You are on page 1of 9

BRECKINRIDGE SCHOOL OF NURSING AND HEALTH SCIENCES AT ITT, PORTLAND, OREGON

NU130 Adult Health Nursing I


Writing Assignment #1

Leslie D. Clark, MN, BSN, RN, Nursing Instructor
4/3/2013




Complete each column with bullet points for the appropriate headings. Use your textbook and at least 1 resource from the ITT VIRTUAL Library. Cite references in
APA format within your document and include a Reference page at the end (also APA format).

Disease
Irritable Bowel Syndrome (spastic colon,
mucous colon, or nervous colon)
Herniation Colorectal Cancer
Pathophys
A & P
GI disorder
Causes chronic and recurring diarrhea,
constipation.
The etiology is unknown, but studies have
found inflammation at the microscopic level
Also, certain foods (caffeinated or
carbonated beverages, and dairy products),
stress, anxiety and depression can make it
worse
Bacteria (Pseudomonas aeruginosa) in the
small intestine has been found in cases of
IBS.
A weakening in the muscle was of the
abdomen, this allows the contents of the
abdomen (bowel, or other intestinal organ)
to protrude through the weakened area.
Can be caused by a defect in the area,
adominal pressure or weakened area due to
previous surgery incision
Can be caused by increased intra-abdominal
pressure (things that cause this is obesity,
pregnancy, and heavy lifting)


Clinical Signs &
Symptoms
Diarrhea
Constipation
Radical changes in bowel movements
Nausea after eating
Pain and discomfort in abdomen
Bloating
Hyper flatuence
Lump or protrusion at the hernia site
Reducible when the protrusion at the
hernia site can be put back into the
abdominal cavity with gentle pressure
Irreducible when the protrusion cannot be
placed back into the abdominal cavity
(REQUIRES IMMEDIATE SURGICAL
EVALUATION)
Strangulated hernia distention, nausea,
vomiting, pain, fever, and tachycardia
(medical emergency)

Patient
Assessments
Nutritional assessment
Pain assessment (OLDCARTS)
Bowel movement history (when and how
often do they have a bowel movement, what
is the usual consistency).
Inspect and ausculate the abdomen
Look at and palpate the abdomen while the
pt lays down and in the standing position
Auscultate for active bowel sounds (no
bowel sounds might indicate obstruction or
strangulation, which is a medical emergency)
Examiner palpates for herniation while the
pt coughs in order to look for hernia in the
groin of a male pt.

Tests
Diagnostics
CBC, serum albumin, ESR, and occult blood
test are usually normal in IBS.
Hydrogen Breath Test is sometimes high
None specific to the hernia
Medical &
Treatments
Meds-Surg-CAM
Avoid food that exasterbate the IBS
(caffeine, alcohol, egg, wheat products,
beverages containing sorbitol or fructose,
and milk products.
Intake of 30 to 40g of daily fiber
Eat regular meals
Drink at least 10 cups of fluids daily
Bulk forming or antidiarrhal drugs
(depending on symptoms: constipation or
diarrhea)
lubiprostone (Amitiza) ONLY FOR WOMEN,
for IBS constipation
tricyclic antidepressants are prescribed for
IBS when the primary symptom is pain
Probiotics
Peppermint oil
Acupuncture and moxibustion (Acu-Moxa)
Stress management
Regular exercise
Exercise to strengthen muscles, weight
control and avoiding heavy lifting are
preventative measures
A truss pad that holds in the hernia, usually
used in male pts that are not a surgical
candidate with an inguinal hernia.
Surgical repair
Minimally invasive inguinal hernia repair
(MIHR), done through a laparoscope, also
called HERNIORRHAPHY. This is the
preferred method
Hernioplasty is when a mesh patch is placed
on the weakened muscle wall for
reinforcement.



Nursing DX

Nursing
Interventions

Other









Disease
Intestinal Obstruction




Pathophys
A & P
A blockage in the intestine making passage
of contents either impossible or difficult
Mechanical obstruction physical blockage

by problems outside the intestine
(adhesions), in the bowel wall (crohns
disease), or in the intestinal lumen (tumors)
Non-mechanical obstruction (paralytic ileus
or adynamic ileus) not caused by an
obstruction, it happens when paristalsis
ceases or decreases due to neurological
factors.
Clinical Signs &
Symptoms

Patient
Assessments

Tests
Diagnostics

Medical &
Treatments
Meds-Surg-CAM

Nursing DX

Nursing
Interventions

Other










Disease

Pathophys
A & P

Clinical Signs &
Symptoms

Patient
Assessments

Tests
Diagnostics

Medical &
Treatments
Meds-Surg-CAM

Nursing DX

Nursing
Interventions

Other



Disease

Pathophys
A & P

Clinical Signs &
Symptoms

Patient
Assessments

Tests
Diagnostics

Medical &
Treatments
Meds-Surg-CAM

Nursing DX

Nursing
Interventions

Other




















Disease

Pathophys
A & P

Clinical Signs &
Symptoms

Patient
Assessments

Tests
Diagnostics

Medical &
Treatments
Meds-Surg-CAM

Nursing DX

Nursing
Interventions

Other













NU130 Unit 2 and 3 Writing Assignment RUBRIC
Criteria 10 points = 90-100%
prioritized & met
9 points = 80-90% met 8 points = 70-80% met 7 points 60-70% Score
Pathophysiology
A & P
Pathophysiology includes
pertinent , specific data in
bullet format for each section

Pathophysiology includes
most of the pertinent, specific
data in bullet format.
Pathophysiology is
Explained, but not
Thoroughly.
Pathophysiology is
Vaguely explained,

Clinical Signs &
Symptoms
Clinical Sign & Symptoms are
Complete, prioritized, & listed
in bullets and accurate
Clinical Signs & Symptoms are
Listed, but not complete
Clinical Signs & Symptoms
Are not complete.
Clinical Signs & Symptoms
Are not listed and/or are
Inaccurate.

Patient
Assessments
All Patient Assessments are
Appropriate and accurate.
A majority of Patient
Assessments are appropriate
And accurate

Patient assessments are
Incomplete and/or
Inaccurate/inappropriate.
Patient Assessments are
NOT complete or accurate,
And/or are not appropriate.

Tests
Diagnostics
All Tests and Diagnostics are
Listed accurately.
A majority of Tests and
Diagnostics are listed.
Tests and Diagnostics are
Incomplete and/or
Inaccurate.
Tests and Diagnostics are
NOT complete AND are
NOT accurate.

Medical & Treatments
Meds-Surg-CAM
Medical Treatments and CAM
Are listed completely and
Accurately.
A majority of Medical Treat-
Ments and CAM are listed
AND are accurate.
Medical Treatments and
CAM are incomplete and/or
Inaccurate.
Medical Treatments and
CAM are NOT listed
AND/OR
Are NOT accurate.

Nursing DX Minimum of 2 nursing
Diagnoses listed in PES
Format (one physiologic and
One psychosocial) AND are
Appropriate.
One Nursing
Diagnosis is in PES format
AND is appropriate.

Nursing Diagnoses listed
Are not in PES format
and/or
are NOT appropriate.
Nursing Diagnoses are NOT
Listed and/or are NOT
Appropriate and/or are
NOT in PES format.

Nursing
Interventions
Minimum of 2 independent
Nursing interventions are
Listed (at least 1 for each
Nursing diagnosis) AND are
Appropriate/Clearly stated.
1 independent nursing
Intervention is listed AND is
Appropriate/Clearly stated.
Nursing Intervention(s)
Are not appropriate OR
Clearly stated.
Nursing Intervention(s) are
NOT listed OR are unclear.

Rationale
For Interventions

Rationale/citations for each
Intervention contain
Evidence Based/
Scientific Reasoning that
Identifies why the
Intervention was selected.
Rationale/Citations for each
Intervention usually explains
The intervention adequately
And justifies its inclusion.
Rationale for each
Intervention does not
Explain the intervention
adequately and its
Inclusion cannot be
Justified.
Rationale for each
Intervention NOT
Included. NO attempt to
explain the intervention &
its inclusion cannot be
Justified.


References
Grammar
References cited within
Document using APA format.
Varied and appropriate
References, with minimum
Of 1 reference from the
Virtual Library.
AND
Separate REFERENCE page in
APA format.
AND
No spelling or grammatical
Errors.
Majority of references are
cited within document using
APA format, with minimum of
1 reference from Virtual
Library.
AND
Separate REFERENCE page in
APA format.
AND
< 5 grammatical and
Spelling errors.

Less than 50% of
References cited within
Document using APA
format.
AND/OR
Separate Reference page
With incorrect APA format.
AND/OR
No reference from
Virtual Library
AND/OR
< 10 grammatical
And spelling errors.
References are not
Cited within the
Document and/or do
NOT use APA format.
AND/OR
Separate Reference page
Absent.
AND/OR
No reference from Virtual
Library.
AND/OR
> 10 Grammar/spelling
Errors.

On Time
Follows
Directions
Student submitted complete
Assignment ON TIME, and
Clearly followed directions
And consistently utilized the
rubric to guide completion of
the writing assignment.
Student submitted ON TIME,
And Usually followed
directions, and primarily
utilized the rubric to guide
completion of the
Writing Assignment.
Student submitted ON
TIME,
And somewhat followed
Directions and rubric to
Guide completion of the
Writing Assignment.
Student did not
Submit ON TIME.
Directions and the
Grading rubric were not
Followed to aid in
Student success.

Total Points 100 90 80 70

You might also like