Cholelithiasis
I. OBJECTIVES
We did this case study for us to enhance our knowledge and to understand more information about cholelithiasis , thus to give us an idea of how we could give proper nursing care for our clients with this condition, and so we could apply them on our future exposures as students and eventually as nurses.
At the end of case presentation the group will: * Indentify the causing factor that related to the disease * Determine the sign and symptoms of the disease * Formulating a nursing care plan related to the problem
II. PATIENT’S PROFILE
-DEMOGRAPHIC DATA
Name: H.O Gender: F Civil Status: M
Age: 68
Birthdate: January 15, 1944
Address: Danao, Pototan, Iloilo City
Occupation: none
Religious Affiliation: Roman Catholic
Physician: Dr.B and Dr.P
Admission date: 11-15-12 3:30 pm
-CHIEF COMPLAINT
Epigastric pain : “mga isa na ka semana nga dulaan ko gana magkaon hay gasakit sulok sulokan koh” as verbalized by the patient.
III. HISTORY OF PRESENT ILLNESS 7 days PTA patient has onset of epigastric pain and admitted at LDH 6 days PTA ultrasound done and revealed cholecystolithiasis, patient was appraised for surgery. ODA referred to IMH for further evaluation and management thus admitted.
-PAST HEALTH HISTORY General Health The patient is a 68 years old female housewife and appear as stated aged. She is ambulatory and conscious, cooperative and responds appropriately while on bed. Body thin is evenly distributed. Limbs and trunk are proportional to the body’s height. Motor activity is not restricted but still needs assistance. Able to respond to questions correctly. Approachable and friendly, show appropriate facial expressions, cooperative and is concerned about the situation.
Childhood Illnesses
The patient stated that she experienced chickenpox and measles.
Serious or chronic illnesses
The patient stated that she has a diabetes.
Hospitalizations
The patient has
We did this case study for us to enhance our knowledge and to understand more information about cholelithiasis , thus to give us an idea of how we could give proper nursing care for our clients with this condition, and so we could apply them on our future exposures as students and eventually as nurses.
At the end of case presentation the group will: * Indentify the causing factor that related to the disease * Determine the sign and symptoms of the disease * Formulating a nursing care plan related to the problem
II. PATIENT’S PROFILE
-DEMOGRAPHIC DATA
Name: H.O Gender: F Civil Status: M
Age: 68
Birthdate: January 15, 1944
Address: Danao, Pototan, Iloilo City
Occupation: none
Religious Affiliation: Roman Catholic
Physician: Dr.B and Dr.P
Admission date: 11-15-12 3:30 pm
-CHIEF COMPLAINT
Epigastric pain : “mga isa na ka semana nga dulaan ko gana magkaon hay gasakit sulok sulokan koh” as verbalized by the patient.
III. HISTORY OF PRESENT ILLNESS 7 days PTA patient has onset of epigastric pain and admitted at LDH 6 days PTA ultrasound done and revealed cholecystolithiasis, patient was appraised for surgery. ODA referred to IMH for further evaluation and management thus admitted.
-PAST HEALTH HISTORY General Health The patient is a 68 years old female housewife and appear as stated aged. She is ambulatory and conscious, cooperative and responds appropriately while on bed. Body thin is evenly distributed. Limbs and trunk are proportional to the body’s height. Motor activity is not restricted but still needs assistance. Able to respond to questions correctly. Approachable and friendly, show appropriate facial expressions, cooperative and is concerned about the situation.
Childhood Illnesses
The patient stated that she experienced chickenpox and measles.
Serious or chronic illnesses
The patient stated that she has a diabetes.
Hospitalizations
The patient has