...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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...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 if these abnormalities...
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...disorders that affects the gastrointestinal tract. Ulcerative colitis and Crohn disease are the two well-known Inflammatory Bowel Diseases. At present, the pathophysiology of the two inflammatory bowel diseases will be discussed. “Ulcerative colitis is a chronic inflammatory disease that causes ulceration of the colonic mucosa, most commonly in the rectum and sigmoid colon” Huether & Mccance (2017). Individuals affected with this disease suffer from pain that eventually it has a negative impact on their lifestyle satisfaction. The pathophysiology of Ulcerative colitis consists of inflammation of the large intestine the results in lesions, hyperemic of the mucosa, erosions, ulcers,...
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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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...Department of Biological Sciences Honors Biology Room #110 Disease of the Digestive System Crohn’s Disease Dr. Juliet Durant Cameron Palmer March 3rd, 2011 Lab 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...
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...My disease is colitis it has inflammatory bowel that has an infection of the lining of the colon that has pus that fills the ulcers, bloody, diarrhea, abdominal pain, weight loss and fever. The painful condition affects the daily lives of a person’s ability to eat. The immune system mistakes and attacks the organs in the body. It becomes unbearable will never go away unless the large intestine or colon gets to be surgically repair, because there is no cure It has a irritation of the colon, cases of reasons for colitis incorporate contamination for instance caused by microscopic organisms infections and parasites illness like crohn's sickness and ulcerative colitis, ischemic colitis caused by diminished blood supply .colitis is an irritation...
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...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 often involved. The disease can be aggravated by a bacterial infection. It begins with the development of patches of inflammation on the intestinal wall, which can spread from one part of the digestive tract to another. The cause of Crohn's disease is unknown. It can affect the digestive system anywhere between the mouth and the anus, but usually affects the final...
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...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 often involved. The disease can be aggravated by a bacterial infection. It begins with the development of patches of inflammation on the intestinal wall, which can spread from one part of the digestive tract to another. The cause of Crohn's disease is unknown. It can affect the digestive system anywhere between the mouth and the anus, but usually affects the final...
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...10.3: Digestive system disorders 1. Peptic Ulcers: * A peptic ulcer is a sore (hole) in the lining of the stomach or duodenum because the protective mucus that covers the lining has weakened. The tissues become inflamed due to the contact with hydrochloric acid in the stomach * Peptic ulcers cause nausea, loss of appetite, and abdominal pain. * Peptic ulcers begin when bacteria called “Helicobacter pylori” attach to the wall of the stomach and prevent the area from producing the protective mucus. * Ulcers can be treated with antibiotics that kill bacteria. 2. Ulcerative colitis (IBD): * An inflammatory disease that attacks the colon. * Its symptoms are bloody stools, cramps and abdominal pain. * Surgeons remove the affected part of the colon and create a new external opening for digestive wastes. 3. Constipation: * Constipation is when the stools are dry, small, and difficult to eliminate. * It is caused by inadequate waste intake, and by an unhealthy diet taking of fibres (cellulose). * Foods rich in fibres (cellulose) like whole grain bread, brown rice, beans, peas and lentils, help prevent constipation. 4. Hepatitis: * Hepatitis is the inflammation of the liver. * Hepatitis is 3 types: a) Hepatitis (A): * Comes from drinking contaminated water. * There is a vaccine for it. b) Hepatitis (B): * Comes from sexual contact. * There is a vaccine for it. c) Hepatitis (C): * Comes...
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...development and even mental retardation may occur in extreme cases. Poor diet may lead to a vitamin or mineral deficiency, among other essential substances. There are many causes of malnutrition, however, the ones in developed countries are a lot different than the ones in poorer nations. The causes in developed countries include:1) poor diet ( where the person does not eat the right kind of food thus not getting enough nutrition) 2) Mental health problem ( people who are suffering from mental health conditions may also suffer from malnutrition as they do not take the right types of food) 3) Stomach conditions ( where patients just cannot simply absorb the nutrients due to diseases such as Celiac disease or ulcerative colitis) 4) Alcoholism ( alcohol usually damages the digestive system of a person and reduces the ability to digest food,...
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...Central venous access located in the chest; the digestive system is bypassed. The TPN catheter is used only for nutrients; medications are not added to the solution. Often the placement is done in an operating room under local anesthesia and sterile conditions to decrease the chance of infection. Once the catheter is in place, a chest x ray is done to make sure the placement is correct. The outside tubing leading from the bag of solution to the catheter is changed daily, and special dressings covering the catheter are changed every other...
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...11/21/13 FLATULENCE Flatulence or “passing gas” is a normal biological process, like sweating, burping or breathing. It is usually a source of laughter and or embarrassment. Everybody farts, some people more than others. It is normal to pass gas from 6 to 20 times per day. In the majority of cases, it is not a serious condition. When we eat, drink or swallow saliva, we also swallow tiny amounts of air. This swallowed air accumulates in the stomach. The gas within our digestive system consists mainly of nitrogen and oxygen. When we digest food, gas, mainly in the form of hydrogen, methane and carbon dioxide is released. As the gas builds up, the body releases the gas by either burping or farting. Other causes are: Beans - gas builds up inside the gut. Complex carbohydrates in beans are very difficult for humans to digest. They are digested by microorganisms in the gut - gut flora - methane-producing archaea. When the complex carbohydrates reach the lower intestine, bacteria feed on them, during which they produce gas. Lactose intolerance - when lactose-containing foods, such as milk are consumed, the bacteria feed on the lactose and produce excessive amounts of gas. Celiac disease - intolerance to gluten, a protein found in barley, wheat and rye. People with this condition who eat foods containing gluten tend to have flatulence problems. Artificial sweeteners - sorbitol and mannitol are found in candies, chewing-gums and sugar-free sweet foods. A considerable number...
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...It has been reported that fermented foods have helped with a variety of disease including Crohn’s disease, ulcerative colitis, irritable bowel syndrome, and necrotizing enterocolitis. The probiotics found in the fermentation process have also been shown to be a prevention of allergic disease in infants. These probiotics are being used as supplements to help immune system function and prevent disease causing microorganisms. The Journal of Allergy and Clinical Immunology showed that these probiotics could potentially reduce and maybe even get rid of the peanut allergy in children. To do this, they would give the probiotics to the child, with peanut butter, orally. Previous studies however have shown that probiotics alone will not reduce the peanut allergy. This would be so cool though! The latest research shows that there are several mechanisms by which probiotic microbes may produce health effects to the human digestive tract and body. They would do this by outcompeting bacterial pathogens, preventing the attachment of said pathogens to host cells, and the production of antimicrobial substances, like, organic acids and bacteriocins. Probiotics are being sold in health stores all over the country and the market is said to be worth billions of...
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...Health history of a patient is an important tool in identifying health issues and devising efficient interventions to address them. Hence, health providers can use health history information to diagnose, treat and plan for the care of the patients (Ball et al., 2006). In that light, we will focus on the patient named BB for purposes of privacy and confidentiality. BB is a 70-year-old Caucasian female. The patient resides and recently just moved to Show Low, Arizona. She is married and operates her business with the help of her husband. The interview was conducted at her home in Show Low, Arizona. More importantly, the patient's consent was sought before this meeting and she was assured of the confidentiality of the information shared (Jarvis, 2016). Therefore, in continuing with the purpose of this paper - it is to complete a health assessment and history of BB. Health Assessment and History Demographic information The patient described within this documentation will be referred as BB for the purpose of privacy and confidentiality. BB is a 70-year-old Caucasian female. She was born in Long Island, New York and she currently resides in Show Low, Arizona. She has lived in Arizona for the last 30 years as stated, and is married and lives with her husband. Though retired from the 9 to 5 working world, she is self-employed, running her business with the help of her husband. Perception of health The patient appears contented with current life status and well-adjusted too...
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...Patient Education Plan: Crohn’s Disease NUR/427 Health and Chronic Disease Management Patient Education Plan: Crohn’s Disease Patient Case History The patient is a 24-year-old, Caucasian, female who was recently diagnosed with Crohn’s Disease. She is single and currently lives alone in Philadelphia, Pennsylvania. The patient admits to eating a poor/unbalanced diet; she cites her busy schedule as the main factor contributing to her poor nutrition. She is not a smoker. Her father’s sister also has Crohn’s Disease but no one else in the immediate family, at least no one that she knows of, has the disease. She was diagnosed after coming to the emergency room with blood in her stool; she has also experienced bouts of diarrhea off and on for the past several weeks. She takes Advil for headaches daily and complains of constant fatigue, which she attributes to stress. Stress can be attributed to her lifestyle; she is a college graduate who is currently enrolled in a Masters program working toward her MBA. She also works as a teller at a local bank. The field is extremely competitive and between the demand of her job and her schoolwork she has limited time left for a social life. She goes on occasional dates and goes out with girlfriends fewer than two nights a week. Because she is a full-time student she spends a large portion of her time on the computer; she is extremely comfortable using the Internet. The patient has a very busy life and a very full...
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