6 Peritonitis Nursing Care Plans

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Peritonitis is the acute or chronic inflammation of the peritoneum, the membrane that lines the abdominal cavity and covers the visceral organs. Inflammation may extend throughout the peritoneum or may be localized as an abscess. Peritonitis commonly decreases intestinal motility and causes intestinal distention with gas. mortality is 10% with death usually a result of bowel obstruction.

The peritoneum is sterile, despite the GI tract normally contains bacteria. When bacteria invade the peritoneum due to an inflammation or perforation of the GI tract peritonitis usually occurs. Bacterial invasion usually results from appendicitis, diverticulitis, peptic ulcer, ulcerative colitis, volvulus, abdominal neoplasms, or a stab wound. It may also be associated with peritoneal dialysis.

Nursing Care Plans

Early treatment of GI inflammation conditions and preoperative and postoperative therapy help prevent peritonitis. Patient care includes monitoring and measures to prevent complications and the spread of infection.

Here are six (6) nursing care plans (NCP) and nursing diagnosis for patients with peritonitis:

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  1. Risk for Infection
  2. Deficient Fluid Volume
  3. Acute Pain
  4. Risk for Imbalanced Nutrition: Less Than Body Requirements
  5. Anxiety/Fear
  6. Deficient Knowledge
  7. Other Possible Nursing Care Plans
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Anxiety/Fear

Nursing Diagnosis

May be related to

  • Situational crisis
  • Threat of death/change in health status
  • Physiological factors, hypermetabolic state

Possibly evidenced by

  • Increased tension/helplessness
  • Apprehension, uncertainty, worry, sense of impending doom
  • Sympathetic stimulation; restlessness; focus on self

Desired Outcomes

  • Verbalize awareness of feelings and healthy ways to deal with them.
  • Report anxiety is reduced to a manageable level.
  • Appear relaxed.
Nursing InterventionsRationale
Evaluate anxiety level, noting patient’s verbal and nonverbal response. Encourage free expression of emotions.Apprehension may be escalated by severe pain, increasingly ill feeling, urgency of diagnostic procedures, and possibility of surgery.
Provide information regarding disease process and anticipated treatment.Knowing what to expect can reduce anxiety.
Schedule adequate rest and uninterrupted periods for sleep.Limits fatigue, conserves energy, and can enhance coping ability.
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Recommended Resources

Recommended nursing diagnosis and nursing care plan books and resources.

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See also

Other recommended site resources for this nursing care plan:

More nursing care plans related to gastrointestinal disorders:

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Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently working as a full-time writer and editor for Nurseslabs. During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. Finding help online is nearly impossible. His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. As a nurse educator since 2010, his goal in Nurseslabs is to simplify the learning process, break down complicated topics, help motivate learners, and look for unique ways of assisting students in mastering core nursing concepts effectively.
  • Thanks Matt Vera for the good work may you continue helping me with such good information since I’m also a nursing student who is almost graduating.

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