NURSING CARE PLAN

ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION

Independent:
Subjective: • Knowledge • Cholecystect • After 8 hours • Review disease • Provides • After 8
deficient of nursing process, surgical knowledge hours of
“Hindi ko alam
omy is the
regarding interventions procedure or base on which nursing
ang gagawin sa condition surgical the patient will prognosis. patient can intervention
sugat ko” as and self removal of verbalize make informed s the patient
verbalized by the care the understanding choices. was able
patient. related to gallbladder, of therapeutic • Demonstrate care • Promotes verbalize
information a small pear- needs. of incisions or independence understandi
Objective: misinterpre dressing or in care and ng of
tation. shaped sac drains. reduces risk of therapeutic
• Statement of that is complications. needs.
misinterpretati located • Emphasize • During initial 6
on. directly importance of months after
beneath the maintaining low surgery, low fat
• Request for fat diet, eating diet limits need
liver in the
information. small frequent for bile and
upper right meals, gradual reduces
• V/S taken as side of the reintroduction of discomfort
follows: abdomen. foods or fluids associated with
The containing fats inadequate
T: 37.3 gallbladder's over 4 to 6 month digestion of
P: 80 period. fats.
main
R: 19 • Discuss avoiding • Minimizes the
BP: 120/80 function is to or limiting use of risk of
store bile, alcoholic pancreatic
which is beverages. involvement.
produced by • Inform patient • Intestines
the liver, and that loose stools require time to
may occur for adjust to
to release it several months. stimulus of
as needed continuous
for digestion. output of bile.
The • Identify signs and • Indicators of
gallbladder's symptoms obstruction of
function is requiring bile flow or
notification of altered
important, healthcare digestion,
but it is not
an essential provider like dark requiring further
organ. urine, jaundiced evaluation and
color of eyes or intervention.
skin, clay colored
stools.
• Review activity • Resumption of
limitations usual activities
depending on is normally
individual accomplished
situation. within 4-5
weeks.