Assessment of Gastritis
During the collecting history of the disease, the nurse asked about the signs and symptoms in patients. Does the patient have heartburn, can not eat, nausea or vomiting? Do the symptoms occur at anytime, before or after meals, after ingesting spicy foods or causing irritation or after ingesting certain drugs or alcohol? What are the symptoms associated with anxiety, stress, allergies, eating or drinking too much, or eating too fast? how the symptoms disappear? Is there a history of previous gastric or stomach surgery? A history of diet plus a new type of diet eaten for 72 hours, will help. Complete history is essential in helping nurses to identify whether a known reckless excess diet, associated with current symptoms, whether others in the environment of patients had similar symptoms, whether the patient vomited blood and whether the cause of the known elements have been ingested.
Nursing Diagnosis for Gastritis
- Anxiety
- Imbalanced Nutrition, Less Than Body Requirements
- Risk for Fluid Volume Deficit
- Knowledge Deficit
- Acute Pain
Sample of Nursing Diagnosis and Interventions for Gastritis
Nursing Diagnosis : Anxiety related to treatment
Goal : The client will show relaxed and report anxiety dropped to manageable levels.
Intervention:
Independent:
1. Assess physiological responses eg, tachypnea, palpitations, dizziness, headaches, etc..
Rational: It can be indicative of the degree of fear experienced by the patient but may also relate to the physical condition / state of shock.
2. Note the behavior of the example instructions anxiety, irritability, lack of eye contact, behavior against / attack.
Rational: Indicators of the degree of fear experienced by patients eg, patients will feel out of control of the situation or achieve status panic.
3. Encourage a statement of fear and anxiety, give feedback.
Rational: Creating a therapeutic relationship. Help the patient accept the feelings and provide an opportunity to clarify misconceptions.
4. Acknowledge that this is a scary situation and others expressed similar fear. Assist patients in expressing feelings by listening actively.
Rational: If the patient has his own fear, this feeling of validation that is normal can help patients feel less isolated.
5. Provide accurate information, real about what to do.
Rational: Involving patients in the plan of care and reduce unnecessary anxiety about the unknown.
6. Provide a quiet environment to rest.
Rationale: Increase relaxation, improve coping skills.
7. Provide opportunities for the people closest to expressing feelings / problems. Encourage the person closest to the real show positive behavior.
Rational: Helping people closest to accept the anxiety / fear itself that can be transplanted into patients. Improve the behavior of the support that can facilitate healing.
8. Show relaxation techniques, eg, deep breathing exercises, guidance imagination.
Rational: Learn how to relax can help reduce fear and anxiety.
Collaboration
1. Give the drug as an indication
Rational: Drugs that can be used occasionally to reduce anxiety and improve the rest, especially in patients with ulcers.
2. Refer to the psychiatric nurse / religious advisor
Rational: It may take an additional aid for healing to accept the consequences of emergency situations / decisions to the need / demand changes in lifestyle.