Question

8. Differentiate between diverticulosis and diverticulitis, including clinical manifestations, interprofessional care, and nursing management.

9. Compare and contrast the types of hernias, including etiology and surgical and nursing management.

10. Describe the types of malabsorption syndromes and interprofessional care of celiac disease, lactase deficiency, and short bowel syndrome.

11. Describe the types, clinical manifestations, interprofessional care, and nursing management of anorectal conditio

Answer 1

Diverticulosis occurs when small, bulging pouches (diverticula) develop in the small intestine.A low intake of dietary fibre is considered a predisposing factor, the exact cause is unknown.
Diverticulitis results when food and bacteria retained in a diverticulum produce infection and inflammation that can obstruct drainage and lead to perforation or abscess formation.

Clinical manifestations

chronic constipation often precedes the development of diverticulosis by many years.however, signs and symptoms of diverticulosis are relatively mild and include bowel irregularity with intervals of diarrhoea, nausea and anorexia, bloating or abdominal distention.

while, diverticulitis an acute onset of mild to severe pain left lower quadrant, accompanied by nausea, vomiting ,fever, chills and leukocytosis. If keeps untreated , can lead to peritonitis and septicemia.

dietary management

in case of diverticulitis, Initiallytric suctioning if vomiting or distention occurs are used to rest the bowel.Broad-spectrum antibiotics are prescribed for 7b to 10 days.An opioid for pain relief .

surgical management

If the complication arises surgeries are recommended to prevent repeated episodes.

types of surgery:

• one stage resection, in which inflamed area is removed and primary end-to-endsuch as obstruction or perforation.
• multiple-stage proceduresfor complications such as obstuction or perforation.

nursing management

• maintaining normal elimination pattern

recommend fluid intake 2 l per day according to patients condition, fibre rich food, an individualised exercise, encourage intake of bulk laxatives.

• relieving pain

record intensity duration and location of pain to determine whether the inflammatory process worsens or subsidies.

• maintaining and monitoring potential complications

check the signs and symptoms of patients, ESR levels, temperature, tachycardia.monitor vital signs and urine output.administer IV fluids to maintain the loss.