About
An outpouching or herniation in the wall of the intestine with or without inflammation.
Assess
Abdomen, patient history of diverticulosis, intermittent pain, constipation, fever. May be asymptomatic.
Complications
- Internal bleeding- decreased blood pressure, tachycardia, unexplained drop in hematocrit/hemoglobin.
- Intestinal obstruction- decreased to absent vitals, inability to defecate, pain
- Perforation- monitor for rigid abdomen, pain, fever, tachycardia
Diagnosis
- Risk for infection r/t inflammatory process
- Pain r/t decreased peristalsis
Goals
- Client will maintain normal bowel elimination.
- Client will have a pain level less than 4 on a 1-10 scale.
- Client will remain free from infection.
Interventions
- Assess bowel pattern and abdomen.
- Monitor vital signs.
- NPO or clear liquids if diverticulitis is present.
- Educate client to maintain a high fiber diet to facilitate normal bowel elimination except when acutely ill with diverticulitis ( avoid fiber).
- Educate client regarding signs and symptoms to report to HCP indicative of infectious process.
- Prepare for surgery if complications of disease occur.
- Monitor for signs/ symptoms of complications.
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