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Describe pathophysiology, clinical manifestations, nursing care, and collaborative management of patients with lower gas...

Describe pathophysiology, clinical manifestations, nursing care, and collaborative management of patients with lower gastrointestinal disorders. For the disorder: Ventral Hernia with obstruction

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Answer #1

Ventral Hernia:

A ventral hernia is the bulge of tissues of the abdominal wall occur anywhere within the midline of the abdomen. The intestine may protrude into the gap of the abdominal wall and cause serious complications.

Pathophysiology:

The abdominal wall becomes weakened by birth, by previous surgery, or through straining. The weakened abdominal wall develops a tear or hole. The abdominal tissue or intestines may protrude through this gap and develops pain and discomfort.

Clinical Manifestations:

  • Mild bulge and discomfort in the abdomen.
  • pain in the abdomen
  • Protrusion
  • nausea
  • vomiting

Nursing care:

  • watch for the signs of strangulation.
  • Administer analgesics to reduce pain.
  • Place in a comfortable position to reduce pressure on the abdominal site.
  • Give small frequent meals
  • Monitor bowel sounds and bowel function.
  • Provide adequate support to the patient.

Collaborative Management:

Surgical repair is an effective treatment for ventral hernia. Physicians, surgeons, Laparoscopic technicians all together decide the best possible treatment for the patient. The physiotherapist can work with the patient postoperatively to improve the patient's condition. The nurse educates the client pre and postoperatively. Dietician plans specific meal patterns with high calorie and protein needs for the patient to minimize the complications and restore the bowel function. The counselor provides psychological support to the patient and the family.

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