Gastric Ulcers: A Case Study

Treatment of a pressure ulcer costs the NHS more than £3.8 million, despite the progress and management of pressure ulcers 700,000 people are still affected this remains to be a significant problem for health care professionals (NHS Improvement, 2016). Therefore, this case study will enumerate the cause, treatment, prevention and risk factors of a pressure ulcer in relation to a patient who is suffering from a grade three-pressure ulcer to his sacrum and therefore requires long-term care from the district nurses. Pressure ulcers can occur more commonly on the sacrum or heels in any health care settings (Clarkson, 2007). Although more prevalent in the elderly, people of all ages are at risk of developing a pressure ulcer

The most common treatment for colic is pain killers and stool softners. After the pain medicine the vet usually passes a hose mixed with water and mineral oil thru the nose and into the horses stomach. Horses should not be fed at all until they pass manure. Many cases get better after several hours with this treatment. However many times it may take more than one treatment, and If the horse continues to be in pain and not pass manure the vet will have to come out

patient tested positive for H. pylori and wakes up at night due to cramping pain with bloating, so it is assumed to be peptic ulcer and the status of his condition is uncontrolled. Her symptoms were not improved with over the counter medication, Tums. Therefore, it is not GRED. However, Patient does not need a referral for endoscopy this time around because she does not hat the symptoms vomiting, nausea or dizziness.

In horses, there are many types of colic. Colic is related to many different illnesses and can be a symptom of a variety of diseases. The gastro-intestinal tract is where the pain originates, usually due to microflora, bacteria, microscopic algae, and fungi ("My Horse University.”). The most common types of colic are stomach, displacement, impaction, gas, spasmodic, and enteritis. The large and small intestines are a major problem area when it comes to horse colic. If the

The leading causes of death in horses are old age, colic,and injury. Following the first three are diseases. If your horse gets into an accident and hurts itself a veterinarian needs to be contacted immediately. When a horse colics it has extreme abdominal pain. You need to call a vet right away and walk the horse around. Two of the most common signs of a horse colicking is laying down sprawled out and looking at their stomach.

Colic in horses is a wide branching term that simply refers to any abdominal pain in horses. It is the number one medical cause of death in horses and has a wide variety of causes. There are a very wide variety of gastrointestinal conditions that can cause pain in the abdominal region and for a horse to colic. About 10 % of horses colic at some point during their lives. One of the biggest problems with colic is identifying early on if it is going to be life threatening or if it is a mild form. It is very difficult to distinguish between the two. Colic has a wide array of signs and symptoms but the causes are not as well known, so it is important to know preventative measures one can do in order to avoid colic in their horse as well as have an understanding of the horses delicate digestive system.

At today's visit he is found in his room at Tiffany hall SNF, where he is a long-term resident. He is alert and oriented x 2.He reports that he is suffering from multiple pressure ulcer to his lower extremities. The facility nurse reports that in the past few weeks he has had a functional decline. He is max assistance with all ADLS. A review of his medical chart indicates that he has multiple pressure ulcers to his lower extremities. He has a resolved

Before 1982, everyone “knew” ulcers came from stress, so they didn’t want to look further into the cause of ulcers. In 1982, Barry Marshall and Robin Warren challenged the belief by saying ulcers were caused from bacteria. This shows that we have a problem with science; we began to believe that we know everything about something but in reality we didn’t. Descartes, French philosopher, mathematician, and scientist believed that should not accept something true unless definitively proven true. Science knows that we have this problem with this but it comes from the push to always having them succeed.

a 44 year old man with a 1 cm duodenal ulcer that causing epigastric pain for three weeks

Safely adding weight to a horse is more complicated than just adding food to their diet. Horses have a complex digestive tract that includes the esophageal sphincter making it a one-way system; a small stomach to start the breakdown of food with acid; a cecum with microbes to breakdown fiber. A horse’s body condition score is a scale from 1-9 where 1 is emaciated and 9 is obese, and the ideal score is 5. Horses should consume 2 percent of their body weight to maintain their condition. No more than half of their feed should be grain, and the rest should be forages. The amount of food for every horse is based on their age, workload, production status, and their desired body condition score. Overfeeding grain can cause horses to become overweight or even colic. Horses basic nutritional needs are water, energy, protein, vitamins and minerals. To fulfill an adult horses water requirement they should drink between 10 and 12 gallons of fresh, free choice, and comfortable temperature water. It is important for horses to consume a balanced diet so they have enough energy to successfully do their job.

In today’s world, elderlies suffering with ulcers are very common. Ulcers are sores that occurs on the external surface or internal surface of the body, which is caused by a break in the skin that does not fully recover or fail to heal. Ulcers come in different forms, targeting different areas, due to different reasons with some slight similarities to them.. People with ulcers has many treatment options, depending on their case, stage, and kind of ulcer, for example stasis and pressure ulcer. Stasis and pressure ulcer are two ulcers that has lack of blood flow as a factor why it occurs, even though it gives a different outcome for both ulcers.

Nurses will also be educated on how properly notify the physician of the patients skins (since this was a problem that CMS found). Nurses need a physician cosign for the protocol, therefore, criteria based order sets are not valid. Nurses will now be able to select “Notify – Initiate Hosp Policy/Protocol – co-sign msg sent.” This allows the protocol to be set into place and send a notification the provider. However, the doctor still needs to be sent an actual message stating the patient has the pressure ulcer.

Using a two nurse handoff report and assessment on admission and shift change, which includes conducting a skin assessment, reinforces individual accountability in interventions to prevent development of pressure ulcers. These activities are a demonstrated quality tool for identifying pressure areas before they become … greater pressure ulcers. (p. 65)

Colic is one of the most common ailments experienced by horses and is more common in horses than any other animal. It is more common at night and is often connected with irregular feeding. This is because of the horses’ inability to vomit and unload the stomach, the small size of the stomach and the great length of the intestines, puckering of the large intestine allowing food to lodge there, the range of movement the large intestine has within the abdomen and finally, the frequency a horse is affected with internal parasites. Colic can be fatal so it is vitally important that a vet should be called if colic is suspected. Colic is a set of symptoms pointing to severe abdominal pain. True colic relates to conditions arising in the intestines

This assessment will explain what the role of the liver and pancreas is and how it aids digestion, including what they produce and how this makes the digestive system efficient. It will also include the interaction of the circulatory and respiratory systems during exercise and at rest and how they work separately and together. Lastly, it will discuss what could go wrong with these systems and how it will affect the horse.