During exacerbation of chronic pancreatitis, the patient must strictly and necessarily observe bed rest. As the recovery and stabilization of the state requires a restriction of physical activity for 1 to 4 days, you must completely exclude the intake of any food. The first 2 - 3 days the patient is given only boiled water or mineral, only warmed to room temperature( the amount of it a day - from 4 to 5 glasses), it is best to drink a broth of rose hips( it is taken 1-2 glasses throughout the day).
In the process of nursing care for chronic pancreatitis on the upper half of the thorax and the right subcostal area, the nurse must put the cold( thereby reducing the secretion of the enzymes of the gland).If the patient is shivering, then he is wrapped in a blanket and a warm, wrapped cloth is placed in his feet.
The nursing process includes constant monitoring of the full and, most importantly, timely implementation of medical prescriptions and medication( antiproteolytic, analgesic, antispasmodic and anticholinergic drugs).The patient should be protected from psychological experiences and stresses, excitement and irritating factors are completely excluded.
A patient with chronic pancreatitis needs a full and healthy sleep, the duration of which should be at least 8 hours throughout the day. The pulse and frequency are constantly monitored, blood pressure is measured, preferably on both hands, body temperature in the armpit, tolerability of the person's food, the frequency of physiological dispensations( stool) and its consistency is important.
In chronic pancreatitis, without fail, a diet is observed, it is an important part of the healing process. After a period of fasting, the patient is prescribed a diet under number 5, which contains a reduced amount of protein, decreases the fat content in food and necessarily carbohydrates, which basically and breaks down the iron. The nurse must monitor the restriction of food intake containing coarse( vegetable) fiber, the food in which essential oils and any spices are present, the strong broths and especially fried in oil or fat food are contraindicated. When chronic pancreatitis is recommended the consumption of warm food, which was cooked for a couple, you can baked products and necessarily rubbed. It will be necessary to completely eliminate hot dishes and dishes from the refrigerator or without heating.
Patient problems in chronic pancreatitis and the
nursing process A potential health threat is a deficit of information about the disease. In the nursing process, an important conversation is important, during which the patient learns about his illness, prevention of an exacerbation, additional literature is needed, which is provided by the person. Often there are difficulties in accepting dietary conditions, due to all the established customs and habits, often worked out over the years. Discussions aimed at explaining the importance of diet and diet, its importance in chronic pancreatitis will help. The nurse must constantly encourage the patient to follow the diet and monitor the transmission of the relatives.
In chronic pancreatitis, liquid food should be discarded because of the threat of aspiration of vomit into the respiratory tract. The food must be soft and semi-liquid, in small portions and at a convenient time for the patient. Due to the risk of aspiration of vomit, the patient is provided with emergency communication with the nurse. Near it there should be containers for them, a pitcher of clean water and napkins. In the event of vomiting, timely assistance should be provided. Upon the appointment of a doctor in nursing care, the patient should be provided with antiemetic medication.