Wk 5 Assignment: Concept Map – Inflammatory Bowel Disease with Small Bowel Obstruction [due TUE]
Assignment Content
Read the following scenario:
C.W., a 36-year-old woman, was admitted several days ago with a diagnosis of recurrent inflammatory bowel disease (IBD) and possible small bowel obstruction (SBO). C.W. is married, and her husband and 11-year-old son are supportive, but she has no extended family in the state. She has had IBD for 15 years and has been taking mesalamine (Asacol) for 15 years and prednisone 40 mg/day for the past 5 years. She is very thin; at 5 feet 2 inches, she weighs 86 pounds and has lost 40 pounds over the past 10 years. She averages 5 to 10 loose stools per day. C.W.’s life has gradually become dominated by her disease, with anorexia, lactase deficiency, profound fatigue, frequent nausea and diarrhea, frequent hospitalizations for dehydration, and recurring, crippling abdominal pain that often strikes unexpectedly. The pain is incapacitating and relieved only by a small dose of diazepam (Valium), oral electrolyte solution (Pedialyte), and total bed rest. She confides in you that sexual activity is difficult: “It always causes diarrhea, nausea, and lots of pain. It’s difficult for both of us.” She is so weak she cannot stand without help. You indicate complete bed rest on the nursing care plan.
Think through the following related to C.W.’s condition:
Etiology and pathophysiology
Risk factors
Signs and symptoms
Diagnostic procedures
Medication and treatment
Nursing interventions, including patient education
Potential complications
Complete a concept map using the template.
Show interrelationships of all components.
Prioritize the nursing interventions related to complications.
Include at least three peer-reviewed sources to support your concept map and an APA-formatted reference page.
Submit your assignment.
Resources
Center for Writing Excellence
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