Question

1. Explain the common etiologies, interprofessional care, and nursing management of diarrhea, fecal incontinence, and constipation. 2. Describe common causes of acute abdominal pain and nursing management of the patient after an exploratory laparotomy. 3. Describe the interprofessional care and nursing management of acute appendicitis, peritonitis, and gastroenteritis. 4. Compare and contrast the inflammatory bowel diseases of ulcerative colitis and Crohn's disease, including pathophysiology, clinical manifestations, complications, interprofessional care, and nursing management. 5. Differentiate among mechanical and nonmechanical bowel obstructions, including causes, interprofessional care, and nursing management. 6. Describe the clinical manifestations and interprofessional care of colorectal cancer. 7. Explain the anatomic and physiologic changes and nursing management of the patient with a fistula and a fecal diversion. 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 conditions

Answer 1

Explain the common etiologies, inter professional care, and nursing management of diarrhea, fecal incontinence, and constipation.

Osmotic diarrhea happens when too abundant water is strained into the bowel by osmosis. Large quantities of fake sweeteners comprising sorbitol can also reason osmotic diarrhea. This category of diarrhea can also be the consequence of widespread malabsorption, as in coeliac ailment and pancreatic inadequacy. The indications determination when the patient halts consumption or the material is obsolete.

The attendance or nonappearance of stomach pain and the category of pain should be assessed. Pain is frequently contemporary in provocative bowel illness (IBD), irritable bowel condition (IBS) and ischemic colitis. Stomach swelling might escort discomfort.

Stomach examination and inspection is only beneficial if the nurse having responsibility it has the medical services to do so. It may divulge stomach swelling, and stomach figure or sensitivity over a specific portion of the bowel. The nature of the discomfort is significant, as well as a pain mark.

Management:

-Check on the normal decoration of removal, counting incidence and constancy of stool.

-Take explanation of a conceivable purgative and enema usage, kind, and incidence.

-Measure the patient’s movement equal.

-Categorize present medicines practice that may principal to constipation.

Describe common causes of acute abdominal pain and nursing management of the patient after an exploratory laparotomy.

Patients with scientific sorts of peritonitis might have pneumo-peritoneum on straight chest and stomach radiographs. They typically have a punctured viscus, most normally the duodenum, abdominal, small intestine, cecum, or sigmoid colon. Investigative laparotomy is complete primary to regulate the careful reason of pneumo peritoneum, shadowed by the beneficial process. In the nonappearance of pneumo peritoneum, appendicular puncture and duodenal ischemia are conceivable identifies; a great catalog of misgiving for conceivable intestinal ischemia should be preserved.

Patients with nausea, obstipation, and stomach distention are expected to have duodenal obstacle. Stomach radiographs in these patients may expose opened intestinal rings and air fluid heights. Hernia, particularly an incarcerated inguinal hernia, must be reigned out as a conceivable reason of the obstacle.

Postoperative nursing arrangements

-Screen awareness, vital signs, CVP, consumption and production

-Comment and greatest drain possessions drainage.

-In establishing and touching the location of the patient must be cautious not to gutter displaced.

-Sterile coiled maintenance.

Describe the inter professional care and nursing management of acute appendicitis, peritonitis, and gastroenteritis.

Assessment of a patient with appendicitis, peritonitis and gastroenteritis might be together detached and individual.

-Measure the level of discomfort.

-Measure pertinent workroom results.

-Measure patient’s energetic symbols in groundwork for operation.

Compare and contrast the inflammatory bowel diseases of ulcerative colitis and Crohn's disease, including pathophysiology, clinical manifestations, complications, inter professional care, and nursing management.

The major link amid Crohn’s disease besides ulcerative colitis is that they together include an irregular answer by the figure’s immune scheme. The immune scheme’s character is to defend the figure, but in inflammatory bowel illness this reply in irregular, thus aggressive whatsoever arrives the stomach tract whether it is respectable or wicked. Over period, if conduct is not managed long period impairment can happen to the digestive classification and the jeopardy of thoughtful problems rises.

Crohn’s disease has an extensive slant of conduct approaches since it does not have a meticulous reason to board. Conduct for Crohn’s illness might comprise corticosteroids, anti-inflammatory medications, immunosuppressant representatives, antibiotics, biologic managers, nutritious and nutritional therapy, stress organization, and, in simple Crohn’s illness circumstances, operation to eliminate seriously pretentious zones of the bowels and colon.

Meanwhile approximately ulcerative colitis indications are comparable to Crohn’s illness, it is significant to get a detailed inspection and analysis. Ulcerative colitis analysis is showed finished an amount of examinations. Fundamentally, it is a procedure of eradicating other illnesses.