Student Nurses Community

NURSING CARE PLAN - Hemorrhoids ASSESSMENT SUBJECTIVE: Masakit at nahihirapan ako dumumi (I've
been having trouble/pain pooping) as

DIAGNOSIS 5)ute pain ma" be re ated to in* ammation and edema o* pro apsed vari)es#

IN ERENCE Hemorrhoids are vas)u ar masses that protrude into the umen o* the o,er re)tum or periana area# The" resu t ,hen in)reased intra6 abdomina pressure )auses en&or&ement in the vas)u ar tissue inin& the ana )ana # 7oosenin& o* vesse s *rom surroundin& )onne)tive tissue o))urs ,ith protrusion or pro apse into the ana )ana # There are t,o t"pes o* hemorrhoids: e8terna hemorrhoids appear outside the e8terna sphin)ter9 and interna hemorrhoids appear above the interna sphin)ter# :hen b ood ,ithin the hemorrhoids be)omes ) otted be)ause o* obstru)tion9 the

PLANNING 5*ter 4 hours o* nursin& interventions9 the patient ,i report pain is re ieved or )ontro ed#

INTER!ENTION Independent: En)oura&e patient to report pain# 5ssess reports o* abdomina )rampin& or pain9 notin& o)ation9 duration9 intensit" ;2632 s)a e)# Investi&ate and report )han&es in pain )hara)teristi)s# <ote nonverba )ues su)h as rest essness9 re u)tan)e to move and abdomina &uardin&#

RATIONALE Ma" tr" to to erate rather than re=uest ana &esi)s# Chan&es in pain )hara)teristi)s ma" indi)ate spread o* disease or deve opin& )omp i)ations# Bod" an&ua&e+nonver ba )ues ma" be both ph"sio o&i)a and ps")ho o&i)a and ma" be used in )on>un)tion ,ith verba )ues to determine the e8tent or severit" o* the prob em# Ma" pinpoint pre)ipitatin& or a&&ravatin& *a)tors su)h as stress*u events9 *ood into eran)e or to identi*" deve opin& )omp i)ations# 'edu)es abdomina

E!ALUATION 5*ter 4 hours o* nursin& interventions9 the patient ,as ab e to report pain ,as re ieved or )ontro ed#

verba i!ed b" the patient# $BJECTIVE: %uardin& behavior 'est essness (a)ia mask o* pain V+S taken as *o o,s: T: -.#/ 0: 12 ': /2 B0: 3/2+42

'evie, *a)tors that a&&ravate or a eviate pain#

En)oura&e patient to assume

Student Nurses Community

hemorrhoids are re*erred to as bein& thrombosed# position o* )om*ort# 0rovide )om*ort measures# tension and promotes sense o* )ontro # 0romotes re a8ation9 re*o)uses attention9 and ma" enhan)e )opin& abi ities# 0rote)ts skin *rom bo,e a)ids9 preventin& e8)oriation# Enhan)es ) ean iness and )om*ort in the presen)e o* in* ammation o* vari)es# (or )omp ete bo,e rest and )an redu)e pain and )rampin&#

C eanse re)ta area ,ith mi d soap and ,ater or ,ipes a*ter ea)h stoo and provide skin )are# 0rovide sit! bath as appropriate#

Co aborative: Imp ement pres)ribed dietar" modi*i)ations#