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.
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
- Verbalize understanding of disease process and potential complications.
- Verbalize understanding of therapeutic needs.
- Participate in treatment regimen.
|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|
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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