1. GASTROINTESTINAL DISORDERS
NURSING DIAGNOSIS & INTERVENTIONS

2. DISTURBED BODY IMAGE RELATED TO LOSS OF NORMAL BODY FUNCTION,
Colostomy
External Hernia
Cancer of the Stomach
Hemorrhoids
Incontinence: (Fecal & Urinary)

3. INTERVENTIONS Allow time for grieving.
Assist patient and significant other in accepting ostomy.
Allow time for and encourage verbalization.
Answer all questions, and explain treatment and procedure
Provide care in a positive manner.

4. INTERVENTIONS CONT. Provide care in a positive manner;
Always avoid facial expression connoting distaste.
Observe for signs of denial, grief, or anger.
Provide privacy and safe environment.

5. IMBALANCED NUTRITION LESS THAN BODY REQUIREMENTS,
Related to dysphagia, decreased stomach capacity, anorexia.

6. INTERVENTIONS
Monitor I&O and daily weights to determine adequate nutritional intake.
Assess patient to determine which foods patient can and cannot swallow to select and prepare edible foods.
Administer gastrostomy tube feedings, if present.

7. INEFFECTIVE BREATHING PATTERN
RELATED TO INCISIONAL PAIN AND PROXIMITY TO THE DIAPHRAGM.

8. INTERVENTIONS
Monitor respirations carefully because of proximity of incision to diaphragm and patient’s difficulty in carrying out breathing exercises.

9. DIGESTIVE SYSTEM

10. THRUSH OF THE MOUTH

11. CANCER OF THE MOUTH

12. MUMPS

13. PHARYNGITIS

14. GASTROESOPHAGEAL REFLUX DISEASE

15. CARCINOMA OF THE ESOPHAGUS

16. ACHALASIA

17. GASTRITIS

18. PEPTIC ULCERS

19. GASTRIC ULCERS

20. PHYSIOLOGIC STRESS ULCERS