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4 Umbilical and Inguinal Hernia Nursing Care Plans

A hernia occurs when abdominal deviation abut through an hole in a weakened area of a muscle. An umbilical hernia is the bulging of the intestine and omentum through the umbilical melody as a upshot of meagre shutting up forthcoming rise. An inguinal hernia is the tongue of interior through the inguinal melody caused by a need of the vaginal mode to atrophy to cork former rise allowing for a hernial sac to educe along the inguinal canal. An umbilical hernia usually resolves by the age of 4-5 years old. Surgery is recommended for those that behove handsome and to those that do not disappear by ground age. An inguinal hernia is constantly associated delay a hydrocele that behoves customary in the infant by 2 to 3 months of age when intra-abdominal hurry increases abundance to disclosed the sac. Both are corrected by surgical relit (herniorrhaphy) to thwart hinderance and consistent thraldom of a loop of bowel.

Nursing Prudence Plans

Rendemelody powerful nursing prudence is essential succeeding a surgical relit for hernia which includes providing self-approval, educating parents and offshoot as mismisdivert delay notice connected delay the postoperative term and prudence measures, and thwarting the adventure of complications. Here are immodest (4) nursing prudence plans (NCP) and nursing diagnosis (NDx) for umbilical and inguinal hernia:
  1. Acute Pain
  2. Deficient Knowledge
  3. Risk for Injury
  4. Risk for Fluid Volume Deficit

Acute Pain

Umbilical and Inguinal Hernia Nursing Prudence Plans|Nursing Diagnosis

May be connected to Possibly evidenced by
  • Change in facial indication in the offshoot
  • Irritability in infant
  • Verbalization of asceticism
  • Guarding behavior
  • Crying, Moaning
  • Refusal to move
Desired Outcomes
  • Client achieve specific feelings of self-approval and subdue asceticism as picturesque using a asceticism lamina.
Nursing Interventions Rationale
Assess incision asceticism and nonverbal signs of asceticism such as crying, oblivion, facial grimace. Determines the need for the outset of analgesic therapy.
Administer analgesic misappropriate for the severity of asceticism and age. Allays asceticism and disself-approval caused by the incision.
Maintain situation of self-approval. Facilitates self-approval and decreases asceticism caused by the lixiviate on incision.
Apply an ice compress on the scrotal area if hydrocele is corrected and apply scrotal buttress if misappropriate. Promotes self-approval by decreasing the swelling.
Provide buttress to the buttocks dumelody lifting or situation changes. Avoid lixiviate and haul on incision residence.
Encourage parents to change diapers constantly. Prevents delicacy and asceticism at incision area caused by wet diapers.
Provide toys, games for quiet play. Facilitates diversionary activity to vilify from asceticism.
Instruct parents to rest the infant dumelody sustentation or when irritable, constantly burp to migrate swallowed air. Reduces lixiviate on the incision and promotes self-approval.
Educate parents on the causes of asceticism and interventions needed to help it. Promotes agreement of treatments for asceticism postoperatively.

See Also

You may so love the forthcoming posts and prudence plans: Pediatric Nursing Prudence Plans Nursing prudence plans for pediatric terms and diseases:


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