Nursing Case Study Cholelithiasis

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Cholelithiasis
Miss Jennifer Heart, after many episodes of pain in the upper right quadrant of her abdomen, decreased appetite, nausea, pain in the right shoulder that radiate down her back decided to go to a local GP. Miss Jennifer has been diagnosed with gallstone with some episode of cholecystitis. Miss Heart informed the nurse that her diet has changed since she started working as a nanny and she does not know how to balance her diet.
Pathophysiology
For the human body to function, proper nutrition is necessary. The gastrointestinal system has the significant role to help in eating, absorption of essential nutrients and removal of waste products. It is divided into two major parts; the alimentary canal that includes the oral cavity, pharynx, esophagus, stomach, small intestine, large intestine and the anus. The accessory organs, facilitate digestion of the nutrients include; the salivary glands, bile ducts, liver, pancreas, gallbladder (Story, 2015). The gallbladder that is part of the hepatobiliary system is responsible for storing bile coming from the liver (Strory, 2015).
Cholelithiasis also called gallstones is the development of stones in the gallbladder. If the situation is not taking care of, the …show more content…

The nurse should assess the patient for the presence of any infection and medicate with antibiotic (Story, 2015). Additionally, the patient needs to be evaluated for possible abdominal obstruction that can be present. “Abdominal X-ray, gallbladder ultrasound, computed tomography, endoscopic retrograde cholangiopancreatography, bilirubin levels, liver function tests, pancreatic enzymes, and laparoscopy” are some of the tests that would be performed during the visit (Story, 2015). Gallstone is usually treated by performing a surgical procedure to take out the stone. Some medications can also be given to help the stone to dissolve (Jaraari, et Al., p. 3,

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