ACTIVE LEARNING TEMPLATE: System Disorder Lyndsay King STUDENT NAME______________________________________ Crohns DISORDER/DISEASE PROCESS___________________________________________________________ Alterations in Health (Diagnosis) Chronic inflammatory disease of the gastrointestinal tract Pathophysiology Related to Client Problem Anywhere along the GI tract Small bowel involvement Healthy tissue interspersed with areas of inflammation Entire thickness of bowel wall REVIEW MODULE CHAPTER____________ Health Promotion and Disease Prevention Decrease inflammation in the intestines Prevent any other symptoms and keep patient in remission Healthy lifestyle (diet, stress management, exercise) ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Age < 30 yrs Eastern Europe/Jewish Family history Smoking NSAIDS Expected Findings Diarrhea, abdominal pain, cramping, fever, weight loss, rectal bleeding, malabsorption and nutritional deficiencies Laboratory Tests Serum Albumin, WBC, electrolyte panel, C-reactive protein, Iron and B12 levels. Diagnostic Procedures X-ray, intestinal endoscopy, bowel characteristics, CT scan practice good hygiene patient should always have a caregiver by their side patient should describe in the best way possible their stool characteristics and bm times nutritional replenishment/support take meds as prescribed PATIENT-CENTERED CARE Nursing Care Assess patient hydration status, monitor BP & HR for orthostatic changes Assess pain, auscultate bowel sounds, encourage healthy diet and fluid intake Complications Medications Sulfasalazine Client Education Importance of eating a balanced diet with meals at regular intervals Drug therapy Nutritional therapy Surgical ACTIVE LEARNING TEMPLATES Jaundice Disease process and management Corticosteroid Drink 8-10 glasses of water a day importance of oral hygiene Communicate feelings; teaching and coping strategies. Therapeutic Procedures Eye condiditons Perianal abscess and fistulas Immunosuppressa nts Strictures immunomodulators c-diff Anticholinergics Antidiarrheals Pain relievers Interprofessional Care Dietitian Support groups Therapist perforation carcinoma-small intestinal cancer and colorectal cancer Therapeutic Procedure A11
