Subjective: Masakit ang opera ko as verbalized by the patient. Objective: yFacial mask of pain. yLimited range of motion.

yDisruption of skin. yV/S taken as follows: T: 37.2 P: 90 R: 19 BP: 110/80

Impaired tissue integrity related to presence of secretions.

yCholecystect omy is the surgical removal of the gallbladder, which is located in the abdomen beneath the right side of the liver. Gallbladder problems are usually the result of gallstones. These stones may block the flow of bile from your gallbladder, causing the organ to swell. Other causes include cholecystitis (inflammatio n of the gallbladder)

After 3 days of nursing interventions, the patient will achieve timely wound healing without complications.

Independent: yChange dressings as often as needed and use karaya powder around the incision. yUse disposable ostomy bag over a stab wound drain. yPlace patient in low or semifowlers position. yObserve for skin, sclerae, urine for change of color. yNote color and consistency of stools. yInvestigate reports of increased right upper quadrant pain, development of fever, tachycardia. Collaborative: yAdminister antibiotics as prescribed. yMonitor laboratory studies

Keeps the skin around the incision clean and provides a barrier to protect skin from excoriation. yOstomy appliance may be used to collect heavy drainage for accurate measurement of output and protection of the skin. yTo facilitates drainage of bile. yDeveloping jaundice may indicate obstruction of the bile flow. yClay colored stools result when bile is not present in the intestine. ySigns suggestive of abcess of fistula formation, requiring

After 3 days of nursing interventions, the patient was able to achieve timely wound healing without complications.

and cholangitis (inflammatio n of the bile duct).

like white blood cells.

medical intervention. yNecessary for treatment of abscess or infection. yLeukocytosis reflects inflammatory process.