Week 6 Discussion-Gastrointestinal Disorder Case Study.
Luv Taub, a 32-year-old, married Hmong woman, presents to her primary care Nurse Practitioner complaining of a persistent burning sensation in her chest and upper abdomen. The symptoms are worse at night while she is lying down and after meals. She enjoys many years of cooking and eating “hot and spicy foods” common in her culture. She has tried drinking hot cocoa to help her sleep. She is a smoker and frequently relies on benzodiazepines for insomnia. She notes a sour taste in her mouth every morning. Physical examination is normal. In this discussion: Discuss this patient’s likely diagnosis. Why do you support this “likely” diagnosis? Describe the pathophysiology of this disorder. Discuss a plan of care for this patient. What is the anticipated prognosis for this patient? What lifestyle factors might alter her short- and long-term outcomes?Week 6 Discussion-Gastrointestinal Disorder Case Study.
Gastrointestinal Disorder Case Study
The likely diagnosis following the history of the patient is gastritis. Gastritis is an inflammation, erosion, and irritation of the stomach lining which occurs either suddenly or gradually. However, gastritis can result from irritation as a result of the utilization of cigarettes, anti-inflammatory drugs such as aspirin, stress, and vomiting. Additionally, Helicobacter pylori, which is a bacteria found in the mucous lining of the stomach, leads to infections which when not treated leads to ulcers or stomach cancer that result in gastritis. Also, Pernicious anemia, which is a form of stomach anemia when the stomach fails to absorb and digest vitamin B12, encourages gastritis formation (Franklin, Koeck& Hamrick, 2015).Week 6 Discussion-Gastrointestinal Disorder Case Study.
Gastritis has a variety of causes, including some drugs; smoking, ischemia, viral, bacterial, and fungal infections, and severe injuries. The typical cause for injury is the mismatch between the defensive and the aggressive forces that protect the quality of the gastric lining. Gastritis can occur due to exposure to several agents. It is known as reactive gastritis (Suzuki and Mori, 2016). The agents include cocaine, non-steroidal anti-inflammatory drugs (NSAIDs), alcohol, tobacco, radiation, and bile migraines. The gastric mucosa causes hemorrhages, corrosion, and oxidation.Week 6 Discussion-Gastrointestinal Disorder Case Study.
The nursing care plan for this patient involves the health practitioner assessing the risks for further infections that can cause damage to the tissue. These involve assessing temperature, mental status, and consciousness. The nurse should also examine the risk of bleeding before discharging the patient.Week 6 Discussion-Gastrointestinal Disorder Case Study.
Antacids and drugs such as proton pump inhibitors and H-2 blockers are utilized to treat gastritis by reducing the acid levels in the stomach. Additionally, the patients are advised to avoid spicy and hot foods as they cause irritation in the stomach lining (Suzuki and Mori, 2016). However, in the case where gastritis is as a result of H. pylori infection, the patient is prescribed for a regime of antibiotics and acid-blocking drugs that reduce heartburn. The client should also be advised to stop smoking.Week 6 Discussion-Gastrointestinal Disorder Case Study.