- Acute Pain related to Inflammatory processes or Pathological processes as evidenced by Reports of pain and appetite changes
- Dysfunctional Gastrointestinal motility related to Food intolerance and Ingestion of contaminated materials ss evidenced by abdominal cramping, abdominal pain and distended abdomen
- Imbalanced Nutrition related to Loss of appetite and Nausea and vomiting as evidenced by body weight below the ideal weight range for age and gender and food intake less than recommended daily allowance
| Assessment | Nursing Diagnosis | Planning/Outcomes | Intervention | Evaluation |
| Subjective Data: -Verbal reports from the patient -Expressions of pain, such as crying -Unpleasant feeling (such as a prick, burn, or ache) Objective Data: -Significant changes in vital signs -Changes in appetite or eating patterns -Changes in sleep patterns -Guarding or protective behaviors | Acute Pain related to Inflammatory processes or Pathological processes as evidenced by Reports of pain and appetite changes | Patient will report relief of pain. Patient will rate the pain scale lower than the initial rate at a level that is acceptable to them or 0/10. Patient will manifest vital signs within normal limits. Patient will verbalize regaining appetite and sleep. | 1. Provide medications as ordered. Analgesics and sedatives are provided for pain management and relief. Medications to relieve gas, nausea, constipation, and diarrhea may also relieve pain. 2. Assist to a position of comfort. Abdominal pain may be relieved with a specific position that promotes comfort. A knee-to-chest or side-lying position tends to decrease the intensity of abdominal pain. Raising the head of the bed may also relieve symptoms. 3. Insert nasogastric (NG) tube. With certain diagnoses such as a bowel obstruction, bowel rest and the insertion of an NG tube are required to decompress the stomach. 4. Assist in surgical intervention. Depending on the underlying cause, surgery may be indicated in patients with abdominal pain. Assist and prepare the patient for surgery as ordered. | Patient reported relief of pain. Patient rated the pain scale lower than the initial rate at a level that is acceptable to them or 0/10. Patient manifested vital signs within normal limits. Patient verbalized regaining appetite and sleep. |
| Subjective data: Verbalizes of Abdominal Pain and bloating Objective data: -Abdominal pain -Acceleration of gastric emptying -Altered bowel sounds -Diarrhea -Constipation -Nausea -Vomiting -Distended abdomen | Dysfunctional Gastrointestinal motility related to Food intolerance and Ingestion of contaminated materials ss evidenced by abdominal cramping, abdominal pain and distended abdomen | Patient will exhibit normal bowel sounds and remain free of abdominal pain and distention. | 1. Administer medications as ordered. An array of medications may be required depending on the patient’s symptoms. These may include antidiarrheals, antibiotics, antacids, proton-pump inhibitors, and more. 2. Encourage the patient to ambulate. Ambulation and exercise can help increase gastrointestinal motility to relieve pain and symptoms. 3. Provide dietary education. Depending on the symptoms and causes, dietary education can be tailored. Patients with constipation may need to add fiber supplements while those with diarrhea may need to cut out dairy, sugar, and caffeine to reduce triggers. 4. Obtain a stool sample. Stool samples can provide insight into certain infectious processes as well as the presence of blood, bile, and more. | Patient exhibited normal bowel sounds and remained free of abdominal pain and distention. |
| Subjective data: -Verbalizes unable to eat meal -Sense of Nausea and vomiting Objective data: -Body weight below the ideal weight range for age and gender -Constipation -Diarrhea -Food intake less than recommended daily allowance -Hypoglycemia -Abnormal bowel sounds -Poor appetite | Imbalanced Nutrition related to Loss of appetite and Nausea and vomiting as evidenced by body weight below the ideal weight range for age and gender and food intake less than recommended daily allowance | Patient will progressively gain weight towards the desired goal. Patient will be free of signs of malnutrition. Patient will be able to consume adequate caloric intake without discomfort. | 1. Promote an environment conducive to eating. Unnecessary environmental stimulants can aggravate pain experiences and affect the patient’s appetite and nutritional intake. 2. Monitor the patient’s weight gain and muscle mass. Imbalanced nutrition increases the patient’s risk of developing conditions like decreased weight, decreased bone mass, and muscle weakness. 3. Promote oral hygiene. Oral health and hygiene affect the patient’s functional ability to eat and their appetite. 4. Encourage the patient to avoid high-fiber, raw, and spicy foods. These types of food can aggravate abdominal pain, reduce appetite, and affect the patient’s overall nutritional intake. 5. Provide small frequent feedings with bland ingredients. Small frequent feedings with bland ingredients like pain rice, oatmeal, toast, crackers, and clear soup are less likely to upset the patient’s stomach and cause abdominal pain. 6. Refer the patient to a dietitian or nutritionist. A dietitian can help formulate an appropriate meal plan for patients with poor nutritional intake due to gastrointestinal issues like abdominal pain. | Patient progressively gained weight towards the desired goal. Patient free of signs of malnutrition. Patient consumed adequate caloric intake without discomfort. |