Unsatisfactory handling of treatment regimen, consequences, and lifestyle changes associated with unpleasant sensation in the stomach, which may or may not result in vomiting
Ask patient reasons for nausea or inability to eat and document explanation in patient's own words to plan interventions.
Observe patient's fluid and food intake and document the findings to assess nutrient consumption and the need for supplements.
Encourage patient to eat dry, bland foods (such as dry toast or crackers) during periods of nausea to make it possible for patient to eat.
Suggest that patient avoid offensive foods and food odors, shorten food preparation time, and eat and drink slowly. These measures may help to prevent nausea from getting worse.
Administer antinausea medications as prescribed to provide relief from nausea and allow patient to eat.
Teach relaxation techniques and help patient use such techniques during mealtime to reduce stress and divert attention from nausea, thereby helping patient eat and drink.
Provide distractions when patient is feeling nauseated; for example, play favorite music, television programs, audiobooks, and so on. Distraction helps to divert patient's attention from the unpleasant feeling of nausea.
Encourage patient to make a list of best-tolerated and least-tolerated foods to help patient choose foods wisely when nausea abates.
Patient takes steps to manage episodes of nausea and vomiting.
Patient ingests sufficient nutrients to maintain health.
Patient takes steps to ensure adequate nutrition when nausea abates.
Patient maintains weight within specified range.
Documentation⬆⬇
Patient's statements regarding nausea and its causes
Episodes of nausea or vomiting
Intake and output measurements
Types of food and fluids ingested and patient's tolerance
Nursing interventions, including teaching provided to patient
Patient's response to nursing interventions
Evaluations for expected outcomes
Reference(s)⬆
Kovac, A. L. (2018). Updates in the management of postoperative nausea and vomiting. Advances in Anesthesia, 36(1), 81-97. doi:10.1016/j.aan.2018.07.004
Moorthy, G. S., & Letizia, M. (2018). The management of nausea at the end of life. Journal of Hospice & Palliative Nursing, 20(5), 442-451. doi:10.1097/NJH.0000000000000453
Sande, T. A., Laird, B. J. A., & Fallon, M. T. (2019). The management of opioid-induced nausea and vomiting in patients with cancer: A systematic review. Journal of Palliative Medicine, 22(1), 90-97. doi:10.1089/jpm.2018.0260