CP Intestinal Obstruction Title Page

 

JMJ Marist Brothers Notre Dame of Dadiangas University College of Nursing

 A Case Presentation Presentation on Intestinal Obstruction

In Partial Fulfillment of  The Requirements in NCM B 102

Presented by: James Lyndel L. Mandal, SN  Angiela Marie N. Lopez, Lopez, SN Katherine L. Laud, SN Selma R. Lang, SN BSN – 3A

Presented to: Shirley L. Gellor, RN Clinical Instructor 

January 21, 2010

 

ABSTRACT

Intestinal obstruction is a significant mechanical impairment or complete arrest arre st of the passag passage e of conten contents ts through through the intestin intestine. e. Inte Intestin stinal al obstruc obstruction tions s account for 20% of all acute surgical admissions. Mortality and morbidity are depe de pende ndent nt on the early early reco recogni gnitio tion n and and corr correct ect diagno diagnosis sis of obst obstruc ructio tion. n. If  untreated, strangulated obstructions cause death in 100% of patients. However, the mortality rate decreases to 8% with prompt surgical intervention (Vicky P. Kent, RN, PhD, CNE, 2009). Nana Na nay y Gand Ganda, a, 84 year years s old, old, was was admit admitte ted d last last Decem Decembe berr 8, 2010 2010 at Generall Santos Doctors’ Genera Doctors’ Hospital under the care of Dr. Albano, had complaints of  inabil ina bility ity to defe defecat cate e by abou aboutt 4 days. days. A back backgro groun und d of one one year year histo history ry of  intermittent abdominal pain with bloating was claimed by the patient. The impression to the result of the ultrasound of her whole abdomen is to consider ileus; partial obstruction and fecal stasis. Dr. Albano believed that the symptoms being manifested were results of a disorder she has in a long time. Since they weren’t able to have that checked and it wasn’t figured out earlier, the signs become more evident now. It’s also because these manifestations develop and progresses relatively slowly. It was then that the physician decided to let the patient undergo exploratory exploratory lap to detect what really had cause the obstruction. obstruction. It was December 13, 2010 when the surgeon discovered a tumor at the site of the obstruction particularly at the descending colon and immediately removed it. The found tumor was then subjected for biopsy.

 

ACKNOWLEDGEMENT

The student nurses would like to extend their heartfelt gratitude to the following:

•

To the parents of the student nurses, for the moral and financial support, as well as to the love they’ve always shown them;

•

To their beloved beloved Clinical Instructors Instructors and consultants consultants especially Ms. Shirley L. Gellor, for giving them the chance to experience this Case Presentation making and for sharing her expertise in the field of case study;

•

To their friends, for helping them in their hardships and trials in life;

•

To their school, Notre Dame of Dadiangas University, Nursing Department, for giving them the quality education and teaching them the moral values to th the e forma formatio tion n of perso persons ns in all levels levels of learn learning ing as Chris Christia tian n leade leaders rs,, compe compete tent nt

profe professi ssion onals als,,

commu communit nityy-ori orien ented ted

citize citizens, ns,

and and

cultu culture re--

sensi sensitiv tive e indiv individ idua uals ls in ac activ tive e parti particip cipat ation ion of build buildin ing g a peace peaceful ful and and progressive nation.

•

 Above all, the Almighty God, for the wisdom, knowledge, guidance, guidance, good health and unconditional love He had given them.

 

Table of Contents Contents

Page Title Page

i

 Abstractt  Abstrac

ii

 Acknowledgement  Acknowle dgement

iii

Chapter  1

Introduction

1

2

Purpose of the Study

4

3

Patient’s Database

6

4

Nursing History History of Present Illness

7

Past Medical History Immunization and Childhood Illness

8

Compliance to Health Management

8

Menarche

9

Family History

9

 Activities of Daily Living Living

9

 

Hospitalization Nursing Physical Assessment

11 12

 Anatomy and Physiology Physiology

24

6

Pathophysiology

47

7

Medical and Nursing Management

5

Ideal Diagnostic Tests

51

Ideal Medical Management

52

Ideal Nursing Management

53

 Actual Diagnost Diagnostic ic Tests

54

 Actual Medical Medical Management Management

66

Surgery

75

 Actual Nursing Nursing Management Management

75

 Actual Pharmacolo Pharmacological gical Management Management

77

Prognosis

102

Discharge Planning

104

8

Gordon’s Functional Health Pattern

107

9

Nursing Care Plan

135

 

Bibliography

144