Primary Nursing Diagnosis

Pain related to swelling and pressure OUTCOMES. Pain: Disruptive effects; Pain level INTERVENTIONS. Analgesic administration; Pain management


If the patient has a reducible hernia, the protrusion may be moved back into place and a truss for temporary relief can be applied. A truss is a thick pad with an attached belt that is placed over the hernia to keep it in place. Although a truss is palliative rather than curative, it can be used successfully in elderly or debilitated adult patients who are poor surgical risks or who do not desire surgery.

Collaboration with the surgical team is necessary to prepare the patient and family for surgery. If the hernia is incarcerated, manual reduction may be attempted by putting the patient in Trendelenburg's position with ice applied to the affected side. Manual pressure is applied to reduce the hernia. Surgery then may occur within 24 to 48 hours. The surgeon replaces hernial contents into the abdominal cavity and seals the opening in a herniorrhaphy procedure. In a hernioplasty, the surgeon reinforces the weakened area with mesh or fascia.

Intravenous fluids are administered to prevent dehydration, especially for the newborn who is prone to fluid shifts. The patient should be able to tolerate small oral feedings before discharge and should be able to urinate spontaneously. Postoperatively, inspect for signs and symptoms of possible peritonitis, manage nasogastric suction, and monitor the patient for the return of bowel sounds. As with any postoperative patient, monitor the patient for respiratory complications such as atelectasis or pneumonia; encourage the patient to use an incentive spirometer or assist the patient to turn, cough, and deep breathe every 2 hours.



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  • jessamine took-took
    8 years ago

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