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Care Plan
Gastric Bypass

Nursing Dx Related to As evidence by 1. Risk for Infection gastric bypass surgery surgery 2. Acute Pain surgical procedure pt stating pain 3. Imbalanced nutrition decreased ability to digest food decrease size of stomach
Goals: Remain free from infection, demonstrate appropriate care of site, and demonstrate hygiene measures
Interventions: assess vitals Rationales: increase in temp could be infection
Show patient wound care teaches patient wound care properly
Teach & have patient demonstrate proper hygiene Ensures sanitation measures
Outcomes: Patient shows no signs of infection, patient listening and demonstrating how to clean surgical area

Goals: Patient has decreased pain, know ways of decreasing pain, pain management
Interventions: reposition pt Rationales: comfort measure
Offer suggestions to help relieve pain gives more options on how they can help with their pain
Teach patient of knowing when medications should be taken Helps with keeping the pain at an optimal level
Outcomes: patient states decrease of pain, states ways of decreasing pain and when to take pain meds

Goals: Identify nutritional requirements, have appropriate weight loss, consume adequate nourishment
Interventions: Give resources for nutrition Gives pt options that they can have to eat and support
Weigh pt daily monitors their weight loss
Teach pt about nutrition and preferred intake gives pt an idea of what their menu can be like
Outcomes : Pt is able to give examples of what her intake can be and is looking forward to her weight loss so weighing is no problem

References:
Nursing Diagnosis Handbook, Mosby Elsevier, Eighth Edition
Medical Surgical Nursing, Saunders

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