Nanda Nursing Diagnosis

Gastroesophageal Reflux Disease (GERD) - Assessment 1. General condition Covering conditions such as the level of tension / fatigue, qualitative level of consciousness or GCS and client verbal response. 2. Vital signs Includes examining: Blood pressure: should be examined in a different position, assess the pulse pressure, and pathological conditions. Pulse rate. Respiratory rate. Temperature. 3. Main complaint Assessed onset, duration, quality and characteristics, severity. Location, precipitating factors, related manifestations: Typical complaints (esophagus): heartburn, regurgitation, and dysphagia. Atypical Complaints (extra esophagus): chronic cough, hoarseness, pneumonia, pulmonary fibrosis, bronchiectasis, and non-cardiac chest pain. Another complaint: weight loss, anemia, hematemesis or melena, odynophagia. 4. Past medical history/Previous health Other gastrointestinal diseases. Drugs that affect gastric acid. Allergy / immune response reaction. 5. Family medical history Physi...

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...