Historical and Physical Assessment
Physical History
S.V. is a 63-year-old Caucasian female 162.56 centimeters tall weighing 63.5 kilograms. She was admitted to the hospital on February 9, 2015, due to uncontrolled vomiting related to intestinal blockage from paralytic ileus. On admission the client’s oxygen saturation on room air was 92%. S.V. was previously released from the hospital just three days prior to this admission for Hyponatremia. She was diagnosed with neurogastroenterology and motility dysfunctions as a juvenile and has had a long history of abdominal problems to include gastro paresis, small intestine bacterial overgrowth, colonic inertia, rapid dumping syndrome and gastroenterology vagal response. Also included in the client’s …show more content…
It is induced by physiological, neurogenic, or chemical imbalances. Paralytic ileus is most common in the immediate hours following surgery of the abdomen due to the handling of the intestines during the procedure and can last anywhere from a few hours to multiple days. (Potter, Perry, Stockert, & Hall, 2013). There are various symptoms produced by a paralytic ileus including: abdominal distention, bloating, absence of flatus, abdominal spasms, constipation, diarrhea, nausea with or without vomiting, and foul-smelling breath. Surgical placement of a gastric tube via the abdomen or the nares may be necessary in order to relieve the distention or eliminate the obstruction. (HealthGrade's Editorial Staff, 2013). An enema should never be administered if a paralytic ileus is suspected as this may cause a perforation of the intestine. (Smeltzer, Hinkle, Cheever, & Bare, …show more content…
The BCIR is a surgically-created pouch that lies within the abdomen, made from the distal end of the small intestine and used to store the fecal waste. More than 2 million Americans suffer from severe bowel disease that could eventually lead to the removal of the colon and the need for an ileostomy. Before the late 1960’s there was only the traditional ileostomy that required the use of an external pouch, however that changed when a Swedish physician Nil Kock came up with the first internal pouch. The Kock pouch was used for several years but had its down sides, the first of which was valve slippage. In 1979 Dr. William O. Barnett initiated some modifications to the original Kock pouch and ultimately designed a valve that he called the “living collar” which is constructed from small intestine. The end result of all the modifications is a Continent Intestinal Reservoir that provides both successful function and minimal complications. The BCIR provides patient with dignity and convenience. The client regularly throughout the course of the day will insert a catheter and drain the contents of the internal pouch. (unknown, HCA Healthcare Palms of Pasadena,
Physical History
S.V. is a 63-year-old Caucasian female 162.56 centimeters tall weighing 63.5 kilograms. She was admitted to the hospital on February 9, 2015, due to uncontrolled vomiting related to intestinal blockage from paralytic ileus. On admission the client’s oxygen saturation on room air was 92%. S.V. was previously released from the hospital just three days prior to this admission for Hyponatremia. She was diagnosed with neurogastroenterology and motility dysfunctions as a juvenile and has had a long history of abdominal problems to include gastro paresis, small intestine bacterial overgrowth, colonic inertia, rapid dumping syndrome and gastroenterology vagal response. Also included in the client’s …show more content…
It is induced by physiological, neurogenic, or chemical imbalances. Paralytic ileus is most common in the immediate hours following surgery of the abdomen due to the handling of the intestines during the procedure and can last anywhere from a few hours to multiple days. (Potter, Perry, Stockert, & Hall, 2013). There are various symptoms produced by a paralytic ileus including: abdominal distention, bloating, absence of flatus, abdominal spasms, constipation, diarrhea, nausea with or without vomiting, and foul-smelling breath. Surgical placement of a gastric tube via the abdomen or the nares may be necessary in order to relieve the distention or eliminate the obstruction. (HealthGrade's Editorial Staff, 2013). An enema should never be administered if a paralytic ileus is suspected as this may cause a perforation of the intestine. (Smeltzer, Hinkle, Cheever, & Bare, …show more content…
The BCIR is a surgically-created pouch that lies within the abdomen, made from the distal end of the small intestine and used to store the fecal waste. More than 2 million Americans suffer from severe bowel disease that could eventually lead to the removal of the colon and the need for an ileostomy. Before the late 1960’s there was only the traditional ileostomy that required the use of an external pouch, however that changed when a Swedish physician Nil Kock came up with the first internal pouch. The Kock pouch was used for several years but had its down sides, the first of which was valve slippage. In 1979 Dr. William O. Barnett initiated some modifications to the original Kock pouch and ultimately designed a valve that he called the “living collar” which is constructed from small intestine. The end result of all the modifications is a Continent Intestinal Reservoir that provides both successful function and minimal complications. The BCIR provides patient with dignity and convenience. The client regularly throughout the course of the day will insert a catheter and drain the contents of the internal pouch. (unknown, HCA Healthcare Palms of Pasadena,