Wednesday, May 6, 2020
Assessment of the Patient with Acute Abdominal Pain
earmngzone CONTINUING PROFESSIONAL DEVELOPMENT Because of a printing error this leaming zone article was not printed in full in last weeks issue. I t is reproduced here in full. Please use this version when referencing the article. Page 76 Guidelines on how to write a practice profile Assessment of the patient with acute abdominal pain NS344 Cole E et ai (2006) Assessment of the patient with acute abdominal pain. Nursing Standard. 20, 39,67-75. Date of acceptance: October 10 2005. Summary Abdominal pain has many causes, from simple to complex presentations. Patients with abdominal pain may have a number of physiological and psychological needs. Nurses have a key role to play in patient assessment, history taking andâ⬠¦show more contentâ⬠¦Check in an anatomy and physiology textbook to see if you are correct. Causes of abdominal pain ^ ^ 1 1 Right upper quadrant Right lower quadrant Left upper quadrant Left lower quadrant , ; \ Acute surgical emergencies constitute about 50 per cent of all general surgical admissions. About halfofthese are for abdominal symptoms, predominantly pain, and half of this group resolve withtiut operation, Tbe rest undergo emergency surgery or a scheduled procedure during the same admission (Birkittand Quick 2002), The common causes of abdominal pain are summarised, however, this is not an exhaustive list. Appendicitis Appendicitis is the most common surgical emergency (Longmoreei a/2004). Appendicitis is inflammation ofthe appendix, and as the inà Limmatory process begins, there is colicky pain that usually starts around the umbilicus or epigastrium. However, as the inflammation increases and the peritoneum becomes involved, the pain shifts to the right iliac fossa (within the right lower quadrant). Associated symptoms may include loss of appetite, vomiting, constipation and occasional diarrhoea. Biliary colic Biliary colic describes tbe symptoms caused by intermittent cystic d uct or common bile duct obstruction caused by gallstones. Typically patients are female and overweight. Pain is usually colicky and localised in tbe right upper quadrant and in the epigastrium radiating to tbe back. Pain has a sudden onset and isShow MoreRelatedAntepartum/Intrapartum Patient. Student Name: Patricia1607 Words à |à 7 PagesAntepartum/Intrapartum Patient Student Name: Patricia Pineda Date: 03/08/2017 Assessment Submitted: 04/27/17 Maternal Initials: L. P Clinical Faculty: Yvette, Rolle, DNP, CNE, OB-RNC Hospital Clinical Site: Texas Childrenââ¬â¢s Hospital Pavilion for Women NOTE: This care plan follows directly from the Assessment Data you have collected in your Antepartum/Intrapartum Physical Assessment. Assessment forms must be submitted along with this care plan and the grading. Submit your Antepartum/IntrapartumRead MoreCase Study Of Acute Abdomen1716 Words à |à 7 PagesUS with operative in acute abdomen. Item Prove Disprove p-value Inflammation â⬠n=88â⬠70(79.54%) 18(20.45%) P0.001** Abscess â⬠n=22â⬠19(86.36%) 3(13.63%) P0.000*** Perforation â⬠n=30â⬠24(80.0%) 6(20.0%) P0.000*** Intestinal obstruction â⬠n=60â⬠49(81.67%) 11(18.33%) P0.000*** Total â⬠n=200â⬠162(81.0%) 38(19.0%) P0.000*** The correlation of US findings with surgical findings in this study showed high US diagnostic performance markers in most of the cases of non traumatic acute abdomen. All the diseaseRead MoreSymptoms And Symptoms Of Acute Pancreatitis1037 Words à |à 5 PagesCanadian who came to emergency with complains of vomiting and severe abdominal pain. He stated that he finished a heavy meal accompanied with 3-4 glasses of wine when his pain began. He usually consumes 2-3 cans of beer per day. Based on clinical findings and tests, he was diagnosed with acute pancreatitis and admitted to the medical-surgical unit. I was assigned to care for Mr. P. M. during the day shift following his admission. Acute pancreatitis is a rapid inflammatory process when the tissue of pancreasRead MoreSymptoms And Symptoms Of Acute Pancreatitis1031 Words à |à 5 PagesCanadian who came to emergency with complains of vomiting and severe abdominal pain. He stated that he finished a heavy meal accompanied with 3-4 glasses of wine when his pain began. He usually consumes 2-3 cans of beer per day. Based on clinical findings and tests, he was diagnosed with acute pancreatitis and admitted to the medical-surgical unit. I was assigned to care for Mr. P. M. during day shift following his admission. Acute pancreatitis is a rapid inflammatory process when the tissue of pancreasRead MoreCase Analysis For Pancreatitis And Pancreatitis1086 Words à |à 5 Pagestypes acute or chronic . bile does not enter the pancreas ; if it does , the pancreas may become acutely inflamed. this process of pancreatitis destroys pancreatic tissue and leads to hemorrhage , edema , steatorrhea , and severe pain . pancreatic enzymes are being secreted directly into the pancreas rather than into the duodenum , also cause pancreatitis . Another cause is gallstone that travelled backward in the duct. Pancreatitis sign and symptoms include intractable pain in theRead MoreConcept Map Nursing1369 Words à |à 6 PagesConcept Map West Coast University B.S. is an 81 year old Caucasian female presenting with abdominal pain, diarrhea, nausea and vomiting in the emergency room on February 3, 2013. B.S. has a history of glaucoma, hypothyroidism, degenerative arthritis and diverticulosis. She has allergies to iodine and vicodin. B.S. is admitted for diverticulitis with possible partial bowel obstruction and hydronephrosis. B.S. was admitted on February 3, 2013 here at Verdugo Hills Hospital. Pathophysiology:Read MoreClinical And Holistic Personal Health Factors Within An Emergency Nursing Framework3362 Words à |à 14 Pagesstudy examines a recent presentation by a 36 year old woman with acute abdominal pain requiring emergency assessment, and the subsequent diagnosis of acute appendicitis leading to surgical intervention. The aim of this paper is to explore the patientââ¬â¢s relevant presentation, clinical and holistic personal health factors within an emergency nursing framework. Two key areas of care will be identified to critique and examine in detail: acute appendicitis as an immediate concern, and long-term use of non-steroidalRead MorePain Management Is Recognized As An Essential Aspect Of Patient Care1346 Words à |à 6 PagesPain management is recognized as an essential aspect of patient care by The Joint Commission and the World Health Organization along with other national professional organizations and health agencies. The International Association for the Study of Pain (IASP) has the best known and accepted pain definition: Pain is an unpleasant sensory and emotional/affective and cognitive experience that is associated with actual or potential tissue damage or is described in terms of such damage. (Society, n.dRead MoreCholecystitis and Perioperative Care Essay1118 Words à |à 5 PagesResearch indicates that gallstone disease is the most common abdominal reason for hospital admission. Risk factors that are known to increase gallstone formation include: being female, rapid weight-loss and fasting, diabetes and certain medications. Medications such as oral contraceptives and cholesterol-lowering drugs. It is imperative that ââ¬Å"nurses have a great understanding of cholecystitis and the surgical procedure, to ensure that patients are cared for not only empathetically but also safely andRead MoreEssay on Reflective Nursing Case Study708 Words à |à 3 Pagesreflection to write a personal accoun t of an abdominal examination carried out in general practice under the supervision of my mentor, utilising the skills taught during the module thus far. What happened During morning routine sick parade I was presented with a 21 year old male soldier experiencing severe acute, non specific, abdominal pain. Under the supervision of the medical officer (MO) I proceeded to carry out a full assessment and abdominal examination, using Byrne and Longââ¬â¢s (1976) model
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