...Burney, M., McEvery, S., & Kauari, V., (2006). What is ulcerative colitis? National Digestive Diseases Information, No 6-1597 Ulcerative Colitis is an inflammatory bowel disease in which the inflammation can occur in separate parts of the small intestine and colon. There are many intestinal diseases all with very similar symptoms thus, making them difficult to diagnose. This disease may affect people of any age, but usually starts between the ages of 15 to 30 and affects both men and women equally. If the inflammation is occurring in the rectum and lower part of the colon it is defined as ulcerative proctitis and if the entire colon is involved it is called pancolitis. If only the left side of the colon is affected it is then called limited or distal colitis. This disease causes inflammation and sores called ulcers, in the lining of the rectum and colon, this then causes bleeding and pus which causes diarrhea. This disease is quite manageable and approximately half of those affected have mild symptoms. The other 50% can suffer frequent fevers, bloody diarrhea, nausea, and severe abdominal cramps. Ulcerative Colitis can also cause problems such as arthritis, inflammation of the eye, liver disease, and osteoporosis. Some of these conditions have been known to go away when the colitis is treated. There are many theories that exist about what causes ulcerative colitis. People with the disease have abnormalities of the immune system, but doctors are unsure...
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...was given its name in 1932 by gastroenterologist Dr. Burrill B. Crohn, whom it was respectively named after. Previous to this, many cases appeared and recorded as early as 1682 which was when the first description of the condition was made by the Italian physician Giovanni Battista Morgagni. It was described as “…a young man with a chronic, debilitating illness and diarrhea” (Bellany, 2005). Since then, more and more cases have arrived and continues to effect thousands of people worldwide. This condition falls under a medical category known as Inflammatory Bowel Diseases or IBD. The two main forms of IBD are Crohn’s Disease and ulcerative colitis. While very similar and often confused with one another, they have many different, as well as common symptoms. Less common forms are known as collagenous colitis, lymphocytic colitis and Behcet’s disease. Crohn’s Disease may affect the gastrointestinal tract but more commonly at the end of the small bowel and the beginning of the colon. The direct causes for Crohn’s are still yet to be determined by doctors and researchers but many theories have arisen. It is said to be aggravated by diet and stress and may cause it to present “…but they do not cause the disease on their own. Recent research suggests...
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...What is Crohn’s and Colitis Canada? Crohn’s and Colitis Canada is a national, volunteer based organization that was created to collect funds and raise awareness for Crohn’s Disease and Ulcerative Colitis. After accompanying their ill son to a plethora of doctors who could not diagnose him, a Canadian couple started to research different diseases that could have led to their son’s deterioration. Marilyn Finkelstein, second from left, at PACE, which is improving patient care through Crohn’s and Colitis Canada After three years, they discovered that Crohn’s Disease was the culprit. In an attempt to help their son, and anyone else who was suffering from the disease, Marilyn and Albert Finkelstein started selling fruitcakes in an effort to fundraise...
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...Patient Education Plan This is a 65 year-old female who has a weight of 77.1 kg. She presented to the emergency room with increased lower abdominal pains (cramps), diarrhea for past five days, and decrease nutrition consumption because of pain. She states she has lost some weight over the past week but does not know how much. She has increased fatigue and weakness. She has allergies to Lipitor, Demerol, Florinef Acetate, penicillin, Vancomycin. The patient lives at home with her spouse and has a few friends she sees on a regular basis. The patient states she has never smoked, nor has she ever drunk alcohol and no one in the house does either. She does consume 3-4 diet pops a day that contain caffeine. The patient states she has no medical training or knowledge other than the conditions, which she has a history of. She seems to have memory deficits of unknown etiology and very high anxiety issues with very high dependency or separation issues (needing someone near her at all times and demanding). The patient’s medical history consists of kidney stones, urinary tract infection (UTI), high cholesterol, irritable bowel syndrome, diabetes mellitus (Type 1), acid reflux, allergic rhinitis, addison’s disease, osteoporosis, osteopenia, anxiety, and depression. She has a surgical history of: cholecystectomy, colonoscopy, liver biopsy, and hysterectomy. After asking the patient how she learns best, she states “I learn better with a hard copy and someone going over the information me...
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...inflammation are indicative of: Appendicitis. 7. How may a fistula form with Crohn’s disease? Recurrent inflammation, necrosis, and fibrosis forming a connection between intestinal loops. 8. A 60-year-old male presents with GI bleeding and abdominal pain. He reports that he takes NSAIDs daily to prevent heart attack. Tests reveal that he has a peptic ulcer. The most likely cause of this disease is: Inhibiting mucosal prostaglandin synthesis. 9. Prolonged or severe stress predisposes to peptic ulcer disease because: Of reduced blood flow to the gastric wall and mucous glands. 10. A 50-year-old male complains of frequently recurring abdominal pain, diarrhea, and bloody stools. A possible diagnosis would be: Ulcerative Colitis. 11. What is a common cause of gastroenteritis due to Salmonella? Raw or undercooked poultry or eggs. 12. T-cell lymphoma was diagnosed in a 55-year-old man who had a lengthy history of intestinal disease. Which of the following diseases most likely preceded this malignancy? Celiac Disease. 13. Difficulty swallowing is known as Dysphagia. 14. The most common disorder associated with upper GI...
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...BODY FLUIDS AND INTESTINAL GAS Waste from digestive tract Frequent discharge of liquid stool Black tarry stools-contain digested blood First stool of newborn Passage of bloody feces Matter EXPELLED from stomach thru mouth Vomitus Vomiting of blood Gas in digestive tract BODY FLUIDS AND INTESTINAL GAS Waste from digestive tract Frequent discharge of liquid stool Black tarry stools-contain digested blood First stool of newborn Passage of bloody feces Matter EXPELLED from stomach thru mouth Vomitus Vomiting of blood Gas in digestive tract OSTOMIES Creation of an artificial opening OSTOMIES Creation of an artificial opening 1--ELIMINATION OF SOLID WASTE ILE---OSTOMY Into ilieum, creating a stoma (mouth) COLO---STOMY --bag Into colon-creating a stoma (mouth) 1--ELIMINATION OF SOLID WASTE ILE---OSTOMY Into ilieum, creating a stoma (mouth) COLO---STOMY --bag Into colon-creating a stoma (mouth) 2---FEEDING (tubes) PURPOSES GASTR--OSTOMY Into stomach wall- through abdominal wall----- GASTRO—JEJUNUM--OSTOMY Between the stomach and jejunum GAVAGE Process of feeding a person through a NASO-GASTRIC tube 2---FEEDING (tubes) PURPOSES GASTR--OSTOMY Into stomach wall- through abdominal wall----- GASTRO—JEJUNUM--OSTOMY Between the stomach and jejunum GAVAGE Process of feeding a person through a NASO-GASTRIC tube RECTUM==RECTO,PROCT-O ...
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...15-35, anyone at any age can show symptoms. Men are also just as likely to have the disease as women are. If someone, such as a parent, have the disease you are more likely to show symptoms. The risk is also higher if the person is Jewish or African American. The causes of this disease are not clear but some think that genetics, diet, smoking and stress play a role in the irritation. The person’s environment seems to also play a role. For example, people who live in northern climates are more likely to have the disease as well as people in underdeveloped countries as opposed to the more developed ones. Crohn’s is one of the many diseases that fit into the Inflammatory Bowel Disease category. This disease is many times confused with ulcerative colitis. While their symptoms may be very similar, the thing that sets them apart is the part of the gastrointestinal tract that they affect. Crohn’s can affect the large intestine, the end of the small bowel, and the thickness of the bowel wall. Symptoms include persistent diarrhea, rectal bleeding, constipation, and abdominal cramps. If symptoms are not treated the disease can also lead to fatigue and weight loss. Crohn’s is also considered to be a chronic disease meaning that the person can experience periods of remission followed by flare ups. Only in the most severe cases does the disease cause fissures, or tears in the lining of the anus, and fistulas, hollow passages from one part of the intestine to another or in some cases to other...
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...Instructors Ashley Simpson Crohn’s disease is an ongoing disorder that causes inflammation of the digestive tract, also referred to as the gastrointestinal (GI) tract. Crohn’s disease can affect any area of the GI tract, but it most commonly the ileum of the small intestine. The swelling extends deep into the lining of the affected organ and can cause pain; in addition to making the intestines empty frequently, resulting in diarrhea. Crohn’s disease (also referred to as ileitis or enteritis) is an inflammatory bowel disease, the general name for diseases that cause swelling in the intestines. Because the symptoms of Crohn’s disease are similar to other intestinal disorders, such as irritable bowel syndrome and ulcerative colitis, it can be difficult to diagnose. Ulcerative colitis causes inflammation and ulcers in the top layer of the lining of the large intestine. In Crohn’s disease, all layers of the intestine may be involved, and normal healthy bowel can be found between sections of diseased bowel. Crohn’s disease affects men and women equally and seems to run in some families. Crohn’s disease can occur in people of all ages but is more often diagnosed in people between the ages of 20 and 30. People of Caucasian decent have an increased risk of developing Crohn’s disease, and African Americans are at decreased risk for developing Crohn’s disease. Several theories exist about what causes Crohn’s disease, but none have been proven. The human immune system is made from cells and different...
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...Patient Education Plan NUR 427 Sidoney Roache Ulcerative Colitis Patient Education Plan Patient Description Larry Garcia is a 45 year old sales representative with 3 children. He has been married for 18 yrs to Monica, who is 8 yrs. his junior. Mr. Garcia has come to the emergency department reporting abdominal pain, cramping and frequent diarrhea with blood and pus in his stool for the past 2 days. He also has been having difficulty absorbing fluids and nutrients and as a result lost 4 1bs. His symptoms started at age 22 along with lactose intolerance. Larry is Caucasian and of Jewish descent. His regular diet consists of whole-grain breads with eggs for breakfast and for lunch he eats a bagel with cheese and some whole milk. Every Wednesday Larry eats cereal for breakfast and has pasta for lunch. He has a history of abdominal pain for the past 10 years. Mr. Garcia’s preferred learning style is visual as he explained in the initial interview. He learning style is visual because he prefers to read the material independently. He does not absorb verbal information easily. Introduction to the disease process for the Patient Education Plan: The disease process usually begins in the rectosigmoid area and spreads proximally. Pathologic change starts with degeneration of the reticulin fibers beneath the epithelial mucosa. This causes occlusion of the subepithelial capillaries and infiltration of the lamina propria with lymphocytes, leukocytes, eosinophils...
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...Regardless of which definition of chronic illness you subscribe to, be it Feldman, Cluff, or Curtin & Lublin, they all share common themes. They all describe a condition that is long lasting and persistent, requiring some medical oversight/treatment and personal retraining. Once a diagnosis is applied, specific treatments are started but the training of the individual is just that, individual. Each person has their own unique learning style. The following describes this process experienced by one patient afflicted with Crohn’s disease (CD). CD is an inflammatory bowel disease affecting the gastrointestinal (GI) tract anywhere from the mouth to the anus. Sometimes confused with ulcerative colitis, CD usually confines itself to the distal small bowel (ileum), large intestine (colon), rectum, and anus. Where colitis only affects the lining of the colon and rectum. The exact cause of CD is not known. It is thought to be an autoimmune disease with a genetic component as this condition tends to run in families. The most common symptoms of CD are cramps like abdominal pain, fever, fatigue, poor appetite, painful bowel movements, persistent diarrhea, and unintentional weight loss. More advanced symptoms include: constipation, eye irritation, rectal fistulas, joint pain, mouth ulcers, bloody stool, rectal bleeding, skin lumps/sores, and swollen gums. CD sufferers are also at greater risk of small bowel and colon cancer. The patient The patient is a 37 year old, Caucasian male in otherwise...
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...Inflammatory Bowel Disease Treatment Process Inflammatory Bowel Disease, or IBD for short, refers to two forms of inflammatory conditions involving the gastrointestinal tract. Ulcerative Colitis is a chronic disease that affects the colon and rectum, together known as the large intestine. The inner lining of the large intestine becomes inflamed and ulcers could form on the surface. Crohn’s Disease is also a chronic disease that causes inflammation in several parts of the digestive tract (Sklar X10). It can affect anywhere in the GI tract. However, inflammation is commonly found in the end of the small bowel and the beginning of the large intestine (Sklar). It is estimated that twenty percent of people worldwide suffer from IBD (Wangen 27). Patients with IBD are offered no cure because there is no identifiable cause for Inflammatory Bowel Disease. However, treatment is offered to IBD patients to suppress or alleviate these symptoms. The treatment process of Inflammatory Bowel Disease consists of the testing phase, dietary changes, medication, and surgeries. TESTING PHASE Physicians see about three and half million patients a year; almost thirty percent of people who have an appointment with a gastroenterologist, a doctor who specializes in digestive diseases, unfortunately are diagnosed with IBD (Wangen 27). Warning signs for Inflammatory Bowel Disease consists of: extreme abdominal pain, blood in the stool, constant diarrhea, loss of appetite, fever, chronic fatigue, diarrhea...
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...hernias. Services Offered : Trauma surgery – Often they are the first port of call to critically ill or gravely injured patients, and must perform a variety of procedures to stabilize such patients, such as intubation, burr hole, cricothyroidotomy, and emergency laparotomy or thoracotomy to stanch bleeding. Laparoscopic surgery – This is a relatively new specialty dealing with minimal access techniques using cameras and small instruments inserted through 0.3 to 1 cm incisions. Robotic General surgeons that are trained today are expected to be proficient in laparoscopic procedures. Colorectal surgery – General surgeons treat a wide variety of major and minor colon and rectal diseases including inflammatory bowel diseases (such as ulcerative colitis or Crohn's disease), diverticulitis, colon and rectal cancer, gastrointestinal bleeding and hemorrhoids. Breast surgery – General surgeons perform a majority of all non-cosmetic breast surgery from lumpectomy to mastectomy, especially pertaining to the evaluation and diagnosis, of breast cancer. Vascular surgery – General surgeons can perform vascular surgery if they receive special training and certification in vascular surgery. Otherwise, these procedures are performed by vascular surgery specialists. However, general surgeons are capable of treating minor vascular disorders. Endocrine surgery – General surgeons are trained to remove all or part of the thyroid and parathyroid glands in the neck and the adrenal glands just above...
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...Inclusion criteria for the cases will be: women over the age of 50 that have had a recent diagnosis of colon cancer. That means they have had a diagnosis of colon cancer confirmed by a pathologist within the last 30 days of study.Recruitment of cases will come from the Indiana university hospital based off of referrals from physicians within our research group. Cases could also be self-referred if they have seen ads or brochures in the hospitals. The rationale for deriving cases this way is to ensure that their responses to the ffq best reflect their status before they were diagnosed.In regards to the exclusion criteria, anyone with a previous diagnosis of ulcerative colitis, Crohn’s disease, bowel disease, or any other form of cancer will be excluded. Obese individuals, anyone with a BMI of 30 or more, anyone with a history of smoking, and current smokers will also be excluded. The rationale behind that is that those factors could play a crucial role increasing their risk for colon cancer.The controls will be strictly self-referred. We will have fliers and brochures throughout common areas in the hospitals for ppl to see. We will also accept controls from Inresearch.org which has an online registry of healthy volunteers. The same exclusion criteria would apply for controls. | Our plan is to implement a case-control design for our study. We expect the study to take about an hour, before which informed consent will be authorized by all the subjects involved. Upon giving...
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...disease is named after the physician who described the disease in a paper written in 1972. It is also called Morbus Crohn's, Granulomatous enteritis, Regional enteritis, or Terminal ileitis. The disease is usually chronic, with recurrent periods, and also periods of remission. The spread of Crohn s disease into the world is getting worse, and there is still no cure or prevention known to the disease. Crohn's disease is an inflammatory bowel disease ,IBD, the general name for diseases that cause inflammation in the intestines. Crohn's disease can be difficult to diagnose because its symptoms are similar to other intestinal disorders such as irritable bowel syndrome and to another type of IBD called ulcerative colitis. Crohn's disease may also be called ileitis or enteritis. Ulcerative colitis causes inflammation and ulcers in the top layer of the lining of the large intestine. Crohn's disease affects men and women equally and seems to run in some families. About 20 percent of people with Crohn's disease have a blood relative with some form of IBD, most often a brother or sister and sometimes a parent or child. The most common complication is blockage of the intestine. Blockage occurs because the disease tends to thicken the intestinal wall with swelling and scar tissue, narrowing the passage. Crohn's disease may also cause sores, or ulcers, that tunnel through the affected area into surrounding tissues such as the bladder, vagina, or skin. The areas around the anus and rectum are...
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...Lifestyle or Medication Shay Frazier HCA/240 Kim Dankert About the disease Chronic ulcerative colitis is an inflammation of the colon.There is no cure , but the treatment process involves reducing pain of the symptoms , replacing nutrients, stopping blood loss, and preventing complications(Zelman,Tompary , Raymond,Holdaway ,& Mulvihill,2010). Other ways to prevent the disease is by reducing stress, eliminating foods found to trigger symptoms, and taking adrenal corticosteroids. If none of these options work, surgery , may be required.The specific procedure performed is a colostomy. A colostomy is defined as " an artificial opening in the abdominal wall with a segment of the large intestine attached"(Zelman,Tompary , Raymond,Holdaway , & Mulvihill,2010).Fecal waste is evacuated through this opening and collected in a bag. A colostomy can be temporary or permanent depending on the nature of the colon surgery(Zelman,Tompary , Raymond,Holdaway , & Mulvihill,2010). Lifestyle Changes A simple lifestyle change is something everyone does every day , but might not notice such as exercising(Ehrlich , 2013 ,para. 20 ) . You don't have to run a triathlon , but even the simplest of exercises can help reduce stress, relieve depression and make your bowel function normally again (Zelman,Tompary , Raymond,Holdaway , & Mulvihill,2010). Light exercising consist of ,yoga,tai chi, playing with a bouncy ball , dancing , playing Wii Fit(Ehrlich , 2013 ,para. 20...
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