My Plan Of Care Must Be Based On Patient Teaching And Instruction Help Resolve The Persistent Gastrointestinal Conditions

INTRODUCTIONThis is a case study concerning a patient presenting with low abdominal pain, frequent micturation and dysuria. I will discuss the consultation and show how I used the problem solving consultation style detailed by Alison Crumbie. This involves listening to the patients' initial complaint and developing hypothetical diagnosis. Focused questioning and clinical examination and investigations will then be used to eliminate some of the initial hypotheses. The patients' perspective of their problem will be addressed and the synthesis of gathered information will enable the practitioner to arrive at a differential diagnosis and to agree on a treatment plan with the patient so that they can manage their problem.

3. Spicy Food! This one bothers a lot of Crohn’s patients but I personally can eat most mild foods in moderation and be fine.

Nurse’s care for several patients in a day and it is important to understand the patient as a whole person to treat them effectively. The purpose of this assignment is to explore a patient’s disease to understand the nursing judgments and interventions involved, the medications for this diagnosis, and to understand the disease. The patient described in this paper will be referred to as Jonathan to ensure patient confidentiality.

One of the more interesting sources came from: The better Bladder Book “What’s Bugging your Bladder” by Wendy Cohan. The chapter pg 96, discusses the role of food sensitivity in IC. It argues that food sensitivities play a huge role in causing or worsening bladder symptoms and can also contribute to harmful inflammation throughout the body. A lot of this relates to the types of foods we eat and how our bodies process those foods. In my own experience in trying to find the right treatment options, diet was one of the first that I had to change. Things that are high in acid like tomatoes could cause a painful flare up that could last from hours to days, or even months, so eliminating this from my diet was one way to eliminate another painful flare. This book was written with a copyright date of 2011, and since then, no changes have been made to IC Diet that I could find in any of my sources.

Case history: This patient is concerned about her risk for colon cancer. Her father had colon cancer and she is consulting you to design a diet that would reduce her risk for this disease.

1. Heart-Healthy diet- decreasing sodium intake, increasing fluids, and eating more fruits and vegetables and other high fiber-foods.

The American Heart Association also recommends a healthy diet, stating, “A healthy diet and lifestyle are your best weapons to fight cardiovascular disease” (2015). As the client has an elevated blood pressure, a healthy diet may be beneficial and aid in lowering the client’s blood pressure by reducing sodium, limiting caffeine and

When I make really good soup, they have seconds and no leftovers” (J. Lee, personal communication, May 9, 2013). No one in the family has food allergies, diet restrictions or any physical disabilities that interfere with daily food intake. Alcohol consumption is not very popular for this family. Occasional drinks are consumed “maybe five times a year, we just don’t enjoy the taste of alcohol” (S. Lee, personal communication, May 9, 2013). This family member did not experience obvious weight gain or weight loss they were concerned about. All members are very conscientious about physical appearance and do keep healthy active lifestyles and ingest healthy meals. When discussing the function of the bowel and bladder issues, S. Lee says, “We are very regular. My wife and I take Metamucil regularly to keep our bowels active. We suffered several constipations many years back, had to use enemas to eliminate. That was very painful and embarrassing. Metamucil was recommend by our doctor and we never miss taking it. Your mom suffered hemorrhoids for many years until she had them removed. We have no problem going once a day or more sometime” (S. Lee, personal communication, May 9, 2013).

coli bacteria to the epithelial cells). I would answer that not add salt to food when cooking or at the table. Also, try to avoid buying foods which are high in salt, such as: chips, cereals, biscuits, hard cheeses, cans, cured meats, and stock cubes. Choosing items from the lower potassium groups and phosphorous (I would provide a 4list; he can used it for meal planning). I would advice looks at getting a good balance of protein. The recommendation for dietary protein intake (stage 3) is 0.8 g/ kg

As nurses we need to help our patient’s meet their new health goals upon being discharged from the hospital. One of the things we will need to provide them with is the necessary medication teaching for new medications as it relates to their diagnosis and to any changes if any, to their current medications. One of the first things necessary for us to do is to look at our patient completely. That means we need to look at the patient’s current situation, their background, develop a nursing diagnoses, set personalized goals that are measurable and has reachable outcomes, determine possible necessary interventions, foreseeable patient, family and culture concerns, other possible barriers and also be able to evaluate the plan of care.

Food: The father has a reported condition of high blood pressure and when taken at the assessment it was 190/102. He is on medications but will receive education regarding nutritional importance. He will consume fresh foods and remove as many pre-packaged foods as possible from his daily regime.

Within this assignment a scenario has been chosen to discuss the elements of clinical decision making made by nurses. To justify the decisions which have been made, a critical appraisal of the available information will be utilized. The scenario focuses upon Joe (See Appendix), an infant who was born prematurely at twenty-eight weeks gestation and is diagnosed with short gut syndrome and is close to being discharged. There many needs within the scenario which have been identified, such as medication training for parents, Joe 's physiological development, travel issues but this assignment will concentrate on managing an ileostomy, discharging Joe on Total Parenteral Nutrition (TPN) and social support for the home environment. The aim of the nurses clinical decisions will be to prevent infection, skin breakdown and re-admission, therefore

Pathophysiology and Nursing Management of Clients Health – Disorders of the Digestive and Musculoskeletal System

Ms. Schumacher is the center educator who is responsible for setting the educational plan. She states that it is very important since the first day to establish strategies to ensure that the patient understands and is part of the working plan set for them . Without the cooperation of the patient it is impossible to achieve the expected results. She prepares every day taking census of continuing education, exploring social networking, attending seminars and assemblies, because in order to offer quality services she needs to be trained with changes that arise and following the recommended guidelines such as changes to the food pyramid, which has to incorporate in their plan of care. There are many sources that support the strategies used daily

An older adult patient who lives alone is seen by her physician. During the visit, she mentions that she routinely switches or does not take her heart medication depending on how she feels that day. She says she does this because the medications are so expensive, they last longer that way. What teaching needs to be incorporated into the plan of care for this patient?