By Sue E. Meiner EdD APRN BC GNP
This ebook presents nurses with sensible info at the most often encountered gastrointestinal issues and difficulties present in the aged - from constipation, hemorrhoids, and diverticulosis to cancers of the GI tract. It was once built to supply better intensity of knowledge than are available quite often nursing textbooks, and to tailor this knowledge to the targeted wishes of the aged. each one bankruptcy contains a definition of the , through its reason, basic and irregular body structure, nursing care with awareness to nursing diagnoses, interventions, medicines, and substitute treatments (where appropriate). health and wellbeing promoting, meals, and caliber of existence concerns are integrated as a necessary a part of any plan of deal with older adults.
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Extra resources for Care of Gastrointestinal Problems in the Older Adult (Springer Series on Geriatric Nursing)
Kowalski Motor dysfunctions of the stomach include conditions which present acute, recurrent, or chronic symptoms relating to stasis or rapid transit of stomach contents in the absence of any obstruction (Camilleri, 1998). Commonly recognized disorders of gastric motility include 1) delaying disorders such as gastroparesis and gastric retention, and 2) rapid disorders such as dumping syndrome and tachygastria. These motor dysfunctions can cause severe alarm and discomfort for the older adult, and may seriously interfere with normal digestion and passage of food from the stomach to the small intestine.
INTERVENTIONS, TREATMENTS, ALTERNATIVE TREATMENTS Gastroparesis. Three questions should be considered in the management of the older patient with gastroparesis: Is the condition acute or chronic? Does the patient have a systemic disorder such as neuropathy or myopathy? What is the patient’s state of hydration and nutrition? The principal methods of management include correction of dehydration and nutritional deficiencies, the use of prokinetic and antiemetic medications, and the suppression of bacterial overgrowth.
6. Teach the client the importance of fastidious oral hygiene at least three times a day. Health Promotion and Quality of Life Issues 1. Teach client about effects of alcohol, smoking, and drug use. 2. Support client in making own decisions on what their expectations are on quality of life issues. 3. Inform client of the importance of adhering to plan of care and that failure to do so could result in Barrett’s esophagus, (normal squamous cell epithelium in lower esophagus is replaced by columnar epithelium, which is more resistant to the gastric acids (pepsin & gastrin) which protect the lining of the esophagus.
Care of Gastrointestinal Problems in the Older Adult (Springer Series on Geriatric Nursing) by Sue E. Meiner EdD APRN BC GNP