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Acute Pain and Risk of Infection - NCP for Appendicitis


Acute Pain
related to
  • distended colon tissue,
  • inflammation,
  • operation wound
Goal: Pain is lost / reduced

Outcomes:
  • patients seemed relaxed,
  • able to sleep or rest

Interventions:
  1. Assess pain, note the location, severity characteristics.
  2. Keep the rest, with the rest to maintain a semi-Fowler position.
  3. Give entertainment activities.
  4. Teach relaxation techniques with a deep breath.
  5. Collaboration in analgesic administration.
Rational:
  • To determine the level of pain.
  • This position reduces the strain on the incision and abdominal organs.
  • Distract the patient from pain.
  • Reduce tension.
  • To reduce / eliminate pain.


Risk of Infection
related to
  1. perforation or rupture of the appendix,
  2. peritonitis,
  3. abscess formation
Goal: infection does not occur

characterized by:
  • encountered no signs of infection, inflammation, purulent drainage, erythema and fever

Interventions:
  1. Monitor and record vital signs, notice if there is fever sweating, mental changes, increased abdominal pain.
  2. Do a good hand washing and wound care septic appropriate work procedures.
  3. Monitor the incision wound and bandage, wound drainage characteristics notes / erythema.
  4. Provide accurate and honest information on the client or the client's closest people about the condition.
  5. Collaboration in the administration of antibiotic drugs.

Rational:
  1. Soon the alleged onset of infection or sepsis, peritonitis, abscess making it easier for nurses and nursing action plan early.
  2. Can reduce or prevent the occurrence of infections.
  3. Provide early detection of the infection or control the situation healing process.
  4. An accurate information provides knowledge about the progress of the situation so as to provide emotional support, help reduce anxiety.
  5. Allows a reduction in the number of organisms, especially on pre-existing infections.

Pediatric Nurses