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NMIH207 Developing Nursing Practice 2

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Question:

Martina is a 25-year-old female who was diagnosed with Crohn’s disease at the age of 14. Since then her disease has been managed with medication and diet.

Over the past 6 months her symptoms have worsened. She is experiencing offensive diahorrea with bloody stools. She has also experienced increased nausea and vomiting, crampy abdominal pain and has lost 8kgs.

She has had a lot of time off work due to her symptoms, which cause her embarrassment. She has been admitted to the surgical ward for the formation of an ileostomy. Martina has expressed mixed feelings about the surgery.

She wants the diahorrea and abdominal pain to go away, but is worried how her she will cope with the ileostomy and how this will affect her family and social life and relationships.

This assessment task requires the student to explore the following as they relate to a person with Crohn’s disease.

  • Discuss the clinical presentation of Crohn’s disease.

  • Explain the pathophysiology of Crohn’s disease.

  • Discuss the role diet and medication play in the management of Crohn’s disease .

  • Discuss the pre and post-operative management and care needed for a person who has surgery to create an ileostomy. Include a discussion of health education and social implications for Martina and her family
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