Irritable bowel syndrome (spastic colon, mucous colon, or nervous colon) Causes chronic and recurring diarrhea, constipation. A weakening in the muscle was of the abdomen allows the contents of the abdomen (bowel, or other intestinal organ) to protrude through the weakened area.
Irritable bowel syndrome (spastic colon, mucous colon, or nervous colon) Causes chronic and recurring diarrhea, constipation. A weakening in the muscle was of the abdomen allows the contents of the abdomen (bowel, or other intestinal organ) to protrude through the weakened area.
Irritable bowel syndrome (spastic colon, mucous colon, or nervous colon) Causes chronic and recurring diarrhea, constipation. A weakening in the muscle was of the abdomen allows the contents of the abdomen (bowel, or other intestinal organ) to protrude through the weakened area.
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.