Diverticulitis In The Patient

Introduction

Many western societies have diverticulitis as a disease with the highest incidence, associated with gastrointestinal tract (Vermeulen et al., 2010, p. 651). A research explains that a complicated diverticulitis, which Mr Walker had, is “a diverticular inflammation associated with an abscess, phlegmon, fistula, obstruction, bleeding, or perforation” (Wilkins, Embry & George, 2013, p. 612). The causes of diverticulitis are poorly understood. Obesity, aging and low dietary fiber consumptions are considered as risk factors for diverticulitis (Templeton & Strate, 2013). Hospital admission is considered if patients have complicated diverticulitis. Nursing management for the patients includes intravenous fluid resuscitation and intravenous

Wound infections can occur in either open or laparoscopic intestinal surgery. In Hartmann’s procedure, although wound infection has only a small chance of causing major problems, antibiotics may need to be prescribed (Birmingham Bowel Clinic, 2011, “What are the risks?”, para 2). Medical conditions and health issues of the patient contribute greatly to the chance of getting wound infection as a postoperative complication (Rudra et al., 2006, p. 267). A nurse needs to look for any signs of wound infection, such as fluid discharge, redness, odour, and swelling. If there are signs of wound infection, the wound must be covered in sterile moist packs and need to be reviewed by medical team (Tjandra, Clunie, Kaye, & Smith, 2008, p. 21). Well maintained dressing provides moist so that the skin can be intact fast. It is also a protection against bacterial or fluid contamination which reduces wound infection rate (Yumun et al., 2014, p. 216). Giving a mild aseptic wound irrigation with normal saline or water, but not swabbing is recommended in order to minimize trauma to the wound site, as well as to sustain the best possible condition for healing (Singh, Anderson & Harper,

It may be caused by antibiotics, or in some cases, a history of severe or prolonged hypotension (Kheterpal et al., 2007, p. 892). Also, it is one of surgery-related complication of Hartmann’s procedure, as the operation is mostly performed near the urinary system, it can interfere with the normal function of bladder and ureter. Patients who had the operation may experience difficulty passing urine, which often just for a period of time and will be recovered (SNHS, 2015, p. 4). A symptom of AKI is low urine output with adequate hydration, which is just the symptom that Mr Walter has. Until kidney function of the patient improves, fluid restriction can be helpful in some cases (Kheterpal et al., 2007, p. 893). However, in some serious cases, while the function improves slowly for over a few months, dialysis may be required (Kheterpal et al., 2007, p. 893). One study found that diseases related to liver function, and peripheral vascular disease are risk factors for AKI. Also, in Mr Walter’s case, older age and surgeries with higher risks increase chance of acquiring AKI (Kheterpal et al., 2007, p.