OBJECTIVES:

General Objective:
At the end of the case presentation, the students will be able to comprehend and
recognize important points to remember when dealing with patients who manifested
intestinal obstruction; its nature, causes, clinical manifestations, and management. This
is to enhance the student’s awareness, understanding, and knowledge in order to
promote health.

Specific Objectives:
At the end of the case analysis the students will be able to:

Knowledge:
● Define what an Intestinal Obstruction is.
● Recognize the signs and symptoms.
● Formulate care plan specific for the patient.
● Identify the risk factors of the disease.

Skills:
● Perform appropriate nursing intervention according to the needs of the patient.
● Implement a nursing care plan in managing patient's signs and symptoms using
the nursing process.
● Document correctly patient's condition and evaluation.
● Develop the skills in identifying the exact nursing diagnosis of the patient to
provide adequate nursing care to patients. In order help, alleviate their suffering
with proper health care.

Attitude:
● Establish rapport with patients and members of the family.
● Recognize patients need using holistic approach.
● Show outmost confidence in managing patients.

NURSING CARE PLAN

ASESSMENT NURSING PLANING NURSING RATIONALE EVALUATION
DIAGNOSIS INTERVENTION
SUBJECTIVE: Acute pain SHORT INDEPENT: SHORT
“ Gasakit ang related to the TERM: 1. Established 1. To gain TERM:
akon tyan .’ as accumulation After 3 hours rapport to the patient’s trust After 3 hours
verbalized by the of air, food and of nursing patient. and of nursing
patient. fluid in the interventions, 2. Monitor vital cooperation. interventions,
intestinal patient will be signs 2. To see patient was
OBJECTIVE: lumen causing able to report frequently. trends able to report
 Pain scale: inflammation decreased 3. Assess the including decreased
7/10 and perforation abdominal precipitating progress of abdominal
 Slight facial secondary to pain. factors, type, condition or pain.
grimace the intestinal quality, any unusual
obstruction, LONG TERM: intensity, and signs. LONG TERM:
After 8 hours severity of 3. Top identify After 8 hours
RATIONALE: of nursing pain. the severity of of nursing
Intestinal intervention, 4. Monitor pain pain and intervention,
obstruction the patient will score and provide the patient
refers to a lack be able to to abdominal appropriate was able to to
of movement verbalize grith. interventions. verbalize relief
of the intestinal relief from 5. Provide a 4. To assess from pain as
contents pain as comfortable the extent and evidence by
through the evidence by bed and extra cause the pain decreased in
intestine. decreased in pillow to and provide pain score
Because of its pain score support pain intervention. from7/10 to
smaller lumen, from7/10 to site. 5. To provide 3/10.
obstruction are 3/10. 6. Provide a calm comfort.
more common and conductive 6. To induce
and occur environment sleep and
more rapidly in and avoid relieves pain.
the small unnecessary 7. To relieve
intestine,but noise.. intestinal
they can occur 7. Assess the obstruction
in large needs for and thereby
intestine as surgical relive pain.
well. management 8. To ensure
Depending on and prepare correct
the cause and and assist the placement and
location, patient in patency. And
obstruction surgery. also to avoid
may manifest 8. Monitor NGT aspiration.
as an acute frequently. 9. To support
problem or a 9. Provide and comfort
gradually psychological the client.
developing support.
situation.
DEPENDENT:
1. Administer 1. To elevate
potassium chloride patient’s
as ordered by the potassium
physician. level.

NURSING CARE PLAN

ASESSMENT NURSING PLANING NURSING RATIONALE EVALUATIO
DIAGNOSIS INTERVENTION N
SUBJECTIVE: Anxiety related
After 2 hours 1. Monitor vital 1. To obtain baseline After 2 hours
“Maga ayo bala to the changeof nursing signs. data. of nursing
ako pag katapos in health
interventions 2. Provide pre 2. It can provide interventions,
sang akon status as
, the patient operative assurance and the patient
operasyon?.” as evidenced by will be able education, alleviate patient’s reported
verbalized by expressed to report including visit with anxiety as well as decreased
the patient. concern decrease OR personnel provide information fear and
regarding fear and before surgery for formulating anxiety
OBJECTIVE: changes. anxiety when possible. intraoperative care. reduced to a
 BP: 140/90 reduce to a 3. Check out and 3. Provides a manageable
 O2SAT: RATIONALE: manageable explore what knowledge base for the level.
94% Due to level. information the nurse to enable the
 PR: 115 upcoming patient has about reinforcement of
bpm surgery diagnosis, expected needed information,
 RR: 21 cpm patients are surgical and helps identify
 TEMP: 35.2 usually intervention, and patients with high
experiencing future therapies. anxiety, low capacity
anxiety. The 4. Identify fear for information
levels that may processing, and need
brain signals
necessitate for special attention.
our body part
postponement of 4. Persistent fears
to initiate
surgical result in excessive
responses
procedure. stress reaction,
such as
5. Validate source potential risk of
fatigue,
of fear. Provide adverse reaction to
nausea, and
accurate factual procedure.
abdominal
information. 5. Identification of
pain.
6. Note specific fear helps
expression of patients deal with it.
distress and 6. Patient may
feelings of already be grieving
helplessness, loss represented by
preoccupation of anticipated surgical
anticipated procedure.
change. 7. Extraneous noise
7. Control external and commotion may
stimuli. accelerate anxiety.
8. Provide 8. To be able the
accurate patient to gain
information about understanding about
the situation. the surgery.
9. Consider the role 9. Rehabilitation is an
of rehabilitation essential component of
after surgery. therapy intended to
meet physical, social,
emotional, and
vocational needs so
that the patient can
achieve the best
possible level of
physical and emotional
functioning.