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 29^th 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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4. Direct citing ( if referenced properly)

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