Karen Cortes
NURS427
February 21, 2011
Shannon Smith, Facilitator
Patient Description
Pamela is 30 years old and a married Filipina with a two-year-old daughter. She was born
in the Philippines and came to the United States at age 13. She has a high school diploma and she
attended Cal Poly Pomona and received her degree in Electrical Engineering. She works Monday
thru Friday at least eight to nine hours a day and still takes work home. When Pamela was 16
years old, she had an appendectomy. She enjoys drinking alcohol every week with her friends
during happy hour since she was 21 years old. Otherwise she has no other significant medical
history. Her family history is very significant especially from maternal grandmother and
grandfather who passed way with diabetes and paternal grandmother who passed away with lung
cancer and paternal grandfather who passed away with brain aneurysm. Her mother currently has
high blood pressure and her father has nothing significant going right now. Just about a few days
ago Pamela showed symptoms of abdominal pain and projectile vomiting that had her husband
worried about her and took her straight to the emergency room. Her pancreatic enzymes were
elevated, her abdominal ultrasound and CT of the abdomen showed inflammation of her
pancreas. She was then admitted for further evaluation.
Introduction
Pancreatitis is an inflammation of the pancreas. With pancreatitis, the pancreas becomes
inflamed, edematous, hemorrhagic, and necrotic. The pancreas is a long, flat gland that is located
behind the stomach towards the upper abdomen. The pancreas produces enzymes, which help
regulate the way your body digest glucose. Chronic pancreatitis is the progressive destruction of
the pancreas as characterized by permanent loss of endocrine and exocrine function. The patient
usually has chronic pain. Most studies of the
References: Mayo Clinic Staff (2011). Pancreatitis-Lifestyle and home remedies. p.1. Retrieved on February 21, 2011, from Nair, R., Lawler, L., & Miller, M. (2007). Chronic pancreatitis. American Family Physician, 76(11), 1679-1688 Neighbors, M, & Tannehill-Jones, R. (2006). Human Diseases (2nd ed.) p216. Clifton Park, NY: Delmar Cengage Learning. Redman, B. (2007). The Practice of Patient Education: A Case Study Approach (10th ed.) p57. WebMD (2011). Emedicinehealth-Pancreatitis. p.7. Retrieved on February 21,2011, from http://www.emedicinehealth.com/pancreatitis/article_em.htm