Nursing Outcome, Nursing Interventions, and Patient Teaching For Inguinal Hernia Common Nursing diagnoses found on Nursing

care plan for Inguinal Hernia

Activity intolerance Acute pain Ineffective tissue perfusion: Gastro Intestinal Risk for infection Risk for injury

Nursing outcomes nursing care plans for Inguinal Hernia

The patient will perform activities of daily living within the confines of the disease process. The patient will express feelings of comfort. The patient's bowel function will return to normal. The patient will remain free from signs or symptoms of infection. The patient will avoid complications.

Nursing interventions Nursing Care Plan For Inguinal Hernia

Apply a truss only after a hernia has been reduced. For best results, apply it in the morning before the patient gets out of bed. Assess the skin daily and apply powder for protection because the truss may be irritating. Watch for and immediately report signs of incarceration and strangulation. Closely monitor vital signs and provide routine preoperative preparation. If necessary, When surgery is scheduled Administer I.V. fluids and analgesics for pain as ordered. Control fever with acetaminophen or tepid sponge baths as ordered. Place the patient in Trendelenburg's position to reduce pressure on the hernia site.

After surgery,

Provide routine postoperative care. Don't allow the patient to cough, but do encourage deep breathing and frequent turning. Apply ice bags to the scrotum to reduce swelling and relieve pain; elevating the scrotum on rolled towels also reduces swelling.

Administer analgesics as necessary. In males, a jock strap or suspensory bandage may be used to provide support.

Patient teaching home health guide Nursing Care Plan For Inguinal Hernia

Explain what an inguinal hernia is and how it's usually treated. Explain that elective surgery is the treatment of choice and is safer than waiting until hernia complications develop, necessitating emergency surgery. Warn the patient that a strangulated hernia can require extensive bowel resection, involving a protracted hospital stay and, possibly, a colostomy. Tell the patient that immediate surgery is needed if complications occur. If the patient uses a truss, instruct him to bathe daily and apply liberal amounts of cornstarch or baby powder to prevent skin irritation. Warn against applying the truss over clothing, which reduces its effectiveness and may cause slippage. Point out that wearing a truss doesn't cure a hernia and may be uncomfortable. Tell the postoperative patient that he'll probably be able to return to work or school and resume all normal activities within 2 to 4 weeks. Explain that he or she can resume normal activities 2 to 4 weeks after surgery. Remind him to obtain his physician's permission before returning to work or completely resuming his normal activities. Before discharge, Instruct him to watch for signs of infection (oozing, tenderness, warmth, redness) at the incision site. Tell him to keep the incision clean and covered until the sutures are removed. Inform the postoperative patient that the risk of recurrence depends on the success of the surgery, his general health, and his lifestyle. Teach the patient signs and symptoms of infection: poor wound healing, wound drainage, continued incision pain, incision swelling and redness, cough, fever, and mucus production. Explain the importance of completion of all antibiotics. Explain the mechanism of action, side effects, and dosage recommendations of all analgesics. Caution the patient against lifting and straining.

Treatment of Hiatal Hernia

Eat smaller, more frequent meals. Avoid foods and beverages that may cause acid reflux symptoms. Don't eat within three hours before going to bed. Elevate the head of your bed 4 to 8 inches. Don't wear tight clothing around your waist. Avoid bending or stooping after meals. Avoid constipation. Talk to your doctor if you have a problem with this. Don't do any heavy lifting. Lose weight. Stop smoking.

Take any medications the doctor prescribes

Nursing Interventions: Hiatal Hernia

Prepare the patient for diagnostic tests, as needed. Administer prescribed antacids and other medications To reduce intra-abdominal pressure and prevent aspiration, have the patient sleep in a reverse Trendelenburg position with the head of the bed elevated. Assess the patients response to treatment. Observe for complications, especially significant bleeding, pulmonary aspiration, or incarceration or streangulation of the herniated stomach portion. After endoscopy, watch for signs of perforation such as falling blood pressure, rapid pulse, shock, and sudden pain caused by endoscope. To enhance compliance, teach the patient about the disorder. Explain significant symptoms, diagnostic tests, and prescribed treatments. Review prescribed medications, explaining their desired actions and possible adverse effects. Teach the patient dietary changes to reduce reflux. Encourage the patient to delay lying down for 2 hours after eating.

Causes of Hiatal Hernia

Pregnancy Tight clothing around the abdomen A sudden physical exertion, such as weight lifting Abdominal injury causing a hole or tear in the diaphragm Constipation or straining during bowel movements Vomiting

Sign and Symptoms of Hiatal Hernia

Nausea Retching Chest pain radiating from below the breastbone (the sternum) Feeling of pressure in the chest A bloated feeling after eating Abdominal discomfort Abdominal pressure, especially soon after eating Discomfort or pain in the stomach Discomfort or pain in the esophagus Gas Unexplained coughing Difficulty swallowing