PPP in Chole

8/14/2019 PPP in Chole

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CASE STUDY:

CholelithiasisPrepared By:

Paulin, Rose Anne

Ramos, Jackie

Ruaza, Michael

San Miguel, Elena

Santiago, Aizelle


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INTRODUCTION


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GOAL: To present a comprehensive study on cholelithiasis in order to enhance

the knowledge and develop the skills and attitudes of student nurses in

the actual care and management of patients suffering from this disease.

OBJECTIVES: Discuss the pathophysiology, incidence / prevalence, and mortality / morbidity

associated with the disease being reviewed, along with the race, sex, and agerange of persons typically affected;

Recognize the typical clinical presentation, including common symptoms andphysical examination findings;

To formulate a comprehensive nursing care plan utilizing the nursing process.

Administer proper medical/surgical care and recommend appropriateconsultations, diets, and activities;

List categories of medications useful in treatment and demonstrate familiarity with

dosage regimens of appropriate medications;

Provide suitable follow-up care;

Institute prevention strategies for developing further complications;

Discuss potential complications and prognosis; and

To provide a continuous home care through the discharge plan.


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NURSING

HEALTH

HISTORY


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PHYSICAL

ASSESSMENT


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ANATOMY

and

PHYSIOLOGY


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PATHO-PHYSIOLOGY


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DIAGNOSTICPROCEDURES

andLABORATORY

RESULTS


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NURSING

CARE

PLAN


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Readiness for enhancedknowledge related topreoperative preparation

Risk for infection relatedto abdominal incision

Risk for pain/discomfortrelated to abdominal

incision.


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DRUG

STUDY


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CEFUROXIME OMEPRAZOLE PARACETAMOL HYOSCYAMINE BUTYLBROMIDE METFORMIN HCL CEFTAZIDIME

MEPERIDINE HCL INSULIN GLARGINE NPH INSULIN


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DISCHARGE

PLAN


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M MEDICINE

Advise the patient and the significant others to comply strictly with theprescribed medications in order to aid in the recovery state aftersurgery.

Discuss with the patient the things she needs to know about hermedications. (e.g., side effects, adverse reactions)

E ENVIRONMENT AND EXERCISE

Maintain a quiet, pleasant, environment to promote relaxation. Provide clean and comfortable environment.

Advise the patient to perform exercises within physical limits and toavoid fatigue by planning rest periods during the day.

Instruct the patient to breathe deeply and slowly during the periods ofan activity.

Strenuous exercise and lifting should be avoided.

T TREATMENT

Instruct patient to comply with the home medications that would begiven by his physician.

Teach patient about wound care. Encourage rest, relaxation and proper nutrition.


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H HEALTH TEACHING

Instruct patients to avoid emotional stress.

Provide written and oral instructions about wound care, activity, dietrecommendations, and medications.

Teach patient about caring for the stitches, hygiene and bathing. Encourage patient to do the recommended light exercises such as

walking. Avoid doing strenuous activities which could slow downhis recovery.

Encourage him to comply with the dietary modifications; limit the

intake of saturated fat to prevent the occurrence of serious post-cholecystectomy side-effects.

Explain to patient to refer for untoward signs and symptomsimmediately.

O OUT PATIENT FOLLOW-UP

Instruct the patient to consult the physician for any problems or

complications encountered. Remind patient that regular check-ups are important to ensure that

the patient condition is constantly monitored by the doctor.


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D DIET

Advise patient to limit the intake of saturated fat andthat she should eat smaller amounts of food during asingle meal.

Eat three balanced meals a day; high in fiber, low insaturated fats.

Direct irritants such as spices, red and black peppersshould be limited.

S SPIRITUALITY

Encourage patient to communicate with God.

Encourage patient to communicate with other people.


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PPP in Chole

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