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Inflammatory bowel disease (IBD) results froma complex interplay between genetic and environmental factors. Similarities involve (1) chronic inflammation of the alimentary tract and (2) periods of remission interspersed with episodes of acute inflammation. Here are 7 nursing care plans for inflammatory bowel disease

NURSING DIAGNOSIS: Diarrhea May be related to Inflammation, irritation, or malabsorption of the bowel Presence of toxins Segmental narrowing of the lumen Possibly evidenced by Increased bowel sounds/peristalsis Frequent, and often severe, watery stools (acute phase) Changes in stool color Abdominal pain; urgency (sudden painful need to defecate), cramping Desired Outcomes Bowel Elimination (NOC) Report reduction in frequency of stools, ...

NURSING DIAGNOSIS: Risk for Deficient Fluid Volume Risk factors may include Excessive losses through normal routes (severe frequent diarrhea, vomiting) Hypermetabolic state (inflammation, fever) Restricted intake (nausea/anorexia) Desired Outcomes Hydration (NOC) Maintain adequate fluid volume as evidenced by moist mucous membranes, good skin turgor, and capillary refill; stable vital signs; balanced I&O with urine of normal concentration/amount. 7 Inflammatory Bowel ...

NURSING DIAGNOSIS: Anxiety [specify level] May be related to Physiological factors/sympathetic stimulation (inflammatory process) Threat to self-concept (perceived or actual) Threat to/change in health status, socioeconomic status, role functioning, interaction patterns Possibly evidenced by Exacerbation of acute stage of disease Increased tension, distress, apprehension Expressed concern regarding changes in life Somatic complaints Focus on self Desired Outcomes Anxiety Control (NOC) ...

NURSING DIAGNOSIS: Pain, acute May be related to Hyperperistalsis, prolonged diarrhea, skin/tissue irritation, perirectal excoriation, fissures, fistulas Possibly evidenced by Reports of colicky/cramping abdominal pain/referred pain Guarding/distraction behaviors, restlessness Facial mask of pain; self-focusing Desired Outcomes Pain Level (NOC) Report pain is relieved/controlled. Appear relaxed and able to sleep/rest appropriately. 7 Inflammatory Bowel Disease Nursing Care Plan (NCP) Diarrhea — Inflammatory ...

NURSING DIAGNOSIS: Ineffective Coping May be related to Multiple stressors, repeated over period of time; situational crisis Unpredictable nature of disease process Personal vulnerability; inadequate coping method; lack of support systems Severe pain Lack of sleep, rest Possibly evidenced by Verbalization of inability to cope, discouragement, anxiety Preoccupation with physical self, chronic worry, emotional tension, poor self-esteem Depression and dependency ...

NURSING DIAGNOSIS: Knowledge Deficit May be related to Information misinterpretation, lack of recall Unfamiliarity with resources Possibly evidenced by Questions, request for information, statements of misconceptions Inaccurate follow-through of instructions Development of preventable complications/exacerbations Desired Outcomes Knowledge: Disease Process (NOC) Verbalize understanding of disease processes, possible complications. Identify stress situations and specific action(s) to deal with them. Knowledge: Treatment Regimen ...

NURSING DIAGNOSIS: Nutrition: imbalanced, less than body requirements May be related to Altered absorption of nutrients Hypermetabolic state Medically restricted intake; fear that eating may cause diarrhea Possibly evidenced by Weight loss; decreased subcutaneous fat/muscle mass; poor muscle tone Hyperactive bowel sounds; steatorrhea Pale conjunctiva and mucous membranes Aversion to eating Desired Outcomes Nutritional Status (NOC) Demonstrate stable weight or ...