Sephton (2009) discusses an overview of severe ulcerative colitis, along with assessments, medical management, and nursing care. Ulcerative colitis is an inflammation in the mucosal layer of the colon. Ulcerative colitis has characteristics of watery diarrhea with blood, mucus, or pus. Treatment usually depends on the extent and severity of the disease. Mild to moderate ulcerative colitis is treated with 5-aminosalicylic acid. Corticosteroids can be used for patients who relapse or do not respond well to the 5-aminosalicylic acid treatment. Azathioprine or 6-mercaptopurine are immunosuppressive drugs that are used when the disease becomes steroid dependent. For patients with severe ulcerative colitis, intravenous corticosteroids during a hospital stay are used. …show more content…
Typical symptoms of a flare-up include abdominal pain and diarrhea containing blood. A full blood count, liver function tests and a series of three stool cultures should be taken for diagnosis. Patients with severe ulcerative colitis can have low hemoglobin levels and a raised platelet count. Stool cultures should also be tested for Clostridium difficile toxin. Studies have shown that many with a flare-up will have complications from the Clostridium difficile toxin. A flexible-sigmoidoscopy should be performed to assess colonic mucosa and biopsies taken to rule out infection and diagnose ulcerative
HPI: MR is a 70 y.o. male patient who presents to ER with constant, dull and RUQ abdominal pain onset yesterday that irradiate to the back of right shoulder. Client also c/o nauseas, vomiting and black stool x2 this morning. He reports that currently resides in an ALF; they called the ambulance after his second episodes of black stool. Pt reports he drank Pepto-Bismol yesterday evening without relief. Pt states that he never experienced similar symptoms in the past. Denies any CP, emesis, hematochezia or any other associated symptoms at this time. Client was found with past history gallbladder problems years ago.
However with septic shock the symptoms may be worse as the patient may experience tachyeordia and tachypnae, leucocytosis which is a high count of white blood cells, change in metal state for example confusion and hyperglycaemia which is a deficiency of glucose in the bloodstream. The diagnosis for sepsis and septic shock involve using blood cultures which is where bacteria is detected in blood which may have spread from a different part of the body. Blood cultures are taken mostly to be done on new-borns and young children who have the symptoms of sepsis. If the blood culture tests positive there is a bacterial or fungal infection which needs to be treated immediately as it is life-threatening. Also cytokines are used as they can destroy the infection however there is a problem with this diagnosis as excessive production can cause tissue and organ
The guidelines’ first focus is the definition of sepsis, which makes sense, because there is no way to effectively treat sepsis without an accurate and categorical definition of the term. The guidelines define sepsis as “the presence (probable or documented) of infection together with systemic manifestations of infection”. Such systemic manifestations can include fever, tachypnea, AMS, WBC >12k, among others; these manifestations are listed in full in Table 1 of the guidelines. The definition for severe sepsis builds on to the definition of sepsis, bringing organ dysfunction and tissue hypoperfusion (oliguria, hypotension, elevated lactate) into the picture; full diagnostic criteria is listed in Table 2. The guidelines recommend that all
The SMART goal for the patient’s diagnosis of diarrhea is that the patient will defecate formed, soft stool every 1 to 3 days and will express relief of cramping with little or no diarrhea. The intervention to meet this smart goal is the administration of fidaxomicin, a narrow spectrum antibiotic, to treat the infection of Clostridium difficile (Sears, 2013). Another nursing intervention for the treatment of diarrhea is assessing the patient for sodium and potassium loss, as well as explaining the prevention methods to avoid the spread of excessive diarrhea (Mitchell, 2014). The nurse must also provide proper skin integrity care to the peritoneal are and make the environment safe and easy for access to the bathroom. The SMART goal for the patient’s diagnosis of acute pain is that the patient will state relief of pain in abdominal area after treatment with opioids in a 24hr period. The nursing intervention for acute pain is the administration of opioids as well as positioning to keep patient in as much comfort as possible and take pressure off of the abdominal area. The nurse must also assess the patient’s vital signs and pain level
Crohn’s disease is an inflammatory bowel disease. It is a fairly common disease that affects a large population causing abdominal pain, frequent bloody stools, and fatigue
This module of study has focused on many aspects of human health, anatomy, and the disease process. It has included such topics as the human organ systems, the mechanism of disease and the resulting disruption of homeostasis, the integumentary system, and the musculoskeletal system. The following case studies explore how burn classification will affect treatment, how joint injuries can disrupt mobility, and last, how a sedentary lifestyle can contribute to a decline in a person’s health status. The importance of understanding disease and knowing when to seek treatment is the first step toward enjoying a balanced and healthy life.
Researchers think that this immune system response may be triggered by bacteria or viruses, material in the intestinal contents, or a defective signal from the body’s own cells, called an autoimmune response. Inflammation results in pain, heat, redness, and swelling of the tissue. Chronic inflammation can harm the function of tissues and organs (U.S. News, 2009). Crohn’s disease also appears to affect certain ethnic groups more than others. American Jews of European descent are four to five times more likely to de... ...
Chronic pain is a long term condition, which means it cannot be cured, but the symptoms may be controlled by therapies and medications (Saxon and Lillyman, 2011). When pain is considered chronic, it lasts longer than the expected healing period and there may not be a clear cause (Kraaimaat and Evers, 2003).
If you bought a smoothie recently you may have been shocked at the price. Jamba Juice is a well-known smoothie chain, and it strives in promoting a healthy living style. When you bought this smoothie you maybe thought you were paying for the health benefits or quality. But that isn’t true, you were paying for the product and materials that went into serving that smoothie. Jamba Juice was simple back in 2008, only serving smoothies, but began a strategic move to transform. Consumers wanted more than something they can drink, they wanted food too. Jamba’s mission to transform began and the prices changed with it. By 2014, Jamba Juice began serving fresh juices, whole food smoothies, nutritional smoothies and food items (“Jamba Juice,” n.d.). But why did smoothie prices have to change? Well, many factors contribute to the cause.
What is hepatic cirrhosis? According to the medical dictionary hepatic cirrhosis is when scar tissue replaces the liver’s healthy tissue. This disease changes the structure of the liver and blood vessels that nurture it. It reduces the liver’s capability to produce proteins and process hormones, nutrients, medications, and poisons. Cirrhosis is an illness that gets worse over time and possibly can become life threatening. This serious illness is ranked as the ninth leading cause of death in the U.S. It is the third most common cause of death for adults between 45 and 65 years of age. It occurs in more than fifty percent of undernourished chronic alcoholics. Unfortunately it kills about 35,000 people per year. In other country’s such as Africa and Asia death from cirrhosis is usually caused by hepatitis B.
1. Outline the causes, incidence and risk factors of the identified disease and how it can impact on the patient and family (450 words)
Anti-MAP therapy consists of 3 antibiotics known to kill the MAP bacteria. Hopefully this information has given you a little more insight into what is Crohn’s Disease. I would also like to say that Aimee Rouski has taken a huge step in not only spreading the word about the disease, but has also placed herself in a great position to continue to be an ambassador to continue spreading the word. Good Luck in using this platform to educate people, and assist others that are afflicted with Crohn’s, to have the courage to not feel the need to hide it.
When I think back to my trip to Disney World, the biggest thing I remember isn’t the Mickey Mouse hats, the amazing castle, or the princesses. It was our map with all the bathrooms circled in red. The constant waiting for my mom so I could go ride the spinning teacups or Space Mountain. I used to get angry that my family always had to wait for her, but now I understand. It wasn’t her fault, it was her disease.
Crohn’s disease is a chronic inflammatory condition of the gastrointestinal tract that belongs to a group of conditions known as Inflammatory Bowel Diseases (IBD). Crohn’s disease is defined as a transmural inflammation with skip lesions that can affect the gastrointestinal tract from mouth to anus (Mulder, Noble, Justinich, & Duffin, 2013). In Crohn’s disease the immune system attacks the gastrointestinal system and can cause the digestive tract to be chronically inflamed. Crohn’s disease has a variety of symptoms that include abdominal discomfort, diarrhea, rectal bleeding, fever, and weight loss. Crohn’s disease can also affect the joints, skin, eyes, and cause kidney stones, gallstones and other ailments (Warner & Barto, 2007).
In Left-sided colitis inflammation occurs in the rectum up through the sigmoid and descending colon, located on the left side of the abdomen. Common symptoms include bloody diarrhea, abdominal pain concentrated on the left side, and unintended weight loss.