Question

In: Nursing

Patient History History: Crohn’s Disease (2001) Complaints: Abdominal pain, 6-8 watery stools daily, weight loss, anemia,...

Patient History

History: Crohn’s Disease (2001) Complaints: Abdominal pain, 6-8 watery stools daily, weight loss, anemia, and refusing to eat

•Based on the history and complaints, which body system (s) is/are being compromised?*

3 Nursing Diagnoses

3 Nursing Intervention

3 Patient Education

Expert Solution

Crohn's disease is a chronic inflammatory disease of intestine, especially colon and ileum associated with ulcers and fistulae have symptoms such as watery stool, abdominal pain, fatique ,anemia and weight loss

Based on history and complaints body system which is being compromised is digestive system as it inflammatory bowel disease affecting intestine.

A. 3 priority diagnosis are

1) Risk of fluid volume deficit related to watery stools ( 6 to 8 )

2) Abdominal pain related to abdominal cramps as evidenced by restlessness , verbalization

3) Imbalanced nutrition related to refuse to eat as evidenced by weight loss and anemia.

B. 3 Nursing intervention -

1) Provide medication to stop watery stool as prescribed , administer iv fluids to restore body fluid volume and monitor input output chart of patient

2) Administer anti spasmodic and analgesics as prescribed to reduce abdominal pain , also use diversional activity to reduce pain, positioning patient in C shape can help in reducing abdominal pain

3) Provide total parentral nutrition as prescribed and Ryles tube feeding to compensate nutritional need of body and to increase weight.Monitor weight continuously.

C. 3 patient education -

1) Immediately inform health care providers if any sign of complication , side effects if noted . Take medication on time as prescribed.

2) Avoid smoking and tobacco intake as it can only help in disease progression. Also avoid caffeine intake , milk products ,raw fruits and vegetables and spicy food .

3) Try eating several small meals a day instead of eating 3 time large ones . Also Increase fluid intake and proper diet to reduce fatique and weight loss.

Please Upvote if you find it satisfactory. Comment if any doubt

Nightingale answered 2 years ago

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