Question

Ali, 45 year old, accompanied by his brother, is admitted to Royal Hospital medical ward with complaints of severe abdominal pain, vomiting & diarrhea that started last night. He verbalized, “This is the first time I have this kind of pain”. I felt this pain all over my abdomen. I vomited 3 times already and had a loose bowel movement 2 times.

Vital signs: T: 37.5°C, PR: 112 beats/minute, RR: 25 breaths/minute: BP: 150/100 mmHg. Pain scale: 8/10.

Ali was diagnosed with Diabetes Mellitus type 1, 5 years ago. Currently, he is having insulin injection regularly and his blood sugar is well controlled.

During history taking, you observed the following: flushed & grimaced face, diaphoresis, pallor, & dry tongue & mucous membrane. He verbalized, “What is happening to me? Why I have abdominal pain? Do you think the cause was the food that we ordered from a restaurant? The food was still hot when I ate it. Good thing only me, ate the food”.

Blood tests and stool exam were done. All results were normal. The physician diagnosed Ali with Gastroenteritis. Antibiotics and IV fluids were administered to him.

Ali is working in a private company, and he has 4 young children. His wife, who is a known hypertensive, is at home taking care of their children.

Ali verbalized “I want to be discharge now. I can continue taking my medications at home. I need to go home because my wife needs me to take care of our children”. However, the physician explained to him the need to be closely monitored until he become stable.

1-

1. Describe the client / group / family.

2. Assessment of readiness: current status (age, educational level), interest, & actual / potential barriers to learning.

3. Prioritized nursing diagnoses (2 actual and 1 potential).

4. Specification of prioritized learning needs (minimum of 5).

Answer 1

1) Client is a 45 year old patient who is admitted in the ward with complaints of abdominal pain , vomiting and diarrhea . He has diabetes mellitus type 1 since 5years and is on insulin therapy. The patient has food last night from a restaurant and is know diagnosed with Gastroenteritis .

2) Assessment of readiness :-

Current status - patient is hemodynamically well , has a chief complaint of abdominal pain and is anxious about it .

Age of the patient is 45years

Patient is very much concerned about his condition and her wife who has to take care of their four childrens.

3) Nursing diagnosis :-

- Abdominal pain related to Gastroenteritis as evidenced by assessment based on pain scale (8/10)

- Anxious related to his abdomen pain as evidenced by his facial expressions and concerns .

- Deficit knowledge related to disease condition as evidenced by his questions

4) Learning needs :-

- About disease condition - Gastroenteritis

- About Nutrition

- Anxiety management

- Not eating or drinking things that can irritate your stomach lining. This includes alcohol, caffeine, and spicy foods.

- Not taking medicines such as aspirin and over-the-counter pain and fever medicines. These include NSAIDs (nonsteroidal anti-inflammatory medicines)