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NURSING CARE PLAN

ASSESSMENT

DIAGNOSIS

INFERENCE

PLANNING

INTERVENTION

RATIONALE

EVALUATION

Subjective:

“Hindi ko alam ang gagawin sa sugat ko” as verbalized by the patient.

Objective:

Statement of

misinterpretati

on.

Request for

information.

V/S taken as follows:

T: 37.3

P: 80

R: 19

BP: 120/80

Knowledge

deficient

regarding

condition

and self

care

related to

information

misinterpre

tation.

related to information misinterpre tation. ∑ Cholecystect omy is the surgical removal of the

Cholecystect omy is the surgical removal of the gallbladder, a small pear- shaped sac that is located directly beneath the liver in the upper right side of the abdomen. The gallbladder's main function is to store bile, which is produced by the liver, and to release it as needed for digestion. The gallbladder's function is important, but it is not

After 8 hours of nursing interventions the patient will verbalize understanding of therapeutic needs.

Independent:

Review disease process, surgical procedure or prognosis.

Demonstrate care of incisions or dressing or drains.

∑ Demonstrate care of incisions or dressing or drains. ∑ Emphasize importance of maintaining low fat

Emphasize importance of maintaining low fat diet, eating small frequent meals, gradual reintroduction of foods or fluids containing fats over 4 to 6 month period.

Discuss avoiding or limiting use of alcoholic beverages.

Inform patient that loose stools may occur for several months.

Provides knowledge base on which patient can make informed choices.

knowledge base on which patient can make informed choices. ∑ Identify signs and symptoms requiring notification
knowledge base on which patient can make informed choices. ∑ Identify signs and symptoms requiring notification
knowledge base on which patient can make informed choices. ∑ Identify signs and symptoms requiring notification
knowledge base on which patient can make informed choices. ∑ Identify signs and symptoms requiring notification
knowledge base on which patient can make informed choices. ∑ Identify signs and symptoms requiring notification

Identify signs and symptoms requiring notification of healthcare

signs and symptoms requiring notification of healthcare ∑ After 8 hours of nursing intervention s the
signs and symptoms requiring notification of healthcare ∑ After 8 hours of nursing intervention s the

After 8 hours of nursing intervention s the patient was able

verbalize

understandi

ng of

therapeutic

needs.

was able verbalize understandi ng of therapeutic needs. ∑ ∑ Promotes independence in care and reduces
∑ ∑

Promotes independence in care and reduces risk of complications.

During initial 6 months after surgery, low fat diet limits need for bile and reduces discomfort associated with inadequate digestion of fats.

Minimizes the risk of pancreatic involvement.

Intestines require time to adjust to stimulus of continuous output of bile.

Indicators of obstruction of bile flow or altered digestion,

an essential requiring further organ. provider like dark urine, jaundiced color of eyes or skin,
an essential
requiring further
organ.
provider like dark
urine, jaundiced
color of eyes or
skin, clay colored
stools.
evaluation and
intervention.
∑ Review activity
limitations
depending on
individual
situation.
Resumption of
usual activities
is normally
accomplished
within 4-5
weeks.
depending on individual situation. ∑ Resumption of usual activities is normally accomplished within 4-5 weeks.
depending on individual situation. ∑ Resumption of usual activities is normally accomplished within 4-5 weeks.
depending on individual situation. ∑ Resumption of usual activities is normally accomplished within 4-5 weeks.
depending on individual situation. ∑ Resumption of usual activities is normally accomplished within 4-5 weeks.
depending on individual situation. ∑ Resumption of usual activities is normally accomplished within 4-5 weeks.
depending on individual situation. ∑ Resumption of usual activities is normally accomplished within 4-5 weeks.
depending on individual situation. ∑ Resumption of usual activities is normally accomplished within 4-5 weeks.
depending on individual situation. ∑ Resumption of usual activities is normally accomplished within 4-5 weeks.
depending on individual situation. ∑ Resumption of usual activities is normally accomplished within 4-5 weeks.
depending on individual situation. ∑ Resumption of usual activities is normally accomplished within 4-5 weeks.
depending on individual situation. ∑ Resumption of usual activities is normally accomplished within 4-5 weeks.
depending on individual situation. ∑ Resumption of usual activities is normally accomplished within 4-5 weeks.
depending on individual situation. ∑ Resumption of usual activities is normally accomplished within 4-5 weeks.
depending on individual situation. ∑ Resumption of usual activities is normally accomplished within 4-5 weeks.
depending on individual situation. ∑ Resumption of usual activities is normally accomplished within 4-5 weeks.
depending on individual situation. ∑ Resumption of usual activities is normally accomplished within 4-5 weeks.
depending on individual situation. ∑ Resumption of usual activities is normally accomplished within 4-5 weeks.
depending on individual situation. ∑ Resumption of usual activities is normally accomplished within 4-5 weeks.
depending on individual situation. ∑ Resumption of usual activities is normally accomplished within 4-5 weeks.
depending on individual situation. ∑ Resumption of usual activities is normally accomplished within 4-5 weeks.
depending on individual situation. ∑ Resumption of usual activities is normally accomplished within 4-5 weeks.
depending on individual situation. ∑ Resumption of usual activities is normally accomplished within 4-5 weeks.
depending on individual situation. ∑ Resumption of usual activities is normally accomplished within 4-5 weeks.
depending on individual situation. ∑ Resumption of usual activities is normally accomplished within 4-5 weeks.
depending on individual situation. ∑ Resumption of usual activities is normally accomplished within 4-5 weeks.
depending on individual situation. ∑ Resumption of usual activities is normally accomplished within 4-5 weeks.