Pharmacological Intervention Assignment : Patient X

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The situation that was chosen for this pharmacological intervention assignment is the case of Patient X, a 35 year-old male with a history of recurrent sigmoid diverticulitis who has opted for elective laparoscopic sigmoid hemicolectomy. In conjunction with his surgery, he will be starting a regimen of alvimopan (Entereg) to prevent the development of postoperative ileus. His situation fits into the perioperative clinical focus of nursing practice because the dosing recommendations for alvimopan include beginning the first dose preoperatively, 30 minutes to 5 hours prior to surgery (Erwele, 2008). This assignment will include an assessment of the patient, the establishment of a broad behavioral outcome and specific behavioral objectives…show more content…
Because of the significant interference these recurrent episodes are having on his life, and with understanding of the risks, benefits and alternatives of the procedure, he has consented to proceed with laparoscopic sigmoid colectomy, including a pharmacological regimen of alvimopan. Common adverse effects of alvimopan include nausea, vomiting and abdominal distention (Erowele, 2008). Preoperatively, he denies nausea and vomiting, and his abdomen is soft and mildly tender in the left lower quadrant. Per his laboratory studies, Patient X has normal hepatic and renal function. He is not obstructed and is not taking opioids for analgesia. Though he is able to perform his activities of daily life independently, the fact that alvimopan is only available to patients who are hospitalized dictates that, per Orem’s Theory of Self-Care, he has a self-care deficit that can be met by the supportive-educative nursing system (Necor, 2014). Broad Outcomes By the end of a 20-minute teaching session, Patient X will be able to describe why he is being prescribed alvimopan, the potential side effects, and what he can do to minimize the impact of potential adverse effects. Specific Objectives Objective One: By the end of a 20-minute teaching session, Patient X will be able to express the outcome he hopes for from his
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