Peptic ulcer is an ulceration in the mucosal wall of the lower esophagus, stomach, pylorus, or duodenum. The ulcer may be referred to as duodenal, gastric, or esophageal, depending on its location. The most common symptom of both gastric and duodenal ulcers is epigastric pain. It is characterized by a burning sensation and usually occurs shortly after meals with gastric ulcer and 2-3 hours afterward with duodenal ulcer.
Predisposing factors of peptic ulcer includes infection with the gram-negative bacteria Helicobacter pylori which may be acquired through the ingestion of food and water, excessive HCL secretion in the stomach, chronic use of non-steroidal anti-inflammatory drugs (NSAIDs) which weakens the lining of the GI tract by reducing the protective function of the mucosal layer, increased stress associated with illness and surgery, alcohol ingestion and excessive cigarette smoking.
Nursing Care Plans
The nursing goals of a client with a peptic ulcer disease include reducing or eliminating contributing factors, promoting comfort measures, promoting optimal nutrition, decreasing anxiety with increased knowledge of disease, management, and prevention of ulcer recurrence and preventing complications
- Acute Pain
- Imbalanced Nutrition: Less Than Body Requirements
- Deficient Knowledge
- Risk For Deficient Fluid Volume
May be related to
- Fear of the unknown
- Nature of the disease.
- Situational crisis
Possibly evidenced by
- Abdominal pain
- Expressed concerns about changes in life events
- Client will demonstrate ways of reducing anxiety level.
|Assess client’s level of anxiety.||Clients with peptic ulcers are anxious, but their anxiety level is not visible.|
|Acknowledge awareness of the client’s anxiety.||Acknowledgement of the client’s feelings validates the feelings and communicates the acceptance of those feelings.|
|Encourage to express fears openly||Open communication enable the client to develop a trusting relationship that aids in reducing anxiety and stress.|
|Use simple language and brief statements when giving instructions to the client.||When experiencing moderate to severe anxiety, clients may be unable to comprehend anything more than simple, clear, and brief instructions.|
|Decrease sensory stimuli by maintaining a quiet environment.||Anxiety may escalate to a panic state with excessive conversation, noise, and equipment around the client.|
|Provide emotional support to client.||Providing emotional support will give a client calming and relaxing mood that will lower anxiety, and stress related to the condition.|
|Assist the client in developing anxiety-reducing measures such as biofeedback, positive imagery, and behavior modification.||Learning these methods provides the client with a variety of ways to manage anxiety.|
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