Ostomy: A Case Study
“An ostomy is a surgically created opening in the body for the discharge of body waste. Approximately 750,000 people in the United States have an ostomy. Each year 130,000 new patients undergo ostomy surgery”. (Ossa, 2015)”
George is a 52-year-old male that was born and raised and currently resides in the Town of Stoneham where he lives with his wife and 18-year-old daughter. He is employed full-time by the town as a DPW worker.
George has a past medical history of a right knee replacement, chronic back pain, diverticulitis, a pelvic abscess, anxiety, alcohol abuse and cirrhosis.
George was seen in the emergency room with a complaint of severe LLQ abdominal pain for the past 4-7 days with little or no bowel movements. He saw by his primary care doctor the day …show more content…
George was admitted to the hospital for surgery. George had a partial sigmoid colectomy due to a perforated DVT which resulted in a colostomy, an appendectomy and then a placement of an ABthera open negative wound vac.
George was admitted to the ICU unit after surgery and extubated on February 11.
The next day he was noted to be extremely anxious and diaphoretic with increased vital signs. The unit nurses used the hospital restraint protocol to help maintain their safety as well as George’s and received orders for an Ativan drip.
“Up to 1 in 4 patients admitted to general hospitals meet diagnostic criteria for alcohol dependence. Alcohol dependent patients have a high risk of withdrawal with symptoms including altered concentration, tremulousness, autonomic hyperarousal, psychosis, seizures, and delirium tremens. Alcohol withdrawal delirium commonly known as delirium tremens or DT’s is the most serious manifestations of alcohol withdrawal syndrome (AWS) and characterized by hallucinations, disorientation, tachycardia, hypertension, low-grade fever, agitation and diaphoresis.” (Evanthia Riddle,
George is a 52-year-old male that was born and raised and currently resides in the Town of Stoneham where he lives with his wife and 18-year-old daughter. He is employed full-time by the town as a DPW worker.
George has a past medical history of a right knee replacement, chronic back pain, diverticulitis, a pelvic abscess, anxiety, alcohol abuse and cirrhosis.
George was seen in the emergency room with a complaint of severe LLQ abdominal pain for the past 4-7 days with little or no bowel movements. He saw by his primary care doctor the day …show more content…
George was admitted to the hospital for surgery. George had a partial sigmoid colectomy due to a perforated DVT which resulted in a colostomy, an appendectomy and then a placement of an ABthera open negative wound vac.
George was admitted to the ICU unit after surgery and extubated on February 11.
The next day he was noted to be extremely anxious and diaphoretic with increased vital signs. The unit nurses used the hospital restraint protocol to help maintain their safety as well as George’s and received orders for an Ativan drip.
“Up to 1 in 4 patients admitted to general hospitals meet diagnostic criteria for alcohol dependence. Alcohol dependent patients have a high risk of withdrawal with symptoms including altered concentration, tremulousness, autonomic hyperarousal, psychosis, seizures, and delirium tremens. Alcohol withdrawal delirium commonly known as delirium tremens or DT’s is the most serious manifestations of alcohol withdrawal syndrome (AWS) and characterized by hallucinations, disorientation, tachycardia, hypertension, low-grade fever, agitation and diaphoresis.” (Evanthia Riddle,