In each situation there is an obstruction to the appendiceal lumen of some sort. Symptoms of appendicitis include
abdominal pain, lack of appetite, inability to pass gas, vomiting, constipation or diarrhea (NDDIC). There is no known way of helping appendicitis at home, so Paulina could not have avoided this complication because it is something that happens without someone knowing it.
Paulina is in good health. She does not smoke or drink and she eats a well balanced diet and exercises regularly. This is important to maintain good health and she is very conscious of making sure that she has regular checkups that are recommended for her age. Paulina is doing everything right and this bout with appendicitis is just something that happened. Paulina has asked the nurse for assistance in her healing and in her aftercare. Della Rocca, CRNP, CCRN, MSN states that it is important for the patient to understand that there may be some discharge after they have had surgery which is very normal. However, if the discharge has redness, swelling or the site is warm, this may be signs of infection that should be reported to the doctor immediately. They should report any nausea or vomiting that may occur. Also, walking is very important after abdominal surgery to get the bowels moving and make sure that gas is passed. Usually, the patient is able to eat food as they can tolerate it, and once they are home, they should eat protein rich foods because these will promote their healing (Rocca 64hn3). Also, the patient should be cautioned not to lift anything that is over five pounds while they are recovering. Paulina should also be given the surgeons phone number, information about what medications she should take and that she should make a follow-up appointment two weeks after the surgery. The discharge nurse should also give Paulina any instructions that are needed for her post operative care.
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