Appendectomy is the surgical removal of the appendix. An inflamed appendix may be removed using a laparoscopic approach with laser. However, the presence of multiple adhesions, retroperitoneal positioning of the appendix, or the likelihood of rupture necessitates an open (traditional) procedure.
Studies indicate that laparoscopic appendectomy results in significantly less postoperative pain, earlier resumption of solid foods, a shorter hospital stay, lower wound infection rate, and a faster return to normal activities than open appendectomy.
Nursing care planning and management for patients who underwent appendectomy includes: preventing complications, promoting comfort, and providing information.
Risk for Infection
Risk for Infection: At increased risk for being invaded by pathogenic organisms.
Risk factors may include
- Inadequate primary defenses; perforation/rupture of the appendix; peritonitis; abscess formation
- Invasive procedures, surgical incision
- Achieve timely wound healing; free of signs of infection/inflammation, purulent drainage, erythema, and fever.
|Practice and instruct in good handwashing and aseptic wound care. Encourage and provide perineal care.||Reduces risk of spread of bacteria.|
|Inspect incision and dressings. Note characteristics of drainage from wound (if inserted), presence of erythema.||Provides for early detection of developing infectious process and monitors resolution of preexisting peritonitis.|
|Monitor vital signs. Note onset of fever, chills, diaphoresis, changes in mentation, reports of increasing abdominal pain.||Suggestive of presence of infection or developing sepsis, abscess, peritonitis.|
|Obtain drainage specimens if indicated.||Gram’s stain, culture, and sensitivity testing is useful in identifying causative organism and choice of therapy.|
|Administer antibiotics as appropriate.||Antibiotics given before appendectomy are primarily for prophylaxis of wound infection and are not continued postoperatively. Therapeutic antibiotics are administered if the appendix is ruptured or abscessed or peritonitis has developed.|
|Prepare and assist with incision and drainage (I&D) if indicated.||May be necessary to drain contents of localized abscess.|
|Watch closely for possible surgical complications.||Continuing pain and fever may signal an abscess.|
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Gastrointestinal Care Plans
Care plans covering the disorders of the gastrointestinal and digestive system:
- Appendectomy | 4 Care Plans
- Cholecystectomy | 12 Care Plans
- Cholecystitis and Cholelithiasis | 4 Care Plans
- Gastroenteritis | 4 Care Plans
- Hemorrhoids | 3 Care Plans
- Hepatitis | 7 Care Plans
- Ileostomy & Colostomy | 10 Care Plans
- Inflammatory Bowel Disease | 7 Care Plans
- Intussusception | 3 Care Plans
- Liver Cirrhosis | 8 Care Plans
- Pancreatitis | 8+ Care Plans
- Peritonitis | 6 Care Plans
- Peptic Ulcer Disease | 5 Care Plans
- Subtotal Gastrectomy | 2 Care Plans