Nursing Care Plan Subtotal Gastrectomy / Gastric Resection

CARE SETTING

Inpatient surgical unit.

RELATED CONCERNS

1. Cancer
2. Pancreatitis
3. Peritonitis
4. Psychosocial aspects of care
5. Surgical intervention
6. Total nutritional support: parenteral/enteral feeding
7. Upper gastrointestinal/esophageal bleeding
8. Patient Assessment Database
9. Data depend on the underlying condition necessitating surgery.

TEACHING/LEARNING

1. Discharge plan
2. DRG projected mean length of inpatient stay: 3.5 days
3. Assistance with administration of enteral feedings/total parenteral nutrition (TPN) (if required) and acquisition of supplies
4. Refer to section at end of plan for postdischarge considerations.

NURSING PRIORITIES

1. Promote healing and adequate nutritional intake.
2. Prevent complications.
3. Provide information about surgical procedure/prognosis, treatment needs, and concerns.

DISCHARGE GOALS

1. Nutritional intake adequate for individual needs.
2. Complications prevented/minimized.
3. Surgical procedure/prognosis, therapeutic regimen, and long-term needs understood.
4. Plan in place to meet needs after discharge.

(In addition to nursing diagnoses identified in this CP, refer to CP Surgical Intervention.)