A CLIENT CARE STUDY OF PATIENT WITH PERFORATED DUODENAL ULCER (PEPTIC ULCER)

(Medical and Health Science)
A CLIENT CARE STUDY OF PATIENT WITH PERFORATED DUODENAL ULCER (PEPTIC ULCER)
PREFACE

The client’s care study is written in four chapters
Chapter one is the introduction. It looks at the condition of patient.
Chapter two looks at the literature review : anatomy and physiology of the stomach.
Definition, causes, pathophysiology, signs and symptom, assessment and diagnostic findings, medical management, nursing management, complications and prognosis.
Chapter looks at the nursing assessment, pre-post operative nursing diagnosis, pre and post operative nursing care plan, progress report, discharge summary and advice on discharge
Chapter four looks at the pharmacological review of some of the drugs used on Mr.J.
TABLE OF CONTENTS
CHAPTER ONE
Introduction                                               
CHAPTER TWO: LITERATURE REVIEW
Anatomy and physiology of stomach     
Definition                                  
Causes                                              
Pathophysiology                                 
Signs and symptoms                                   
Assessment and diagnostic findings       
Nursing management                                  
Complication                                              
Prognosis                                          
CHAPTER THREE
Profile                                                                       
Nursing assessment                                                    
Nursing diagnosis                                
Progress report                                                  
Discharge summary                                    
Advise on discharge                                    
CHAPTER FOUR
Pharmacological review of some drugs used on Mr. .J.     
Reference                                                                 
CHAPTER ONE
INTRODUCTION
Mr “J” male 39yrs old, hails from Agbudu Awgu of Imo State, last in the family of 4 (four) children two girls and 2 boys father is a civil servant while the mother is a trader.
        This patient was transferred from accident and emergency to ward 4 (CUT) on 29th August, 2009 and was booked for emergency exploratory laparatomy due to perforated duodenal ulcer under Dr Nwajiobi and his team. There  was no history of  epilepsy but takes up to 5-7 bottles of Alcohol drink (preferably beer) and 5-6 sticks of cigarette daily. Nil history of allergy.
        Vital signs on admission read;
P 102 b/m
T 360C
R 32 c/m
Bp 90/50mmttg
        The patient drinking habit has lasted for 10 (ten) good years now
        I developed interest in the patient because of his condition.
This will help me to study in details the causes, palhophysiology as well as the management of peptic ulcer and apply in nursing practice. I used the letter “J” to represent my patient’s name so as to maintain the confidentially of the information given by the patient.

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