Prescribed intravenous infusions are monitored to ensure that it is dripping at the prescribed rate. This helps provide calories for the patient and also rehydrates her. As the condition improves light nourishing balanced diet is given to provide energy and improve client’s immunity.
Client is involved in planning her meal. Meals are served attractively and in bits to stimulate appetite. Irritating foods like alcohol, spices and pepper must be avoided since they aggravate pain. Client is also advised to eat slowly and chew food thoroughly to reduce mucosal irritations. Client is also given snacks between meals to prevent total gastric emptying which causes pain.
Client is engaged in mild to moderate exercises example flexion and extension of limbs to prevent joint stiffness, muscle wasting, thrombosis and contractures. It also helps to improve circulation and peristalsis.
These exercises are carried out at least every 6 hours for 5 minutes.
Client and relatives are educated on the causes, signs and symptoms, prevention and complication of client’s condition, in order to gain an insight on the condition and for them to be involved in the care. The education includes the following;
- Client is informed to seek medical treatment when having any form of re-occurring epigastric pain.
- Client and family are advised to adopt regular and good eating habits.
- Client is advised on the need to follow drug regimen as directed by physician.
- Client is also educated on the need for review and medical check-ups.
- Client is educated on the need to have a well-balanced diet containing carbohydrate to provide energy, protein to repair worn out tissues and aid the healing process, vitamins to improve immunity, adequate intake of fluids to flush the system of toxins and roughage to prevent constipation.
- Pyloric obstruction.
- Intractable ulcer.
- Gastric outlet obstruction.
- Severe anaemia. (BT Basavanthappa, 2011)
All data and information collected on the patient was confirmed by the patient and family.
The validation of data on Madam R.A was done by comparing the signs and symptoms exhibited and verbalised by her with that of the literature review from the textbook to get the difference and similarities.