NURSING CARE PLAN: GASTRIC ULCER

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

SUBJECTIVE: Acute pain r/t After 8 hours of Independent • Pain is not always Goal met,
Chemical burn of nursing intervention • Note reports of pain, present, but if present should be patient has
“Sumasakit ang gastric mucosa the patient will including location, duration, compared with patient’s verbalized
sikmura ko verbalize relief of intensity (0–10 scale) previous pain symptoms. This relief of pain.
pgkatapos kumain” pain. comparison may assist in
(I’ve been diagnosis of etiology of >Demonstrated
experiencing >Demonstrate bleeding and development of relaxed body
abdominal pain relaxed body posture complications. posture and be
immediately after and be able to able to
eating) as verbalized sleep/rest sleep/rest
by the patient appropriately. • Review factors that • Helpful in establishing appropriately.
aggravate or alleviate pain. diagnosis and treatment needs.

OBJECTIVE: • Identify and limit • Food has an acid

foods that create discomfort neutralizing effect and dilutes
 Abdominal such as spicy or carbonated the gastric contents.
guarding drink.

 Restlessness • Encourage small, • Small meals prevent

frequent meals distension and the release of
 facial grimacing gastrin

 pain scale of 6 out

of 10 • Encourage patient to • Reduces abdominal
assume position of comfort. tension and promotes sense of
 V/S taken as control.
follows

T: 37.5˚C
P: 65
R: 14 COLLABORATIVE
BP: 110/ 80
• Provide and • Patient may receive
implement prescribed nothing by mouth (NPO)
dietary modifications. initially. When oral intake is
 allowed, food choices depend
on the diagnosis

Administer medications as
indicated

• Analgesics, e.g., • May be narcotic of

morphine sulfate choice to relieve acute/severe
pain and reduce peristaltic
activity. Note: Meperidine
(Demerol) has been associated
with increased incidence of
nausea/vomiting

• Antacids • Decreases gastric acidity

by absorption or by chemical
neutralization. Evaluate choice
of antacid in regard to total
health picture, e.g., sodium
restriction

May be given at bedtime to

decrease gastric motility,
suppress acid production, delay
• Anticholinergics, e.g., gastric emptying, and alleviate
belladonna, atropine nocturnal pain associated with
gastric ulcer.

JAN HOWARD G. PLEYTO