Friday, June 8, 2012

Nursing Diagnosis for Gastrostomy

Nursing Diagnosis for Gastrostomy

Gastrostomy is a surgical procedure for inserting a tube through the abdomen wall and into the stomach. The tube, called a "g-tube," is used for feeding or drainage.

Gastrostomy is performed because a patient temporarily or permanently needs to be fed directly through a tube in the stomach. Reasons for feeding by gastrostomy include birth defects of the mouth, esophagus, or stomach, and neuromuscular conditions that cause people to eat very slowly due to the shape of their mouths or a weakness affecting their chewing and swallowing muscles.
Gastrostomy is also performed to provide drainage for the stomach when it is necessary to bypass a longstanding obstruction of the stomach outlet into the small intestine. Obstructions may be caused by peptic ulcer scarring or a tumor.

Nursing Diagnosis for Gastrostomy
  1. Imbalanced nutrition, less than body requirements, related to enteral feeding problems
  2. Risk for infection related to presence of wound and tube
  3. Risk for impaired skin integrity at tube site
  4. Ineffective coping related to inability to eat normally
  5. Disturbed body image related to presence of tube
  6. Risk for ineffective therapeutic regimen management related to knowledge deficit about home care and the feeding procedur.

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