Nursing Diagnosis and Interventions for Hemorrhoids
Acute Pain related to hemorrhoids or after surgical treatment and tissue injury.
Goal:
Patients will experience reduced pain.
Intervention and Rationale:
1. Give the pain medication regularly after surgery 24-48 hours.
Rationale: It reduces pain stimulation.
2. Instruct the patient to avoid stretching during bowel movements.
Rationale: This prevents pressure on the perineal area or rectal tissue injury. The pressure will cause pain and may slow healing.
3. Instruct the patient to use an ointment, suppository, or other form.
Rationale: Helps shrink swollen mucous membranes.
4. Instruct the patient about the prognosis: the perfect healing may take several weeks. The pain will disappear after a time.
Rationale: Knowledge of the expected results will reduce fear and provide a reference for the progress towards the perfect cure.
Risk for impaired skin integrity (bleeding) related to irritation by defecation (internal) or rupture of hemorrhoids (external).
Goal: The patient does not bleed through the rectum.
Intervention and Rationale:
1. Instruct the patient in the BAB program
Teach patient to increase dietary intake of fluids (1-2 quarts) and fiber (fruits and vegetables).
Teach patients to use stool softeners as needed.
Teach patients to avoid stretching.
Teach patients to avoid lifting.
Rational:
Hard stools or stretching in the stool will irritate the hemorrhoids and rectal mucosa and may cause bleeding.
2. Instruct the patient to observe the rectal bleeding.
Rational: Bleeding slowly, not treated may cause anemia, especially in elderly patients.
3. Instruct the patient to perform rectal examination regularly.
Rationale: Internal Hemorrhoids, no symptoms may emerge or reappear.
4. Observe the pads often after surgery (every 24 hours). Inform patients about the dangerous period of 5 days after surgery, when the tissue peeling.
Rationale: This allows one to detect bleeding quickly, if it occurs. Early treatment to prevent bleeding blood loss more.