ulcerative colitis .docx - ACTIVE LEARNING TEMPLATE System...

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ACTIVE LEARNING TEMPLATE: System Disorder STUDENT NAME: Nicole Pirro Reference: Craven/ NIH DISORDER/DISEASE PROCESS: Ulcerative Colitis Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem Health Promotion and Disease Prevention Edema and inflammation primarily in the rectum and rectosigmoid colon. -in servere cases, it can involve the entire length of the colon. Mucosa, and submucosa become hyperemic (increase in blood flow), and the colon will become edematous and reddened. it can lead to abscess formation -edema and thickened bowel mucosa can cause partial bowel obstruction. intestinal mucosal cell charges can lead to colon cancer or insufficient production of intrinsic factor, resulting in insufficient absorption of Vitamin B12 -classified as either mild, moderate, severe, and fulminant. ● Maintain an exercise routine to remain physically active, and consult with the provider before starting any exercise regimen. ● Consume a diet low in sodium, along with fluid restrictions, and consult with the provider regarding diet specifications. ● Refrain from smoking. ● Follow medication regimen, and follow up with the provider as needed. ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Patient: Take medications, stop smoking, limit alcohol, avoid foods that exacerbate symptoms, good hygeine Equipment: Home Safety (discharge planning patient teaching): Notify hcp if symptoms increase. Teach pt how to manage perianal area to prevent infection, etc. Genetics Culture: Caucasians, Jewish Heritage Age: adolescence to young adulthood (more common in females) and older adults( moore often in males) ● Abdominal pain/cramping: often left- lower quadrant pain ● Anorexia and weight loss PHYSICAL ASSESSMENT FINDINGS ● Fever ● Diarrhea: up to 15 to 20 liquid stools/day ● Stools can contain mucus, blood, or pus. ● Abdominal distention, tenderness, and/or firmness upon palpation ● High-pitched bowel sounds ● Rectal bleeding Laboratory Tests (include normal values) Diagnostic Procedures Hematocrit and hemoglobin: Colonoscopy, sigmoidoscopy, barium
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Decreased Erythrocyte sedimentation rate (ESR): Increased WBC: Increased C-reactive protein: Increased Serum albumin: Decreased Stool for occult blood: Can be positive K+, Mg, and Ca: Decreased enema, blood tests, stool tests (including c-diff), history PATIENT-CENTERED CARE Complications Nursing Care Medications Patient Education extraintestinal complications- joints, skin, mouth, eyes, hematological systems intestinal: polyps, abscesses, hemorrhage, pseudopolyps, perforation, toxic megacolon and colonic dilation ~ half of patients have complications - having it more than 10 yrs is a greater risk of colorectal cancer Instruct the client to seek emergency care for indications of bowel obstruction or perforation (fever,severe abdominal pain, vomiting).
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