Part of The Student Room Group

  • Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

Pacncreatitis Case Study. This paper summarizes the publishings of Doenges, Moorhouse, and Murr (2010) and Christenson and Kockrow (2011) which describes the disease process pancreatitis. Christenson et al. (2011) discusses common signs and sympt

Extracts from this document...

Introduction

Pancreatitis PFC Bell ABSTRACT This paper summarizes the publishing's of Doenges, Moorhouse, and Murr (2010) and Christenson and Kockrow (2011) which describes the disease process pancreatitis. Christenson et al. (2011) discusses common signs and symptoms patients experience with pancreas disorders. Doenges et al. (2010) discusses the most common diagnostic techniques and the most popular medical and nursing management procedures that are practiced today. Christenson et al. (2010) defines the abbreviation AST as Aspartate aminotransferase and ALT as alanine aminotransferase. Both of these publishing's have the same definitions of pancreatitis and both suggest that lifestyle changes, medications, and surgical intervention may be necessary to decrease the chance of more acute episodes. On Wednesday September 28 CS 51-year-old man, with recent laparoscopic cholecystectomy, presented to the emergency department with complaints of severe abdominal pain. The episode started around 1100 and was initially mild. He was able to eat normally, but around 1400, the pain became much worse to the point that he had difficulty breathing. He took an oxycodone, which provided little relief. CS found that flexing his hips and staying still helped relieve the pain. He described the pain as cramping and wrapping around to his back, worse on the right side. ...read more.

Middle

In chronic pancreatitis with loss of pancreatic functions, Doenges et al. (2010) stated that replacement enzymes, such as pancreatin (Dizymes) and pancrelipase (Protilase and Cotazym) can be prescribed to correct shortages to promote digestion and absorption of nutrients. On Wednesday September 28 CS, 51-year-old man, with recent laparoscopic cholecystectomy, presented to the emergency department with complaints of severe abdominal pain. The episode started around 1100 and was initially mild. He was able to eat normally, but around 1400, the pain became much worse to the point that he had difficulty breathing. He took an oxycodone without relief. Flexing his hips and staying still helped relieve the pain. He describes the pain as cramping and wrapping around to his back, worse on the right side. He has associated nausea, but no emesis. In the ER he was given diluadid, which broke the pain and now feels like his normal self. He has had 4-5 episodes like this since June and has not seen improvement since the cholecystectomy. In CSs' case he is believed to have chronic pancreatitis. CS described his severe pain as a cramping and twisting sensation, which radiates to the right side of his back. ...read more.

Conclusion

Meals given too early may worsen symptoms. Risk for unstable blood glucose level related to pancreatic impairment. Patient will maintain glucose in normal range of 80-100 until discharge. Assess for signs of increased thirst and urination or changes in mental status and sight. This may indicate the developing of hyperglycemia. Perform and monitor results of bedside fingerstick glucose testing and dipstick testing of urine for sugar. Early detection of inadequate glucose utilization makes it easier to manage. Monitor serum glucose levels closely, as this can indicate the need for insulin because hyperglycemia is frequently present. Discharge planning begins the moment the patient arrives on the floor. Patients' pain should be relieved or controlled at a reasonable level such as a 3/10 on the pain scale. They should be stable, meaning they are within normal limits concerning vital signs. The patient should understand the disease process of pancreatitis, potential complications, and therapeutic regimen understood. The patient was not discharged home with any new medications. Patient should also understand that alcohol can increase chances of re-occurrence. A referral to a support group may be needed. The patient should let his wife know that she will need to be there to take him home when he is discharged. ...read more.

The above preview is unformatted text

This student written piece of work is one of many that can be found in our University Degree Nursing section.

Found what you're looking for?

  • Start learning 29% faster today
  • 150,000+ documents available
  • Just £6.99 a month

or


Not the one? Search for your essay title...
  • Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

See related essaysSee related essays

Related University Degree Nursing essays

  1. Observation and reflection. Measuring vital signs - Temperature, Pulse, Respiration and Blood Pressure.

    High respiration can show if the patient is in pain or can be a sign of low blood oxygen.

  2. Nursing Case Study

    Table 1. Common signs of acute anxiety � Feelings of fear or dread � Trembling, restlessness, and muscle tension � Rapid heart rate � Light-headedness or dizziness � Perspiration � Cold hands/feet � Shortness of breath As mentioned earlier carols primary source of socialisation when at home comes from spending time with her daughter.

  1. Discuss the care pathway of an adult patient who has undergone a surgical /acute ...

    Non-pharmaceutical methods of pain control including information giving pre operatively, breathing excesses and positioning, have been show to have a positive impact on pain control when used in conjunction with appropriate analgesia (Wilson, 2002). Once analgesia has been administered it is vital that the nurse evaluates it effectiveness, to ensure that the patient pain is adequately controlled.

  2. HOSPITAL CASE ANALYSIS. This case study takes place at a hospital and is based ...

    Therefore, she gives unclear order and never plans tasks ahead. Since no check ups are been done regularly, nurses usually do not get feedbacks from Rogers. They don't know whether they are doing a good job or not. Roger's unorganized style, especially the way she does not plan tasks, does not gain respects from old nurses.

  1. A case study of a 68 year old patient admitted to undego a bowel ...

    In accordance with SIGN guidelines (2007) the nurse will recommend that Mr Jones receives a visit from someone who has gone through the same experience (Walsh, 2002); and the British Colostomy Association of Great Britain can supply a list of ostomates who can perform this function (BCASS, 2007).

  2. Chronic obstructive pulmonary disease (COPD)

    In some conditions, chronic is defined as six months or longer. Chronic conditions often progress slowly and last for the remainder of a person's life. A chronic condition is differentiated from an acute, which means pertaining to a health-related condition, disease, state, disorder, or set of symptoms that usually begins

  1. Inpatient case study

    She is fatigued and feels dizziness while standing. Her physical assessment reveals slight fever with temperature of 37.8oC, heart rate of 109beats/min, with blood pressure of 109/85mmHg and respiration rate of 22respirations/min. Her oxygen saturation is at 96% on air. Abdominal palpation showed that she has hepatomegaly, and distended gallbladder.

  2. Counselling Case Study

    to her behavior, not by trying to understand the underlying feelings that were making her behave this way. Tschudin (1994) suggests that when feeling annoyance with another and not acknowledging or recognizing it, then the client will begin to see your verbal and non-verbal communication are not in harmony.

  • Over 160,000 pieces
    of student written work
  • Annotated by
    experienced teachers
  • Ideas and feedback to
    improve your own work