Acute Pain – Nursing Care Plan for Hemorrhoids

Acute Pain - Nursing Care Plan for HemorrhoidsHemorrhoids are swollen veins in the anal canal. Hemorrhoids are very unpleasant and troublesome situation where by the veins during the anus or even the rectum are excessively distended and swollen.

The most common cause is straining during bowel movements.

Hemorrhoids may be caused by:

  • Straining during bowel movements
  • Constipation
  • Sitting for long periods of time
  • Anal infections
  • Certain diseases, such as liver cirrhosis

Hemorrhoids may be inside or outside the body.

  • Internal hemorrhoids occur just inside the anus, at the beginning of the rectum. E
  • External hemorrhoids occur at the anal opening and may hang outside the anus.

The most common symptoms of both internal and external hemorrhoids include:

  • Bleeding during bowel movements. You might see streaks of bright red blood on toilet paper after you strain to have a bowel movement.
  • Itching.
  • Rectal pain. It may be painful to clean the anal area.

Constipation and straining during bowel movements raise your risk for hemorrhoids. To prevent constipation and hemorrhoids, you should:

  • Drink plenty of fluids, at least eight glasses per day.
  • Eat a high-fiber diet of fruits, vegetables, and whole grains.
  • Consider fiber supplements.
  • Use stool softeners to prevent straining.

Nursing Diagnosis : Acute Pain related to physical injury agent (surgical incision)


  • Increased patient comfort,
  • Pain control

Expected outcomes:

  • Patients reported decreased pain, pain scale 2-3.
  • Calm facial expression and can rest, sleep.
  • Vital signs are within normal limits.

Nursing Interventions

Pain management:

1. Assess pain comprehensively including location, characteristics, duration, frequency, quality factor and precipitation.
2. Observation of nonverbal reactions inconvenience.
3. Use therapeutic communication techniques to determine the client’s experience of pain before.
4. Provide a quiet environment.
5. Reduce pain precipitation factor.
6. Teach non-pharmacological techniques (relaxation, distraction, etc.) to overcome the pain.
7. Give analgesics to reduce pain.
8. Evaluation of pain reducers / pain control.
9. Collaboration with the doctor if there are complaints about the administration of analgesics were not successful.
10. Monitor patient acceptance of pain management.

Analgesic administration:

1. Check program providing analgesic; types, dosage, and frequency.
2. Check history of allergy.
3. Determine the analgesic of choice, route of administration and optimal dosage.
4. Monitor vital signs.
5. Give analgesics on time especially when pain appears.
6. Evaluation of analgesic efficacy, side effects signs and symptoms.

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