Nursing Care Plan Cholecystectomy

CARE SETTING

This procedure is usually done on a short-stay basis; however, in the presence of suspected complications, e.g., empyema, gangrene, or perforation, an inpatient stay on a surgical unit is indicated.

RELATED CONCERNS

1. Cholecystitis with cholelithiasis
2. Pancreatitis
3. Peritonitis
4. Psychosocial aspects of care
5. Surgical intervention
6. Patient Assessment Database/Diagnostic Studies
7. Refer to CP: Cholecystitis with Cholelithiasis.

TEACHING/LEARNING

1. Discharge plan
2. DRG projected mean length of inpatient stay: 1 (laparoscopic)–4.3 days
3. May require assistance with wound care/supplies, homemaker tasks
4. Refer to section at end of plan for postdischarge considerations.

NURSING PRIORITIES

1. Promote respiratory function.
2. Prevent complications.
3. Provide information about disease, procedure(s), prognosis, and treatment needs.

DISCHARGE GOALS

1. Ventilation/oxygenation adequate for individual needs.
2. Complications prevented/minimized.
3. Disease process, surgical procedure, prognosis, and therapeutic regimen understood.
4. Plan in place to meet needs after discharge.