abdomen • Attached infusion • There is a drain / gastric pipe • Reduced bowel sounds • Dry oral mucous membranes Laboratory examination • Leukocytes: 10,000 - 18,000 / mm3 • Netrophils increase by 75% • Increased WBC up to 2...

Appendectomy is the removal of the inflamed appendix with procedures or endoscopic approach. Complaints that often arise in post appendectomy is the verbal communication of pain that is felt, behavior too cautious, behavioral aberrations, (moaning, crying, restlessness), the face shows pain (eyes gloomy, sullen, restricting movement). Nursing Assessment for Appendicitis Assessment is the process whereby data relating to clients systematically collected. This process is dynamic and organized process that involves three basic activities, ie systematically collect, sort and organize the collected data and document data in a format that can be opened again. Assessment is used to recognize and identify health problems and needs of the client and the client's nursing physical, mental, social and environmental. This Assessment contains: 1) Identity. The identity of the client Appendicitis Post Operative on which to base the assessment, include: name, age, gender, education, occupation, r...

Nursing Care Plan for Appendicitis Post Operative Definition of Appendicitis a. Appendicitis is a minor surgical diseases most often occur. Although appendicitis can occur at any age, but most often in young adults. Before the antibiotic era, the high mortality of this disease (Sylvia A. Price, 1994). b. Acute appendicitis is the inflammation spreads to the surface of the parietal peritoneum the pain persists, more powerful and gain weight when moving. (Barbara C. Long, 1996) c. Acute appendicitis is the most common cause of acute inflammation in the lower right quadrant abdominal cavity, the most common cause for emergency abdominal surgery (Brunner and Suddarth, 2001). Clinical Manifestations of Appendicitis a. The main complaint of appendicitis: pain. Abdominal pain lasting more than 6 hours must be taken into consideration. The pain is caused by the blockage of the appendix and its the same as the pain caused by intestinal obstruction. At first intermittent pain such as colic, beca...

Nursing Assessment for Appendicitis - Nursing Care Plan (NCP) for Appendicitis Assessment according to Wong (2003), Doenges (1999), Catzel (1995), Betz (2002), among others: A. Interview Get a thorough medical history, especially regarding: The main complaint: the client will get a pain around the epigastrium radiating to the lower right abdomen. Complaints arising under the right abdominal pain may be a few hours later after the pain in the center or in the epigastrium felt in some time ago. Nature of the complaints of persistent pain is felt, may be lost or there is pain in a long time. Complaints which usually accompanies a client complaining of nausea and vomiting, loss of heat. Past medical history: usually associated with health problems the client is now asked of the parents. Diet, eating foods low in fiber. Elimination habits. 2. Physical examination General condition: the client looks sick mild / moderate / severe. Circulation: tachycardia. Respiratory: Tachypnea, shallow brea...

NCP For Appendicitis Appendicitis Appendicitis is a condition characterized by inflammation of the appendix. It is classified as a medical emergency and many cases require removal of the inflamed appendix, either by laparotomy or laparoscopy. Untreated, mortality is high, mainly because of peritonitis and shock. Reginald Fitz first described acute and chronic appendicitis in 1886, and it has been recognized as one of the most common causes of severe acute abdominal pain worldwide. A correctly diagnosed non-acute form of appendicitis is known as "rumbling appendicitis". Signs & Symptoms For the most part symptoms relate to disturbed function of bowels. Pain first, vomiting next and fever last has been described as classic presentation of acute appendicitis. Pain starts mid abdomen,and except in children below 3 years, tends to localize in right iliac fossa in a few hours. This pain can be elicited through various signs. Signs include localized findings in the right iliac ...