Nursing Diagnosis

5 most common diagnosis for gallstone

• Acute pain related to surgical procedure  as evidenced by gallstone 
• Risk for imbalance nutrient relate to inability to eat very well
• Risk for fluid deficit related to vomiting and diarrhea
• Ineffective self-health management related to lack of postoperative management 
• knowledge deficits related to information misinterpretation as evidenced by incorrect follow of instruction.

Actual or potential diagnosis	Nursing intervention	outcome
Acute pain related to surgery as evidenced by gallstone removal	Observation and documentation of pain location, severity (0–10 scale), duration of pain and character of pain (steady, intermittent, colicky).	To be able to identify the best treatment appropriate for patient.
	Record response to medication and other treatment. Monitor side effects of medication.	Understanding more about the patient reaction to medication. To ensure pain is properly managed. To prevent complication and reduce pain.
	Promote bed rest and comfortable position.	Patient assumes position that care is comfortable.

Reference 

Nurselabs (2013). 4 Cholecystitis (Cholelithiasis) Nursing Care Plans. Retrieved from http://nurseslabs.com/4-cholecystitis-cholelithiasis-nursing-care-plans/