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