Gastrointestinal Motility: Will use of fast tracking methods, such as controlling medications and gum chewing help treat and prevent post-operative ileus and increase bowel movement?
Elizabeth Foxen
MATC Student Nurse
Abstract
This paper will discuss two interventions for the nursing diagnosis of dysfunctional gastrointestinal motility concerning a 50 year old female client who has recently had abdominal surgery on her gallbladder. My interventions are: Recommend chewing gum for routine postoperative client who is experiencing an ileus and closely monitor diet and medication use and side effects as they affect the gastrointestinal system. Watch for constipation. (Ackely and Ladwig, 2014) My article, “Post-operative Ileus,” is by Elizabeth D. …show more content…
The patient population for this study totaled 17,876 patients over a span of study with 500 hospitals. Most of these individuals had colectomies and it was found that 17.4% of the total patients were classified as having a post-operative ileus (POI.) I am focusing on two interventions. My interventions emphasis the use of chewing gum and closing monitoring diet and medication administration for side effects on gastrointestinal motility. The outcome of the studies shows that the frequent complications of post-operative ileus after abdominal surgery can be prevented and shorted by several methods including gum chewing and medication …show more content…
The evidence from the study concluded that gum chewing after abdominal surgery is a helpful, cost-effective, non pharmacological way to reduce POI and improve patients comfort level. Gum chewing initiates the cephalic phase of gastric secretion and motility by producing GI hormones which in turn increase bowel movements and decrease the time for reappearance of correct functioning in the gastrointestinal system (Hiranyakas et at., 2011). A systemic review and meta-analysis concluded that gum chewing is beneficial in reducing POI. (Fitzgerald & Ahmed, 2009). Authors of the review, which included seven studies of 272 patients, concluded that gum chewing should be considered because of the low cost, patient tolerance, and positive outcomes. With the use of fast tracking methods, nurses can effectively implement some more beneficial measures following abdominal surgery including: ambulation length and time, feeding tolerance, and pain management methods embracing both pharmacologic and non-pharmacological measures. This study references how use of exogenous opioids for pain management may interfere with gastric motility and also increase the possibility of side effects, such as nausea and vomiting, which may contribute to POI (Viscusi et al., 2009). The nurse has to take into consideration multiple factors when assessing a client, including taking preoperative measures and postoperative measures to lessen the likelihood of that patient forming a POI.
Elizabeth Foxen
MATC Student Nurse
Abstract
This paper will discuss two interventions for the nursing diagnosis of dysfunctional gastrointestinal motility concerning a 50 year old female client who has recently had abdominal surgery on her gallbladder. My interventions are: Recommend chewing gum for routine postoperative client who is experiencing an ileus and closely monitor diet and medication use and side effects as they affect the gastrointestinal system. Watch for constipation. (Ackely and Ladwig, 2014) My article, “Post-operative Ileus,” is by Elizabeth D. …show more content…
The patient population for this study totaled 17,876 patients over a span of study with 500 hospitals. Most of these individuals had colectomies and it was found that 17.4% of the total patients were classified as having a post-operative ileus (POI.) I am focusing on two interventions. My interventions emphasis the use of chewing gum and closing monitoring diet and medication administration for side effects on gastrointestinal motility. The outcome of the studies shows that the frequent complications of post-operative ileus after abdominal surgery can be prevented and shorted by several methods including gum chewing and medication …show more content…
The evidence from the study concluded that gum chewing after abdominal surgery is a helpful, cost-effective, non pharmacological way to reduce POI and improve patients comfort level. Gum chewing initiates the cephalic phase of gastric secretion and motility by producing GI hormones which in turn increase bowel movements and decrease the time for reappearance of correct functioning in the gastrointestinal system (Hiranyakas et at., 2011). A systemic review and meta-analysis concluded that gum chewing is beneficial in reducing POI. (Fitzgerald & Ahmed, 2009). Authors of the review, which included seven studies of 272 patients, concluded that gum chewing should be considered because of the low cost, patient tolerance, and positive outcomes. With the use of fast tracking methods, nurses can effectively implement some more beneficial measures following abdominal surgery including: ambulation length and time, feeding tolerance, and pain management methods embracing both pharmacologic and non-pharmacological measures. This study references how use of exogenous opioids for pain management may interfere with gastric motility and also increase the possibility of side effects, such as nausea and vomiting, which may contribute to POI (Viscusi et al., 2009). The nurse has to take into consideration multiple factors when assessing a client, including taking preoperative measures and postoperative measures to lessen the likelihood of that patient forming a POI.