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NURS 401 NURSING CARE PLAN Part 1 Student Name:____________________________________ Date submitted:______________ Patient Initials:_H.S.____Age/Sex_48 yo/ Male Medical Diagnosis:_Diverticulitis________ I. Etiology and Pathophysiology: Diverticulitis is an acute inflammation of a diverticulum resulting from an obstruction by fecal matter.
Smoking has also been linked to diverticulitis as it suppresses the immune system that would allow the proliferation of bacteria in the diverticula. Areas in the colon where nerves, arteries, and other connective tissue sheaths penetrate the inner circular muscle coat, focal weaknesses of the entire length of the colon are formed. These areas are prone to herniate and produce diverticula. In most cases, the inflamed diverticulum ultimately results into abscess formation (Smeltzer & Bare, 2006, p. 1037). Consequently, fecal matter and bacteria invading these outpouchings can cause local infection that can proceed into systemic infection as the condition progresses. Tissue edema and local irritation cause spasticity of the entire colon and disrupt its normal function. If left uncontrolled, the inflamed diverticulum can perforate and extrude fecal matter and bacteria to the surrounding organs in the abdominal cavity. Massive bleeding can also result when large blood vessels are disrupted. II. Clinical Manifestations (Signs & Symptoms): Diverticular diseases frequently do not cause distinct clinical features, and patients often only have a history of chronic constipation. In fact, lesions are most often discovered incidentally. ...
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