4 Appendectomy Nursing Care Plans


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 Plans

Nursing care planning and management for patients who underwent appendectomy includes: preventing complications, promoting comfort, and providing information.

Here are four (4) nursing care plans (NCP) and nursing diagnosis for patients who underwent appendectomy:

  1. Acute Pain
  2. Risk for Deficient Fluid Volume
  3. Risk for Infection
  4. Deficient Knowledge

Deficient Knowledge

Deficient Knowledge: Absence or deficiency of cognitive information related to specific topic.

May be related to

  • Lack of exposure/recall; information misinterpretation
  • Unfamiliarity with information resources

Possibly evidenced by

  • Questions; request for information; verbalization of problem/concerns
  • Statement of misconception
  • Inaccurate follow-through of instruction
  • Development of preventable complications

Desired Outcomes

  • Verbalize understanding of disease process and potential complications.
  • Verbalize understanding of therapeutic needs.
  • Participate in treatment regimen.
Nursing InterventionsRationale
Identify symptoms requiring medical evaluation (increasing pain; edema or erythema of wound; presence of drainage, fever).Prompt intervention reduces risk of serious complications (delayed wound healing, peritonitis).
Review postoperative activity restrictions (heavy lifting, exercise, sex, sports, driving). Provides information for patient to plan for return to usual routines without untoward incidents.
Encourage progressive activities as tolerated with periodic rest periods.Prevents fatigue, promotes healing and feeling of well-being, and facilitates resumption of normal activities.
Recommend use of mild laxative or stool softeners as necessary and avoidance of enemas.Assists with return to usual bowel function; prevents undue straining for defecation.
Discuss care of incision, including dressing changes, bathing restrictions, and return to physician for suture and staple removal.Understanding promotes cooperation with therapeutic regimen, enhancing healing and recovery process.
Encourage the patient to cough, breathe deeply, and and turn frequently.To prevent pulmonary complication

See Also

You may also like the following posts and care plans:

Gastrointestinal Care Plans

Care plans covering the disorders of the gastrointestinal and digestive system:

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  1. I am following this.there are no any class or courses to train for NCELEX in my country. But I trying it via internet.thanks for helping us.

  2. thank you Matt, I am in the same position now, doing nursing care plans is a challenge. thank you for your ability to present it clearly.

  3. are the diagnosis for post operative care or its combined pre and post op. for example interventions of acute pain i read somewhere talking for not to apply hot compress for fear of rupture?

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