Inflammatory Bowel Disease (IBD) Chrohn\'s Disease System Disorder PDF

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Summary

Download Inflammatory Bowel Disease (IBD) Chrohn's Disease System Disorder PDF

Description

ACTIVE LEARNING TEMPLATE:

System Disorder

Espinosa ST UDENT NAME Catherine _____________________________________ Inflammatory bowel disease (IBD)/ Crohn's Disease DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis)

Pathophysiology Related to Client Problem Chronic inflammation of the GI tract characterized by periods of remission interspersed by periods of exacerbation. Crohn's disease can involve any segment of the GI tract from the mouth to the anus vs ulcerative colitis which is limited to the colon

-Diarrhea -Impaired nutritional status -Difficulty Coping -Chronic Pain

42 REVIEW MODULE CHAPTER ___________

Health Promotion and Disease Prevention -Balance activities with adequate rest -Psychotherapies and behavioral therapies -Stress management -Balanced, healthy diet with enough calories, protein, and nutrients

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings

-Smoking -Stress -High intake of refined sugar, total fats, polyunsaturated fatty acid, and omega 6 fatty acids -Hereditary

-Diarrhea -Cramping abdominal pain -Weight loss -Fever -Malabsorption and nutritional deficiencies

Laboratory Tests

Diagnostic Procedures

-CBC -Erythrocyte Sedimentation Rate -C-Reactive Protein

-Capsule endoscopy -Radiologic studies with barium contrast -Sigmoidscopy and/or colonscopy with Biopsy

PATIENT-CENTERED CARE

Nursing Care -Provide adequate nutrition w/o worsening symptoms. -Replace fluid and electrolyte losses (Elemental diet or PN) -Provide referral for counseling or support group -Maintain an environment which promotes physical and emotional rest. -High calorie, high vitamin, high protein diet, low-residue, lactose-free if lactase deficiency

-Drug Therapy -Surgical Therapy -Nutritional Therapy

ACTIVE LEARNING TEMPLATES

-Potassium supplements may be needed with corticosteroids -If the patient has orthostatic hypotension teach them how t change position slowly and to use safety precautions.

Complications Medications -Corticosteroids -Immunosuppressants -Biologic therapies

Client Education -Emphasize the importance of rest and diet management -How to implement perianal care -If taking sulfasalazine, take 1 mg folate (folic acid) daily.

-Aminosalicylates -Antimicrobials

Therapeutic Procedures

-Zinc deficiency can result from ostomies or diarrhea so zinc supplements may be needed

Interprofessional Care -Colon Surgeon -Gastroenterologist

-Hemorrhage -Strictures -Perforation -Abscesses -Fistulas...