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1. Nursing Diagnosis:
Lack of knowledge regarding potential
for infection complications as evidenced
by level of understanding related to
prevention of infection from
immunocompromised state.
Outcome:
Patient verbalizes understanding of
immunocompromised state and
participates in the learning process to
remain free from infection
Nursing Interventions:
 Teach the patient to monitor
for signs and symptoms of
infection, complications and
how to report to his care
team if signs and symptoms
are noted.
 Ask the patient to teach back
the information conveyed
until the nurse is
comfortable that the patient
understands.
 Advise patient to avoid
congested areas, practicing
proper hand hygiene and
ensuring food is properly
cooked or preserved before
ingestion.
Evaluation:
Ongoing, the patient was able to teach
back some of the signs and symptoms
of infection I discussed with him such
as fever, chills, shortness of breath,
pain redness or swelling of any part of
the body, diarrhea and vomiting.
Nursing Diagnosis:
Risk for grieving, fear and
anxiety related to duodenal
cancer diagnosis.
Nursing Diagnosis:
Risk for malnutrition related to
duodenal malignancy as evidenced by
reduced food and fluid intake.
Patient Information. Patient is a 76y old man who presented to the
ER with severe abdominal pain for 3weeks, vomiting blood for 3
days, nosebleed for 1 day and reduced appetite for the past 2
months. He has a history of multiple TIAs, type 2 diabetes, CAD,
COPD, HTN and hypercholesteremia.
Outcome:
Patient will improve and maintain
good nutritional status and maintain a
healthy weight.
Outcome:
Patient will freely communicate, be
able to grieve and show any emotions
they have.
Nursing Interventions:
 Encourage patient to eat
nutrient rich and high calorie
meals.
 Encourage patient to have small
frequent portions of food
throughout the day to avoid
nausea and vomiting.
 Administer antiemetics as
prescribed and monitor their
effectiveness.
 Encourage patient to frequently
weigh himself so as to catch any
changes in time.
Nursing Interventions:
 Maintain frequent contact
with the patient, talk to him
and use touch appropriately.
 Provide an open and free
environment where the
patient can talk about and
express any thoughts about
his diagnosis.
 Provide patient with
information to help him
understand his diagnosis
using simple language, print
outs and diagrams to ensure
understanding.
Evaluation:
Ongoing, patient has started to
consume the meals served for
breakfast, lunch, and dinner. He notes
that his appetite is not fully back yet
but he is trying to consume as much as
he can tolerate.
Evaluation: Partially met, patient was calm
and would often talk to me about his
diagnosis and how he was looking forward
to an endoscopy that was scheduled the
following day to further examine him and
do a biopsy, he stated that this would give
him a clear picture of what was going on.
Priority 1 Priority 2 Priority 3