University Nursing Care Plan: Ileostomy Patient with Complications

This assignment presents a comprehensive nursing care plan for a patient with an ileostomy, addressing both actual and potential nursing diagnoses. The care plan includes assessment data, goal statements, and detailed nursing interventions with rationales, all supported by APA-formatted references. The assignment focuses on managing ulceration related to the stoma and addressing potential issues like iron deficiency and dysphagia. Interventions include wound care, dietary adjustments, and patient education to improve the patient's overall health and well-being. The plan emphasizes evidence-based practices to ensure effective patient outcomes, demonstrating a thorough understanding of nursing principles and patient-centered care.

Running head: CARE PLAN FOR NURSING
Care plan for nursing
Name of the Student:
Name of the University:
Author note:

1CARE PLAN FOR NURSING
Care Plan
Student Name
Date:
Nursing Diagnosis Assessment data that
supports the nursing
diagnosis
Plan/Goal(s) Interventions
1.Actual Nursing Diagnosis:
Ileostomy stoma infection
In the case study of Ms.
Smith, she had ileostomy
that has been producing
large amounts of foul-
smelling, watery effluent.
Upon admission, it was
observed that her ostomy
appliance was leaking
stools and appears badly
1. To reduce the ulceration and
refer to Enterostomal therapist
to see .
2. Assist in performing the self-
care such as body hygiene for
ulceration and incorporate
appropriate diet.
For reduction of the
ulceration due to stoma
infection, with the assistance
of doctor stomahesive
powder with skin prep at the
edge of stoma can be used.
These powders need to be
used before placing ostomy
appliance because it helps
the skin by absorbing the

2CARE PLAN FOR NURSING
on cloths which require
changing. After
inspection, it was
observed that periostomal
edges are red and inflamed
and 3cm ulceration
observed in the posterior
aspect of her stoma. Hsieh
et al. (2015), stated that
because of ostomy the
skin infection observed
and consequently, the skin
around stoma may become
inflamed because it was
leaking.
1. To reduce iron
moisture (. It is specifically
used when periosteal skin is
raw and weepy. Moreover,
refer to Enterostomal
therapist to see for managing
stomas, incontinence, and
dermal ulcer (Coco& Rizzo,
2018). It would reduce the
problem associated with
stool leakage.
2. Assisting the patient to
change clothes into clean one
and assist her to perform
hygienic activities to reduce
the foul order of the body. It
is crucial because it will help
to reduce the chances of

3CARE PLAN FOR NURSING
_________________________
2. Potential Nursing Diagnosis
Plummer Wilson syndrome
deficiency.
2. Reduce dysphagia.
infection and live a healthy
hygienic life (Bertoni et al.,
2017).
1. In this case, in order to
reduce iron deficiency, iron
supplement or diets such as
green vegetables such as
spinach, nuts, and seeds can
be given to the patient. The
rationale behind it is that iron
supplement or the diet
containing reduces the
problem of malnutrition and
the possibility of developing
Plummer Wilson syndrome
(Fukaya et al., 2017).
2. Dysphagia can be reduced

4CARE PLAN FOR NURSING
In the case study of Ms.
Smith, she had
malnutrition and she had
dysphagia which may give
rise to Plummer Wilson
syndrome. Dysphagia is
the medical term used for
difficulty in swelling
which can be observed. It
by incorporating the small
size of meals. It will reduce
the difficulty in swallowing
food. Moreover, assisting the
patient to perform deep
breathing and coughing
exercises q4h. the rationale
behind it is that it would be
the deep breathing and
coughing exercise strengthen
the swallow muscles and
reduce the difficulties during
the consumption of food
(Counter & Ong, 2018)

5CARE PLAN FOR NURSING
can be developed because
of iron deficiency because
of the lack of enough diet
(Counter & Ong, 2018).

6CARE PLAN FOR NURSING
References:
Bertoni, D. M., Hammond, K. L., Beck, D. E., Hicks, T. C., Whitlow, C. B., Vargas, H. D., & Margolin, D. A. (2017). Use of Sodium
Hyaluronate/Carboxymethylcellulose Bioresorbable Membrane in Loop Ileostomy Construction Facilitates Stoma
Closure. The Ochsner Journal, 17(2), 146-149.
Coco, C., & Rizzo, G. (2018). Is a Diverting Stoma Always. Multidisciplinary Management of Rectal Cancer: Questions and
Answers, 455.
Counter, P. R., & Ong, J. H. (2018). Disorders of swallowing. Surgery (Oxford).
Fukaya, H., Piktel, J. S., Wan, X., Plummer, B. N., Laurita, K. R., & Wilson, L. D. (2017). Arrhythmogenic Delayed
Afterdepolarizations Are Promoted by Severe Hypothermia But Not Therapeutic Hypothermia. Circulation Journal, 82(1), 62-
70.
Hsieh, M. C., Kuo, L. T., Chi, C. C., Huang, W. S., & Chin, C. C. (2015). Pursestring closure versus conventional primary closure
following stoma reversal to reduce surgical site infection rate: a meta-analysis of randomized controlled trials. Diseases of the
Colon & Rectum, 58(8), 808-815.