Nursing Interventions for Hepatoma - Hepatocellular Carcinoma

Nursing Intervention for Hepatoma - Hepatocellular Carcinoma

Nursing Diagnosis for Hepatoma - Hepatocellular Carcinoma

Acute pain related to tension in the wall of the abdomen (ascites)

Goal :
Demonstrate the use of relaxation skills and entertainment activities as indicated pain.
Reported the maximum pain relief.

Nursing Intervention :
  • Determine the history of pain such as location, frequency, duration and intensity (0-10) and measures of pain relievers for example provide a comfortable position.
  • Provide basic comfort measures such as repositioning, rubbing his back.
  • Assess pain level / control value
Rational :
  • Provide basic data to evaluate the need / effectiveness of interventions such as: pain is the individual who combined both physical and emotional responses.
  • Increase relaxation and help refocus attention.
  • Maximum pain control.

Nursing Diagnosis for Hepatoma - Hepatocellular Carcinoma

Activity intolerance related to imbalance between supply oxygenation to the needs

Goal :
Can perform activities according to the ability of the body.

Nursing Intervention :
  • Encourage the patient to do anything if possible, such as bathing, getting up from a chair / bed, walk.
  • Increase activity according to ability.
  • Monitor the physiological response to such activities; changes in blood pressure, heart rate and breathing.
  • Give oxygen as indicated
Rational :
  • Increasing the strength / stamina and enables patients to become more active without significant fatigue.
  • Tolerance depends on the stage of the disease process, nutritional status, fluid balance and reactions to therapeutic rules.
  • The presence of hypoxia, lowering oxygen availability for cellular uptake and aggravate fatigue.

Nursing Diagnosis for Hepatoma - Hepatocellular Carcinoma

Imbalanced Nutrition : Less Than Body Requirements
related to anorexia, nausea, impaired absorption

Goal :
  • Demonstrated stable weight, weight gain progressively towards the goal, with normalization of laboratory values ​​and limit signs of malnutrition.
  • Countermeasures understanding of individual influences on adequate input.
Nursing Intervention :
  • Monitor the input of food every day, give pasein diary about the food as indicated.
  • Encourage patients to eat a diet high in calories and rich in protein with adequate fluid intake.
  • Encourage the use of supplements and foods often / less that divided during the day.
  • Give antiemetics on a regular schedule before / during and after the administration of antineoplastic agents as appropriate.
Rational :
  • The effectiveness of individual dietary assessment in the disappearance of nausea, post-therapy.
  • Patients should try to find a solution / the best combination.
  • Increased metabolic needs as well as the fluid (to remove residual production).
  • Supplements can play an important role within to maintain adequate caloric intake and protein.
  • Nausea / vomiting at least reduce the ability and psychological side effects of chemotherapy that causes stess.

Nursing Interventions Nursing Care Plan for Hepatocellular Carcinoma - Hepatoma

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