Sample of NCP for Hepatitis - Acute Pain

Some of the symptoms associated with hepatitis C can cause pain. People with hepatitis C may experience episodes of abdominal pain. Pain or soreness on the right side just below the ribs could be from the liver. The pain may come and go, or, for a few patients, it may persist. This sort of pain may be caused by a stretching of the outer edge of the liver, but it does not mean the hepatitis C is worsening.

People with hepatitis C may experience muscle and joint pain. Common sites of joint pain are the hips, knees, fingers, and spine, although any joint can be a source of pain. Pain associated with hepatitis C can move around and come and go. Aches and pains in the muscles are usually experienced as a generalised feeling. However, some people report having pain in only one area of the body.

If there is abdominal pain due to hepatitis C, treating the hepatitis C with pegylated interferon and ribavirin will not necessarily change any abdominal pain which is experienced. The treatment of hepatitis C is not expected to better, worsen or have any effect on abdominal pain.

Some people find benefit in complementary and alternative therapies, such as herbal products or massage. It is best to be advised by a qualified complementary/alternative professional about any therapies or products that could be useful. If you pursue complementary and alternative therapies it is important that you tell your liver specialist and GP of any therapies that you have recently used, are using, or plan to use.

Nursing Diagnosis for Hepatitis: Acute Pain related to hypertrophy of the liver (Hepatomegaly)

characterized by:
Subjective data:

  • client complains of pain when pressed on the upper right quadrant.
  • client says prickling pain.

Objective data:
  • client wince when in press the upper quadrant of the abdomen.
  • there is enlargement of the right upper quadrant of the abdomen.
  • pain scale: 3

Goal:
After nursing actions for 3x24 hours, the pain resolved.

Expected outcomes:
  • clients feel comfortable.
  • pain scale was reduced to 2.

Nursing Interventions :
  • Observation of vital signs every 6 hours.
  • Assess pain scale.
  • Train client relaxation techniques with a deep breath.
  • Adjust the position of the client as comfortable as possible and stick to bed rest when patients have impaired comfort to the abdomen.
  • Divert attention to the client's pain to talk, read newspapers.
  • Collaboration with physicians for providing analgesic.

Rational:
  • To determine the patient's general condition.
  • To know the state of pain that feels.
  • Relaxation techniques with deep breathing relaxation can lessen pain.
  • Reduce muscle tension, reduce metabolic needs and protect the liver.
  • By diverting the attention of the client does not focus on the pain
  • Reduce gastrointestital instability and pain and comfort to the abdominal disorders.

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