Hospital Outpatient Clinic

The clinic has been very successful in managing patients’ IBD symptoms in a timely manner while preventing unnecessary emergency department visits, and alleviating anxiety and depression associated with the unpredictable flares, ineffective pharmacological management and potential development of negative self-image. Kurina, Goldacre and Gill (2001) stated that over 60 percent of the studied population with IBD had anxiety and/or depression. Poor symptom management, ineffective coping mechanisms, lack of support, and negate self-imaging, are the main risk factors associated with the anxiety in the population with IBD (Bannaga & Selinger, 2015). Melissa concurred with the above statement and indicated that the interprofessional collaborative treatment approach at the clinic offers short wait times, multidimensional support and long term follow up for the patients. She also stated that her role includes all categories of core competencies of an NP (Canadian Nurses Association [CNA], 2010; Wilson, 2016). The NP assesses patients at the clinic, based on the laboratory work and biopsies taken during a colonoscopy, she confirms whether the patient has IBD and specifies the type. In cases with previously known condition she assesses the intensity of the flare and decides upon further actions, which include medication initiation/adjustment, referral to the dietitian, referral to additional diagnostic imaging, and collaboration with the IBD nurse for the further

Inflammatory bowel diseases or IBDs affect “as many as 1.4 million Americans”. Crohn’s disease and ulcerative colitis inflame certain areas of the intestines that result into chronic and long-term complications in peoples’ lives. Even though these diseases are not known to be lethal to humans, they are unbearable to its victim. Both ailments can cause patients to “experience abdominal symptoms, including diarrhea, abdominal pain, bloody stools, and vomits” 8. Both diseases result in painful

A study of 20 patients with Crohn’s disease, conducted by Jones et al, took part in a controlled trial in which remission was maintained by either an unrefined carbohydrate fibre rich diet or a diet which excluded specific foods to which a patient was intolerant. They found that 7 out of the 10 patients on the exclusion diet remained in remission for 6 months compared with none out of the 10 on an unrefined carbohydrate fibre rich diet [7].

The enteric serotonergic system is medically relevant because a large number of people suffer from gut-related diseases. For example, 10 to 15% of Americans suffer from irritable bowel syndrome (IBS) involving impaired gut motility (NDDIC, 2012). While only two thirds of IBS sufferers are believed to ever seek care from a physician for this condition, the annual direct and indirect costs in 2000 are still estimated to be $20 billion dollars. Since IBS is only one

Between 5 to 10% of the population has Irritable bowel syndrome, a common disease that occurs when your large intestine contracts slower or faster than normal (Erlich, 2014). Present at any age range, irritable bowel syndrome is very common; but, between the ages of 20 to 39, it can affect up to twice as many women as men. This pressing disease is often associated with stress or dietary restrictions and causes symptoms such as cramping, abdominal pain, gas, bloating, diarrhea, and constipation. Such indicators are presumably uncomfortable as IBS is a long-term chronic condition

Irritable bowel syndrome (IBS) is a gastrointestinal disorder that causes abdominal pain and bowel issues. “This disorder affects up to 20% of the worldwide population” (VanMeter & Hubert, 2014, p. 475). Patients with this disorder may experience constipation only, diarrhea only, or both constipation and diarrhea. Doctors have not been able to figure out why some people develop IBS and some do not.

A change in pain processing, eliciting tonic sympathetic activation,35 has been proposed as one etiology. Stress, food sensitivities, and allergies have been implicated but never proven. In summary, IBS patients appear to have increasing pain sensitivity to gut distension.14 It is a functional GI disorder without a particular pathologic finding. Common symptoms are altered bowel habits, abdominal cramping, and bloating. IBS can significantly decrease a patient’s quality of life and should be treated in a multimodal

increasingly dependent upon Jim to maintain and coordinate her care. Early in their relationship, several of Lynn’s doctors and surgeons encouraged Jim to learn as much as he possibly could about Lynn’s condition. They knew, as a scientist living with Lynn and focused on only one patient, through time and necessity, Jim was going to become an “expert in Lynn.” Because of a high-output end-jejunostomy, Lynn required intravenous (IV) support for many years, some of the time infusing IV nutrition (i.e., total parenteral nutrition [TPN]) and some of the time infusing IV hydration with added magnesium. From 2003 to 2006, a customized care plan was painstakingly developed and personalized for her needs. Over time, Lynn was

A 45-year-old male presented to our Outpatient Clinic with history of a swelling involving the upper part of left leg. He had noticed this swelling 6 months back, which had gradually increased in size. There was no history of associated pain, limitation of movements of the knee, fever or swelling involving any other part of the body.

One of the primary limitations of the study was lacking the specific data that assess the risk of pancreatitis that can be reduced if patients have gallbladders or those who do not use alcohol. This would help limit bias to specific populations. Studies in the future should measure specific populations who will benefit from eluxadoline that have IBS with diarrhea. Furthermore, eluxadoline was significantly effective in lowering symptoms of abdominal pain and diarrhea of patients who suffer from IBS with diarrhea with respect to the global assessments, and with sustained

After working in a long term and acute care facility, I saw many differences that would explain one facility to be better than the other. From working in a long-term facility for two years, working in an acute facility like the hospital shows more experience to a nursing student than a place where it involves too much patients given and low acuity. In a long-term care facility you also see the same patients over and over, which gives some experience to the real deal but with limitations of nursing interventions. While this is true about long-term facilities, acute facilities help nursing students learn more at the register nurse level such as using more intravenous therapy and constantly flushing those saline locks , as well as performing actual

The severity of SBS symptoms is largely based on the type of small bowel resection surgery that has been performed. Three distinct bowel resections are known to result in SBS: jejuno-ileal anastomosis, jejuno-colic anastomosis, and end-jejunostomy (3). The adverse symptoms created by SBS vary based on the type of resection that has occurred, the phase of post-resection in which the patient is, and the extent of adaptation of the bowel that occurs. FUNCTIONAL/STRUCTUAL ADAPTATION HERE—4 STAGES

Irritable bowel syndromes also known as IBS is a common disorder that affects the large intestine. IBS is a chronic gastrointestinal disorder that causes inflammation in the digestive tract (FACOEP, J. P. (n.d.)). The reasons why IBS develops are not clear. It can occur after an infection of the intestines (Irritable bowel syndrome. (n.d.)). This is called post infectious IBS. The symptoms and signs of IBS includes abdominal cramping, pain, bloating, gassiness, and alternating periods of diarrhea and constipation, and sometimes mucus in the stool (FACOEP, J. P. (n.d.)) IBS can occur at any age. Often, it begins in the teen years or early adulthood. It is twice as common in women as in men (Irritable bowel syndrome. (n.d.)).

The purpose of the study was to determine the efficacy of a specialized diet in the late postoperative stage of a 68-year-old patient who had underwent several bowel resections; this patient had, but was not diagnosed with, protein-energy malnutrition, as well as intestinal insufficiency and high-output ileostomy. Due to postoperative complications and a weight loss of 8.2 kg, the patient was re-admitted to the hospital 8 months after the last resection. For a total of 133 days at the hospital, she was given parenteral and enteral nutrition support as well as an oral diet. The oral diet was low in insoluble fiber, fat, lactose, and concentrated sweets, and was high in soluble fiber and complex carbohydrates. However, the patient continued to

The short duration of the chemical signs, morbidity and morbidity rates are considered a diagnostic for IBD, therefore, the affected flocks show depression for 5-7 days during which mortality rises rapidly for the first two days then declines sharply as clinical normally returns(Parkhurst., 1964).