A hernia occurs when abdominal contents protrude through an opening in a weakened area of a muscle. An umbilical hernia is the bulging of the intestine and omentum through the umbilical ring as a result of incomplete closure following birth. An inguinal hernia is the protrusion of intestine through the inguinal ring caused by a failure of the vaginal process to atrophy to close prior birth allowing for a hernial sac to develop along the inguinal canal.
An umbilical hernia usually resolves by the age of 4-5 years old. Surgery is recommended for those that become enlarged and to those that do not disappear by school age. An inguinal hernia is commonly associated with a hydrocele that becomes prevalent in the infant by 2 to 3 months of age when intra-abdominal pressure increases enough to open the sac. Both are corrected by surgical repair (herniorrhaphy) to prevent obstruction and eventual incarceration of a loop of bowel.
Nursing Care Plans
Rendering effective nursing care is important after a surgical repair for hernia which includes providing comfort, educating parents and child as appropriate with information related with the postoperative condition and care measures, and preventing the occurrence of complications.
May be related to
- Lack of knowledge about postoperative care.
Possibly evidenced by
- Request for information about activity allowed, wound care, diet, bathing and comfort measures
- Parents will obtain knowledge about postoperative care.
|Assess parent’s knowledge of hernia including its causes, surgical management; Assess parent’s willingness and interest to execute treatment regimen.||Promotes efficient plan of instruction to ensure compliance.|
|Provide parents and child as appropriate with clear and precise information in understandable language, utilizing teaching aids and encourage questions.||Ascertain understanding based on age and learning ability.|
|Encourage parents to hold infant when crying and during feeding; instruct the child to avoid pushing, lifting, or engaging in a vigorous activity or gym classes.||Prevents strain on the incision and possible hernia recurrence.|
|Instruct in doing sponge baths till the incision heals.||Maintains integrity of the incision.|
|Inform to keep incision dressing until it peels off and to apply diaper so that it does not cover the incision.||Maintains dry and clean incision site.|
|Encourage parents to increase fluid intake and protein-rich diet as ordered.||Promotes return to nutritional status without causing gastrointestinal strain on the incision.|
|Reassure parents that infant normally tolerates surgery well and recovers without incident and that this condition is one of the most usual surgeries in infancy.||Provides assurance and comfort to parents in giving care.|
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