Nursing Diagnosis for Hepatitis B : Knowledge Deficit about the condition, prognosis, and treatment needs related to lack of exposure / recall; incorrect interpretation of information, do not know the source of information.
Goal: learning needs of clients are met.
Expected outcomes: expressed understanding of the disease process and treatment.
Intervention and Rational:
1. Assess the level of understanding of the disease process, expectations / prognosis possible treatment options.
Rational: identify areas of lack of knowledge / misinformation and provide the opportunity for additional information as needed.
2. Provide specific information about the prevention / transmission of the disease. Examples of gamma globulin contacts requiring personal problems do not need to be divided, emphasizing hand washing and sanitizing clothes, washing dishes, and the facilitation of the shower when the liver enzymes are high.
Avoid intimate contact such as kissing, sexual contact and exposure to infections especially respiratory tract infections (UTI).
Rationale: the need / recommendation will vary due to the type of hepatitis (the causative agent) and individual situations.
3. Plan started its activity as tolerated with adequate rest periods.
Discuss the heavy lifting restrictions and rigorous training / sports. Rationale: It is not necessary to wait until billirubin serum returned to normal to start activity (takes 2 months). But the loud activity should be limited to the liver returned to normal size.
4. Help patients identify diversionary activity.
Rationale: activities that can be enjoyed will help patients avoid breaking the healing length.
5. Encourage sustainability balanced diet.
Rational: improve public health and enhance healing / tissue regeneration.
6. Identify ways to maintain bowel function normally. For example, inadequate fluid intake / dietary fiber, activity / exercise tolerance was appropriate.
Rational: decreased level of activity, changes in the intake of food / fluids and intestinal motility may result konstiipasi.
7. Discuss the side effects and dangers of drinking nonprescription / absorbed. Some anesthetics and the need to report to the caregiver about the diagnosis.
Rational: some drugs are toxic to the liver: the number of other drugs metabolized by the liver and should be avoided in severe liver disease because it causes toxic effects of cumulative / chronic hepatitis.
8. Emphasize the importance of evaluating the physical examination and laboratory evaluation.
Rational: the disease process can take many months to improve, if there are symptoms for longer than 6 months of liver biopsy is needed to ensure the existence of chronic hepatitis.
9. Review the need to avoid alcohol during 6-12 months of age or longer suit individual tolerance.
Rationale: increased hepatic irritation and menpengaruhi recovery.