NCP Subtotal Gastrectomy / Gastric Resection

Subtotal gastrectomy or gastric resection is indicated for gastric hemorrhage/intractable ulcers, dysfunctional lower esophageal sphincter, pyloric obstruction, perforation, cancer.

CARE SETTING

Inpatient surgical unit.

RELATED CONCERNS

Cancer
Pancreatitis
Peritonitis
Psychosocial aspects of care
Surgical intervention
Total nutritional support: parenteral/enteral feeding
Upper gastrointestinal/esophageal bleeding

Patient Assessment Database

Data depend on the underlying condition necessitating surgery.

TEACHING/LEARNING
Discharge plan

DRG projected mean length of inpatient stay: 3.5 days

Assistance with administration of enteral feedings/total parenteral nutrition (TPN) (if required) and acquisition of supplies

Refer to section at end of plan for postdischarge considerations.

NURSING PRIORITIES

1. Promote healing and adequate nutritional intake.
2. Prevent complications.
3. Provide information about surgical procedure/prognosis, treatment needs, and concerns.

DISCHARGE GOALS

1. Nutritional intake adequate for individual needs.
2. Complications prevented/minimized.
3. Surgical procedure/prognosis, therapeutic regimen, and long-term needs understood.
4. Plan in place to meet needs after discharge.

(In addition to nursing diagnoses identified in this CP, refer to CP Surgical Intervention.)