February 15, 2011
Pancreatitis Case Study
Pancreatitis is a painful inflammatory condition in which the pancreatic enzymes are prematurely activated resulting in auto-digestion of the pancreas (American Pancreatic Association, 2010). The most common cause of pancreatitis are biliary tract disease and alcoholism, but can result from such things as abnormal organ structure, blunt trauma, penetrating peptic ulcers, and drugs such as sulfonamides and glucocorticoids (American Gastroenterological Association, 2010). Pancreatitis may be acute or chronic, with symptoms mild or severe. In severe cases, hemorrhage, infection, pseudo cyst, and permanent tissue damage may occur. The signs and symptoms vary in people including: fever, extreme abdominal pain, nausea, vomiting, weight loss, diarrhea, and oily stools. The focus of this case study is to discuss Mrs. L who recently was diagnosed with hemorrhagic pancreatitis with pseudo cyst caused by gallstones. Mrs. L is a 58 –year–old Caucasian female who has been married for 38 years. She has two daughters and one grandson. Her mother past away from lung cancer at the age of 75 and her father is healthy and still living. She is the oldest of five healthy siblings, two sisters and two brothers. Mrs. L works as a principle for the past 29 years at Linden High school. She plays the piano at First Southern Baptist Church for 15 years. Her hobbies are reading, writing poetry and gardening. She does not have a history of drinking, smoking or recreational drug use. She has been hospitalized for the past six weeks for acute hemorrhagic pancreatitis with a pseudo cyst. The pancreatitis was caused by gallstones. Mrs. L spent three weeks in intensive care, and then underwent surgery for removal of the gallstones and to insert drains into the pseudo cyst. Prior to discharge she had progressed to a soft, high carbohydrate, low fat diet; had all drains...