About
Abnormally distended veins in the anorectal region caused by pressure, straining, and/or decreased fluid intake.
Assess
Bowel elimination pattern and history, ano-rectal physical assessment, presence of occult blood, pain, itching, or abnormal mucous discharge.
Complications
Hemorrhoidectomy- monitor for pain and bleeding post-operatively, monitor for adequate urinary output.
Bleeding- assess the presence of occult blood, notify physician if increased or prolonged.
Diagnosis
- Impaired comfort related to inflammation of hemorrhoids
- Constipation related to pain and/or poor bowel habits
Goals
- Client will state positive pain relief.
- Client will state three ways to promote normal bowel elimination.
Interventions
- Monitor stool consistency, quantity, color.
- Encourage client to avoid sitting for prolonged periods of time.
- Administer cold packs as ordered to decrease discomfort.
- Administer analgesics and anti-itching ( Tucks) medications as ordered.
- Administer stool softeners as ordered.
- Teach ways to promote normal defecation and avoid straining i.e. increased fluids, increased intake of dietary fiber.
- Teach client proper use of a sitz bath.
- Monitor for signs/ symptoms of complications.
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