This nursing care plan for Hepatitis includes a diagnosis and care plan for nurses with nursing interventions and outcomes for the following conditions: Fatigue & Imbalanced Nutrition. Patients who have hepatitis can experience fatigue due to the fluid over load and toxins built up in the body’s bloodstream The liver filters toxins and when it does not work properly it can allow these toxins to collect in the blood which can make a patient feel terrible. In addition, patients with hepatitis can experience imbalanced nutrition due to enlargement of the liver that can cause epi-gastric pain. The epi-gastric pain can be caused by the enlarged liver putting pressure on the stomach.
Here is a picture of the liver (2) and other various organs such as the gallbladder, hepatic artery, and portal vein:
Below is a case scenario that may be encountered as a nursing student or nurse in a hospital setting.
What are nursing care plans? How do you develop a nursing care plan? What nursing care plan book do you recommend helping you develop a nursing care plan?
This care plan is listed to give an example of how a Nurse (LPN or RN) may plan to treat a patient with those conditions.
Important Disclosure: Please keep in mind that these care plans are listed for Example/Educational purposes only, and some of these treatments may change over time. Do not treat a patient based on this care plan.
Care Plans are often developed in different formats. The formatting isn’t always important, and care plan formatting may vary among different nursing schools or medical jobs. Some hospitals may have the information displayed in digital format, or use pre-made templates. The most important part of the care plan is the content, as that is the foundation on which you will base your care.
Nursing Care Plan for: Fatigue & Imbalanced Nutrition for patients with Hepatitis
If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. Otherwise, scroll down to view this completed care plan.
Scenario: |
|
A 48 year old male is admitted to your floor with viral hepatitis. The patient reports feelings of stomach pain, extreme tiredness, nausea/vomiting, muscle aches, and loss of appetite. You collect a 48 hour food diary from the patient and note his caloric intake is 1000 calories less than his recommended daily value. On assessment you note the right upper quadrant of the abdomen is very tender to the touch.
|
Nursing Diagnosis: |
|
-Imbalanced Nutrition: Less than body requirements related to epigastric pain and nausea/vomiting as evidence by patient reports stomach pain, nausea/vomiting, and 48 hour food diary shows caloric deficient.
-Fatigue related to reduced metabolism by liver as evidence by patient has diagnosis of hepatitis.
|
Subjective Data: |
|
-The patient reports feelings of stomach pain, extreme tiredness, nausea/vomiting, muscle aches, and loss of appetite. Patients gives a 48 hours recall of food.
|
Objective Data: |
|
-A 48 year old male is admitted to your floor with viral hepatitis. Patients caloric intake is 1000 calories less than his recommended daily value. On assessment you note the right upper quadrant of the abdomen is very tender to the touch.
|
Nursing Outcomes: |
| -The patient will participant in activities that stimulate and balance physical and cognitive areas of the body within 48 hours of hospitalization.-The patient will rate his energy level greater than 5 on 1-10 scale with 10 being very energetic before discharge. -The patient’s caloric intake will equal his recommended daily caloric intake within 48 hours. -The patient will experience a decrease in nausea/vomiting within 24 hours. |
Nursing Interventions: |
| -The nurse will encourage and assist the patient to the bedside chair three times a day with each meal.-The nurse will encourage and assist the patient with performing bedside exercises and provide him with reading material to stimulate cognitive function daily.
-The nurse will assess the patient’s energy level before and after each nursing shift. -The nurse will collaborate with the nutritionist about patient’s current caloric intake and recommended daily caloric intake on day 1 of patient’s hospitalization. -The nurse will follow out the nutritionists plan of care regarding patient caloric intake daily for each meal and snacks. -The nurse will administer Zofran 4mg IV every 8 hours for nausea and vomiting. -The nurse will teach the patient 2 non-pharmacological ways to decrease nausea within 24 hours of admission.
|