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Nursing Care Plan for Hemorrhoids

Nursing Care Plan for Hemorrhoids (Before Surgery and After Surgery)

Hemorrhoid is the inflammation of the veins in the rectum which causes bleeding and heavy pains during bowel movement. They can be very disturbing. Hemorrhoids mostly occur in pregnant ladies and also in older people.

There are two types of hemorrhoids, internal hemorrhoids and external hemorrhoids.

The more common of the two types is the external type. Hemorrhoids occur when the blood vessels in the tissue of the rectum or anus become inflamed. This can happen for a large number of reasons, but the most common reason would be irregular defecation - whether it is constipation or diarrhea.

The external type of hemorrhoids is more commonly noted perhaps because of the pain one feels. Internal hemorrhoids are not usually painful, even if they do rupture and release blood. However, the pain of an external hemorrhoid is easily perceived as a sign of something wrong, which causes one to examine the bowl before flushing - whereas a painless internal hemorrhoid may go unnoticed as one flushes automatically.

External hemorrhoids are subject to numerous irritations as a result of their protruding nature. The most common displays that may be suffering from external hemorrhoids are:
  • Presence of bleeding. It is not uncommon for external hemorrhoids to itch and bleed.
  • Itching is a common symptom and as mentioned above, this can result in bleeding. It is important to keep the area clean and dry to expedite healing.
  • Pain in the area is also a problem. People often make jokes at the expense of the hemorrhoid sufferer, but the sufferer is likely not laughing. The pain is very intense if they become thrombosed hemorrhoids. Lumps are often noticed by the hemorrhoid sufferer. They are often accompanied by an intense itching sensation.
One of the symptoms oh hemorrhoids is itching sensation in the affected area. Don not scratch the affected area since they may cause bleeding and swelling and as a result the condition worsens. It is always good to keep the anal region clean and unaffected because the affected region has all chances of spreading to the remaining area.

To prevent hemorrhoids it is advisable to keep the body hydrated. Drink lots of water, this eases the bowel movement and thus reduces the chances of hemorrhoids. Applying Aloe Vera externally minimizes the swelling and pain. Sitting in the same place for long time also causes hemorrhoids, therefore prevent sitting for a long time in the same place and take frequent breaks.

Nursing Care Plan for Hemorrhoids

Nursing Diagnosis for Hemorrhoids (Before Surgery and After Surgery)

1. Constipation related to ignore the urge to defecate due to pain during defecation

2. Anxiety related to plan surgery

3. Acute pain related to irritation, pressure and rectal sensitivity in the area / anal and anorectal disease secondary to postoperative spasm of the sphincter.

4. Impaired Urinary Elimination related to the fear of postoperative pain.

5. Risk for infection related to inadequate primary defenses.

6. Deficient knowledge related to the lack of information about home care.

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