Patient Education Plan

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Patient Educational Plan

Karen Cortes

NURS427

February 21, 2011

Shannon Smith, Facilitator

Patient Description

Pamela is 30 years old and a married Filipina with a two-year-old daughter. She was born

in the Philippines and came to the United States at age 13. She has a high school diploma and she

attended Cal Poly Pomona and received her degree in Electrical Engineering. She works Monday

thru Friday at least eight to nine hours a day and still takes work home. When Pamela was 16

years old, she had an appendectomy. She enjoys drinking alcohol every week with her friends

during happy hour since she was 21 years old. Otherwise she has no other significant medical

history. Her family history is very significant especially from maternal grandmother and

grandfather who passed way with diabetes and paternal grandmother who passed away with lung

cancer and paternal grandfather who passed away with brain aneurysm. Her mother currently has

high blood pressure and her father has nothing significant going right now. Just about a few days

ago Pamela showed symptoms of abdominal pain and projectile vomiting that had her husband

worried about her and took her straight to the emergency room. Her pancreatic enzymes were

elevated, her abdominal ultrasound and CT of the abdomen showed inflammation of her

pancreas. She was then admitted for further evaluation.

Introduction

Pancreatitis is an inflammation of the pancreas. With pancreatitis, the pancreas becomes

inflamed, edematous, hemorrhagic, and necrotic. The pancreas is a long, flat gland that is located

behind the stomach towards the upper abdomen. The pancreas produces enzymes, which help

regulate the way your body digest glucose. Chronic pancreatitis is the progressive destruction of

the pancreas as characterized by permanent loss of endocrine and exocrine function. The patient

usually has chronic pain. Most studies of the pathophysiology of chronic pancreatitis are

performed with patients who drink alcohol as stated by Nair, Lawler & Miller (2007).

The signs and symptoms for acute pancreatitis are upper abdominal pain, which could

radiate to the back, you would feel worse after eating a meal and there will be nausea and

vomiting. There will be tenderness when the abdomen is being touched. The signs and symptoms

of chronic pancreatitis is also upper abdominal pain, weight loss, indigestion and oily and foul

smelling stool.

Complications of pancreatitis include breathing problems that could be due to the oxygen

level is low in the blood, diabetes may occur since the pancreas is the organ that produces

insulin, infection may occur and have the pancreas be vulnerable of bacteria, acute pancreatitis

may lead to kidney failure which could lead to hemodialysis if it is not treated. Malnutrition

could be another complication since the pancreas cannot break down the food because a few

enzymes are being produced. If the chronic pancreatitis does not get treated and it’s still

reoccurring it could lead to pancreatic cancer.

Treatment for this disease is hospitalization to stabilize the patient. Having her not

consume any food during her stay will help the pancreas recover fully. Once its in control then

liquid diet and advancing the diet may be course of treatment. A nutritionist will be involved in

her care. IV fluids will help her stay hydrated. Pain is another factor to this disease and pain

medications will be prescribed. At discharge some alternative therapy might help alleviate the

pain. As mentioned on WebMD Tylenol should be avoided (2011). Exercises, yoga and

meditation might be of good help to distract her. It can’t treat what she has but it could keep her

comfortable.

Age and Development/Educational Need

In Erickson’s developmental theory Pamela is a young adult in Erickson’s that is...
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