Finale Joe Heart Case Study Abstract
Case Study Abstract
TITLE OF CASE
Diabetic Mrs. C’s End Sigmoid Colostomy with Hartmann’s Pouch
BACKGROUND
According to the Australian Bureau of statistics, Australia is becoming an aging population and one of the most common healthcare issues for the older people is related to the digestive system. In addition, both colostomy and diabetic cases have become quite frequent not only in the elderly but in all ages of the population as well. Having both colostomy and diabetes can cause issues such as delayed/slow wound healing which lead to further complications. Therefore, as future graduate RNs, it is necessary for us to familiarize ourselves with such common issues and have an idea on how to provide quality care for these patients.
CASE PRESENTATION – NURSING ASSESSMENT
Salient Patient History:
Mrs. C., 83 years of age, female, lives with husband at home. Transferred to RBWH for dehydration and abdominal investigation. Patient reported unwell and poor consumption of food/ fluids for 6/7 days. Patient also reported weight loss of 15kg, small pellet stools, dark coloured urine, abdominal pain and intermittent nausea. Allergic to Benadryl. History of type 2 Diabetes Miletus.
Physical Assessment Data:
GCS 15. OBS: PR 68-76, RR 14-18, Temp 36-37degrees Celsius, O2Sats 96-99%, BP 100/60 – 125/85. Pain: 0-3. Radial palpable. Breathe sounds clear. Stoma active. Patient able to mobilize short distances with assistance – normally independent at home.
Investigations: Biopsy of the Sigmoid Colon – Diverticulosis with perforated diverticular abscess
Operation: Hartmann’s sigmoidectomy and end colostomy
Mrs. C. came to the surgical ward after an operation of Hartmann’s sigmoidectomy and end colostomy. She had an ongoing IV therapy, IV antibiotics, NGT feed, Bello Vac drain, IDC and PCA. She was on regular BGL monitoring and Insulin sliding scale. Her medications include PRN Metoclopramide and Ondansetron for nausea and vomiting, Endone for pain, Pantoprazole and Heparin
TITLE OF CASE
Diabetic Mrs. C’s End Sigmoid Colostomy with Hartmann’s Pouch
BACKGROUND
According to the Australian Bureau of statistics, Australia is becoming an aging population and one of the most common healthcare issues for the older people is related to the digestive system. In addition, both colostomy and diabetic cases have become quite frequent not only in the elderly but in all ages of the population as well. Having both colostomy and diabetes can cause issues such as delayed/slow wound healing which lead to further complications. Therefore, as future graduate RNs, it is necessary for us to familiarize ourselves with such common issues and have an idea on how to provide quality care for these patients.
CASE PRESENTATION – NURSING ASSESSMENT
Salient Patient History:
Mrs. C., 83 years of age, female, lives with husband at home. Transferred to RBWH for dehydration and abdominal investigation. Patient reported unwell and poor consumption of food/ fluids for 6/7 days. Patient also reported weight loss of 15kg, small pellet stools, dark coloured urine, abdominal pain and intermittent nausea. Allergic to Benadryl. History of type 2 Diabetes Miletus.
Physical Assessment Data:
GCS 15. OBS: PR 68-76, RR 14-18, Temp 36-37degrees Celsius, O2Sats 96-99%, BP 100/60 – 125/85. Pain: 0-3. Radial palpable. Breathe sounds clear. Stoma active. Patient able to mobilize short distances with assistance – normally independent at home.
Investigations: Biopsy of the Sigmoid Colon – Diverticulosis with perforated diverticular abscess
Operation: Hartmann’s sigmoidectomy and end colostomy
Mrs. C. came to the surgical ward after an operation of Hartmann’s sigmoidectomy and end colostomy. She had an ongoing IV therapy, IV antibiotics, NGT feed, Bello Vac drain, IDC and PCA. She was on regular BGL monitoring and Insulin sliding scale. Her medications include PRN Metoclopramide and Ondansetron for nausea and vomiting, Endone for pain, Pantoprazole and Heparin