Nursing Care Plan For Gastritis

Introduction:

Gastritis refers to inflammation of the stomach lining, which can cause discomfort and digestive disturbances. As a nurse, your role is vital in managing the symptoms and promoting the healing process for individuals with gastritis. This nursing care plan aims to outline evidence-based interventions to assess, manage, and support patients with gastritis.

Patient Information:

• Name: [Patient’s Name]
• Age: [Patient’s Age]
• Gender: [Patient’s Gender]
• Medical Diagnosis: Gastritis
• Date of Admission: [Date of Admission]
• Date of Care Plan: [Date of Care Plan]
• Medical History: [Brief summary of patient’s medical history]
• Gastritis Type: [Specify the type of gastritis, such as acute or chronic]

Gastritis Nursing Assessment:

Subjective Data:

• The patient may report symptoms such as abdominal pain, bloating, nausea, and loss of appetite.
• Patients may express concerns about the impact of gastritis on their daily activities and dietary habits.

Objective Data:

• Abdominal tenderness or discomfort upon palpation.
• Nausea and vomiting.
• Occurrence of gastrointestinal bleeding (in severe cases).
• Presence of Helicobacter pylori infection (if applicable).

Gastritis Nursing Diagnosis:

1. Acute Pain related to inflammation of the gastric mucosa as evidenced by the patient’s verbalization of abdominal pain and discomfort.
2. Imbalanced Nutrition: Less than Body Requirements related to decreased oral intake and anorexia as evidenced by the patient’s reports of loss of appetite and weight loss.
3. Knowledge Deficit related to unfamiliarity with the causes, management, and prevention of gastritis as evidenced by the patient’s request for information.
4. Acute Pain related to inflammation and irritation of the stomach lining.
5. Imbalanced Nutrition: Less than Body Requirements related to decreased appetite and altered digestion.
6. Risk for Imbalanced Fluid Volume related to vomiting and potential dehydration.
7. Deficient Knowledge regarding gastritis management, dietary modifications, and prevention of complications.

Gastritis Nursing Interventions:

Acute Pain:

• Assess the intensity and characteristics of the patient’s abdominal pain.
• Administer prescribed pain medications as ordered, such as antacids or proton pump inhibitors, to relieve discomfort and reduce gastric acid production.
• Encourage the patient to adopt a comfortable position, such as sitting up or using pillows to support the abdomen.
• Apply heat therapy, such as a warm compress, to the abdominal area to promote relaxation and relieve pain.
• Teach relaxation techniques, such as deep breathing exercises or guided imagery, to help the patient manage pain and reduce anxiety.
• Assess the patient’s pain level using a pain scale and ask about the location, intensity, and quality of the pain.
• Administer prescribed pain medications as ordered to provide relief from abdominal pain.
• Encourage the patient to rest in a comfortable position and use relaxation techniques to help manage the pain.
• Apply heat or cold therapy to the abdomen, as appropriate, to alleviate discomfort.
• Collaborate with the healthcare team to identify and address the underlying cause of gastritis to prevent further episodes of pain.

Imbalanced Nutrition: Less than Body Requirements:

• Assess the patient’s dietary habits and preferences.
• Offer small, frequent meals to prevent gastric irritation and promote adequate nutrient intake.
• Provide dietary education, emphasizing the importance of a balanced diet and avoiding trigger foods or beverages (e.g., spicy or acidic foods, alcohol, caffeine).
• Encourage the patient to consume foods that are easily digestible and gentle on the stomach, such as bland foods, cooked vegetables, and lean proteins.
• Collaborate with a dietitian to develop an individualized meal plan that meets the patient’s nutritional needs and accommodates their specific dietary restrictions or preferences.
• Assess the patient’s dietary intake and preferences.
• Provide small, frequent meals to minimize gastric irritation and promote adequate nutrition.
• Avoid foods and beverages that may trigger or exacerbate gastritis, such as spicy foods, caffeine, and alcohol.
• Offer bland, easily digestible foods, such as soups, broths, and plain crackers.
• Monitor the patient’s weight regularly and provide nutritional counseling to address any weight loss or inadequate dietary intake.

Knowledge Deficit:

• Assess the patient’s understanding of gastritis, its causes, and management.
• Provide education about the potential causes of gastritis, including H. pylori infection, nonsteroidal anti-inflammatory drugs (NSAIDs) use, and excessive alcohol consumption.
• Explain the importance of adhering to prescribed medications, such as antibiotics (if H. pylori infection is present) and acid-reducing agents, to treat the underlying cause and alleviate symptoms.
• Educate the patient about lifestyle modifications to prevent gastritis.
• Assess the patient’s understanding of gastritis and its causes.
• Provide education about the factors that contribute to gastritis, such as dietary choices, alcohol consumption, and NSAID use.
• Teach the patient about the importance of following a gastritis-friendly diet, including avoiding irritants and incorporating foods that are gentle on the stomach.
• Discuss the potential benefits of lifestyle modifications, such as stress reduction techniques and regular exercise, in managing gastritis symptoms.
• Provide written materials or reliable online resources for the patient to further educate themselves about gastritis and self-care strategies.
  

Gastritis Nursing Evaluation:

• The patient experiences a reduction in abdominal pain or discomfort.
• The patient demonstrates improved nutritional intake and stability in weight.
• The patient expresses an understanding of the causes and management of gastritis, including dietary modifications.
• The patient actively engages in self-management strategies and seeks appropriate support when needed.

Documentation:

Regularly document the patient’s pain assessments, nutritional status, fluid balance, interventions provided, and the patient’s response to treatment. Collaborate with the interdisciplinary healthcare team to review and update the care plan based on the patient’s condition and evolving needs.

Note: The nursing care plan should be individualized based on the patient’s specific needs, medical history, and recommendations from the healthcare team. This sample care plan provides a general guideline, and modifications should be made to address the unique needs of the patient.