124316993-17737845-Appendectomy-Appendicitis-Case-Study - I.INTRODUCTION Patient J.L.D is 31 year-old married woman who was admitted at the Surgery

124316993-17737845-Appendectomy-Appendicitis-Case-Study -...

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I.INTRODUCTION Patient J.L.D is 31 year-old married woman who was admitted at the Surgery Department last June 21, 2009 due to severe pain at her right lower quadrant, the patient was diagnosed with acute appendicitis. The patient underwent emergency appendectomy the next day, June 22, 2009. Appendicitis is the inflammation of the vermiform appendix and was first described as a pathologic condition by Reginald Fitz in 1886, it is caused by an obstruction attributed to infection, stricture, fecal mass, foreign body or tumor. Appendicitis can affect either gender at any age, but is most common in male ages 10-30. Appendicitis is the most common disease requiring surgery and one of the most commonly misdiagnosed diseases. Appendectomy, removal of the appendix, is the standard treatment for acute appendicitis, it is important to immediately remove the appendix after the diagnosis to prevent the occurrence of the life-threatening complication of appendix. The most frequent complication of appendicitis is perforation. Perforation of the appendix can lead to a periappendiceal abscess (a collection of infected pus) or diffuse peritonitis (infection of the entire lining of the abdomen and the pelvis). The major reason for appendiceal perforation is delay in diagnosis and treatment. In general, the longer the delay between diagnosis and surgery, the more likely is perforation. The risk of perforation 36 hours after the onset of symptoms is at least 15%. Therefore, once appendicitis is diagnosed, surgery should be done without unnecessary delay. II.NURSING OBJECTIVE To obtain necessary information regarding the patient and her condition To assess the patient’s overall health status To identify patient’s health care needs through analysis of all the data gathered To assist the patient throughout rehabilitation, recovery and discharge To impart necessary health teachings to the patient To perform appropriate nursing care in conjunction with the condition of the patient To widen and enhance the student nurse’s knowledge and skills through additional research about the nature of the disease, its signs and symptoms, its pathophysiology, its diagnosis and treatment.
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III.PATIENT’S PROFILE Name: J.L.D Age: 31 Sex: Female Civil Status: Married Date of Birth: October 03, 1977 Address: Marikina Religion: Roman Catholic Nationality: Filipino Category of the Patient: GM Place of Admission: Aprilville General Hospital Date Admitted: June 21, 2009 Time: 9:55 PM Chief Complaint: Right Lower Quadrant Pain Ward: St. Anthony Attending Physician: Dr. House Chief complaint: Right Lower Quadrant pain Final Diagnosis: Acute Appendicitis
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IV. HISTORY OF PAST AND PRESENT ILLNESS A. History of Past Illness Last September 2008, patient was diagnosed with kidney stones or renal calculi.
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  • Fall '13
  • Vermiform appendix, acute appendicitis

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