Nursing Care Plan for Celiac Disease
Celiac disease is an autoimmune disorder that causes the body to react adversely to gluten, a protein found in wheat, barley, and rye. The immune system responds to gluten as a foreign invader and attacks the small intestine causing inflammation which damages the small intestine and prevents the body from absorbing nutrients properly. Children with Celiac Disease often have slow or stunted growth and development. Treatment requires a lifelong gluten-free diet to manage symptoms and further intestinal damage. If left untreated, celiac disease can lead to other, serious conditions including ADHD, epilepsy, diabetes, intestinal cancer, and infertility.
The primary component of gluten, called gliadin, is what triggers the immune system to attack the lining of the small intestine (villi). When this lining is damaged, nutrients cannot be absorbed. This abnormal immune response is thought to be primarily a genetic trait as it tends to run in families and affects approximately 1 out of every 100 people worldwide.
The patient will maintain adequate nutrition; the patient will maintain adequate fluid balance; the patient will appropriately meet all developmental milestones
Celiac Disease Nursing Care Plan
- Abdominal pain
- Poor appetite
- Symptoms reported to arise or worsen after consuming gluten
- Chronic diarrhea
- Muscle wasting
- Rash (dermatitis herpetiformis)
- Short stature
- Delayed puberty
- Learning disabilities
- Lack of muscle coordination
Nursing Interventions and Rationales
- Assess mouth and skin
- Assess abdomen
- Look for bloating
- Listen for (hyperactive) bowel sounds
- Feel/percuss for fluid, fullness or pain, note if constipation is present
- Obtain history from parents; symptoms, frequency, known triggers; family history
- Monitor labs and diagnostic tests
- Address vomiting and/or diarrhea as appropriate
- Assess for growth and developmental milestones
- Administer medications and supplements as required
- Provide nutritional education for patient and parent
- Help them to understand how to read food labels.
- Provide education regarding possible trigger foods.
- Recommend keeping a diet log to help determine triggers to avoid.
- Gluten may also be found in hygiene products and children’s modeling clay.
Cornell Note-Taking System Instructions:
- Record: During the lecture, use the note-taking column to record the lecture using telegraphic sentences.
- Questions: As soon after class as possible, formulate questions based onthe notes in the right-hand column. Writing questions helps to clarifymeanings, reveal relationships, establish continuity, and strengthenmemory. Also, the writing of questions sets up a perfect stage for exam-studying later.
- Recite: Cover the note-taking column with a sheet of paper. Then, looking at the questions or cue-words in the question and cue column only, say aloud, in your own words, the answers to the questions, facts, or ideas indicated by the cue-words.
- Reflect: Reflect on the material by asking yourself questions, for example: “What’s the significance of these facts? What principle are they based on? How can I apply them? How do they fit in with what I already know? What’s beyond them?
- Review: Spend at least ten minutes every week reviewing all your previous notes. If you do, you’ll retain a great deal for current use, as well as, for the exam.
For more information, visit www.nursing.com/cornell