Your patient is a 52-year-old male with a history of smoking and alcohol abuse. He presents to the ED with complaints of “my skin looks yellow, my stomach hurts, and I feel nauseous”. He is taken to CT and a tumor near the pancreas is observed. It appears to be blocking the common bile duct. Develop a plan of care for the patient. Use the attached concept map.<\/p>\n
NUR2790_Module 10_Concept Map_v2.docx<\/p>\n
Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.<\/p>\n
Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:<\/p>\n
attachment
\nNUR2790_Module10_ConceptMap_v2.docx<\/p>\n
A picture containing text Description automatically generated<\/p>\n
Student\u2019s Name Rasmussen NPR Concept Plan Date<\/p>\n
Nursing Interventions<\/p>\n
Possible Nursing Diagnosis<\/p>\n
Clinical Manifestations<\/p>\n
Subjective:<\/p>\n
Objective:<\/p>\n
Medical Diagnosis<\/p>\n
Patient Data\/Risk Factors<\/p>\n
Possible Medications<\/p>\n
Patient Education<\/p>\n
Diagnostic Data<\/p>\n
Pathophysiology<\/p>\n
Medical Interventions<\/p>\n
____________________________<\/p>\n
Nursing Interventions:<\/p>\n
Assess vital signs and monitor for any signs of distress or complications.
\nProvide pain management using prescribed medications and non-pharmacological techniques.
\nMonitor and manage the patient’s fluid and electrolyte balance.
\nAdminister antiemetic medications as prescribed to alleviate nausea and vomiting.
\nCollaborate with the healthcare team to prepare the patient for further diagnostic tests or procedures.
\nAssist with positioning and comfort measures to promote patient’s well-being.
\nEncourage and assist the patient with activities of daily living as tolerated.
\nPossible Nursing Diagnosis:<\/p>\n
Acute Pain related to the tumor near the pancreas and blockage of the common bile duct.
\nImbalanced Nutrition: Less Than Body Requirements related to impaired digestion and absorption caused by the tumor.
\nRisk for Deficient Fluid Volume related to vomiting, nausea, and obstruction of the common bile duct.
\nAnxiety related to the diagnosis and treatment plan.
\nClinical Manifestations:
\nSubjective:<\/p>\n
Complaints of skin appearing yellow.
\nStomach pain.
\nNausea.
\nObjective:<\/p>\n
Jaundice (yellowing of the skin and eyes).
\nAbdominal tenderness or pain.
\nNausea and vomiting.
\nWeight loss.
\nMedical Diagnosis:
\nTumor near the pancreas causing blockage of the common bile duct.<\/p>\n
Patient Data\/Risk Factors:<\/p>\n
52-year-old male.
\nHistory of smoking and alcohol abuse.
\nPossible Medications:<\/p>\n
Pain medications (e.g., opioids, nonsteroidal anti-inflammatory drugs).
\nAntiemetic medications (e.g., ondansetron, metoclopramide).
\nPatient Education:<\/p>\n
Educate the patient about the diagnosis, treatment plan, and prognosis.
\nProvide information about the importance of smoking cessation and alcohol abstinence.
\nExplain the purpose, dosage, and possible side effects of prescribed medications.
\nDiscuss dietary modifications and the importance of maintaining good nutrition.
\nProvide emotional support and resources for coping with anxiety and stress.
\nDiagnostic Data:<\/p>\n
CT scan showing a tumor near the pancreas and blockage of the common bile duct.
\nPathophysiology:
\nThe patient’s history of smoking and alcohol abuse puts him at risk for developing pancreatic cancer. The tumor near the pancreas is blocking the common bile duct, leading to the backup of bile in the liver and resulting in jaundice. The obstruction can also cause abdominal pain, nausea, and vomiting. The impaired functioning of the pancreas can lead to difficulties in digestion and absorption of nutrients, resulting in weight loss and imbalanced nutrition.<\/p>\n
Medical Interventions:<\/p>\n
Consultation with a gastroenterologist for further evaluation and management of the pancreatic tumor.
\nPossible surgical intervention, such as a pancreaticoduodenectomy (Whipple procedure) or endoscopic stent placement to relieve the obstruction.
\nChemotherapy or radiation therapy may be considered as part of the treatment plan, depending on the stage and extent of the tumor.
\nOngoing monitoring of the patient’s condition and response to treatment.<\/p>\n","protected":false},"excerpt":{"rendered":"
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