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Nursing Interventions for Hepatoma - Hepatocellular Carcinoma
Nursing Intervention for Hepatoma - Hepatocellular CarcinomaNursing Diagnosis for Hepatoma - Hepatocellular Carcinoma
Acute pain related to tension in the wall of the abdomen (ascites)
Goal :
Demonstrate the use of relaxation skills and entertainment activities as indicated pain.
Reported the maximum pain relief.
Nursing Intervention :
- Determine the history of pain such as location, frequency, duration and intensity (0-10) and measures of pain relievers for example provide a comfortable position.
- Provide basic comfort measures such as repositioning, rubbing his back.
- Assess pain level / control value
- Provide basic data to evaluate the need / effectiveness of interventions such as: pain is the individual who combined both physical and emotional responses.
- Increase relaxation and help refocus attention.
- Maximum pain control.
Nursing Diagnosis for Hepatoma - Hepatocellular Carcinoma
Activity intolerance related to imbalance between supply oxygenation to the needs
Goal :
Can perform activities according to the ability of the body.
Nursing Intervention :
- Encourage the patient to do anything if possible, such as bathing, getting up from a chair / bed, walk.
- Increase activity according to ability.
- Monitor the physiological response to such activities; changes in blood pressure, heart rate and breathing.
- Give oxygen as indicated
- Increasing the strength / stamina and enables patients to become more active without significant fatigue.
- Tolerance depends on the stage of the disease process, nutritional status, fluid balance and reactions to therapeutic rules.
- The presence of hypoxia, lowering oxygen availability for cellular uptake and aggravate fatigue.
Nursing Diagnosis for Hepatoma - Hepatocellular Carcinoma
Imbalanced Nutrition : Less Than Body Requirements related to anorexia, nausea, impaired absorption
Goal :
- Demonstrated stable weight, weight gain progressively towards the goal, with normalization of laboratory values and limit signs of malnutrition.
- Countermeasures understanding of individual influences on adequate input.
- Monitor the input of food every day, give pasein diary about the food as indicated.
- Encourage patients to eat a diet high in calories and rich in protein with adequate fluid intake.
- Encourage the use of supplements and foods often / less that divided during the day.
- Give antiemetics on a regular schedule before / during and after the administration of antineoplastic agents as appropriate.
- The effectiveness of individual dietary assessment in the disappearance of nausea, post-therapy.
- Patients should try to find a solution / the best combination.
- Increased metabolic needs as well as the fluid (to remove residual production).
- Supplements can play an important role within to maintain adequate caloric intake and protein.
- Nausea / vomiting at least reduce the ability and psychological side effects of chemotherapy that causes stess.
Nursing Interventions Nursing Care Plan for Hepatocellular Carcinoma - Hepatoma
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