concept mapping for diagnosis of crohn's disease 1. pathophysiology 2. medical interventions 3. nursing intervention 4....

concept mapping for diagnosis of crohn's disease
1. pathophysiology
2. medical interventions
3. nursing intervention
4. assessment
5. nursing considerations
6. patient teaching

Expert Solution

Crohn's disease-

1. Pathophysiology- idiopathic and mutation in NOD2, ATG16L1 ---- leading to inflammation and ulcers of bowel wall with infiltration of neutrophils ---- patchy granulomatous distribution ---- cobblestone appearance ---- ongoing symptoms .

2. Medical intervention -

NSAIDs- for inflammation and pain.
Steroids- for reducing inflammation and decresing immune response.
Immunosuppressants like methotrexate , infliximab, azathioprine etc.
Antibiotic for infection and abscess.
Iron and vitamin B12 supplements.
Anti diarrhoea medications.

3. Nursing interventions -

Treatment of diarrhoea dut to inflammation and parentral infusion to maintain hydration.
Management of pain by giving pain medication.
Diet management and exercise .
Carrying out diagnostic test and it's procedures .
Dietary advise and making them follow it.
Stress management techniques.

4. Assessment - look for complaints like fever , diarrhoea , weight loss , abdominal pain , abdominal masses etc .

Investigations like blood test , ultrasound abdomen , colonoscopy and biopsy, MRI and CT helps in DIAGNOSIS.

5. Nursing considerations- Treat anemia, fluid loss due to diarrhoea, pain , maintaining nutritional status of the patients and advising them healthy lifestyle measures.

6. Patient teaching -

Avoid smoking .
Eat small meals at regular intervals.
Reduce the amount of fried and oily foods .
Take more green leafy vegetables.
Limit the use of milk and milk products.
Do exercise every day.
Take medication regularly.
Do meditation and stress management.

Nightingale answered 1 year ago

PRIMARY MEDICAL/SURGICAL DIAGNOSIS, BASIC PATHOPHYSIOLOGY AND TEXTBOOK SIGNS AND SYMPTOMS OF CROHN'S DISEASE

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