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Topics: Peptic ulcer, Wound healing, Wound Pages: 37 (5828 words) Published: April 22, 2015
CONTENTS:

INTRODUCTION………………………………………………………………..

HLTEN512B - IMPLEMENT AND MONITOR NURSING CARE FOR CLIENTS WITH ACUTE HEALTH PROBLEM……………………………..

HLTEN513B - IMPLEMENT AND MONITOR NURSING CARE FOR CLIENTS WITH CHRONIC HEALTH PROBLEMS………………………...

HLTEN506B - APPLY PRINCIPLES OF WOUND MANAGEMENT IN THE CLINICAL ENVIRONMENT……………………………………………..

CONCLUSION…………………………………………………………………....

REFERENCES…………………………………………………………………....

INTRODUCTION
Mr. XYZ, a fifty-eight year old, grocery store manager, had recently been waking up in the middle of the night with abdominal pain. This was happening several nights a week. My client was also experiencing occasional discomfort in the middle of the afternoon therefore, my client decided to schedule an appointment with his physician. The doctor listened as Mr. XYZ described his symptoms and then asked him some questions. He noted that his appetite had suffered as a result of the pain he was experiencing and as a result of the fear that what he was eating may be responsible for the pain. Otherwise, Mr.XYZ seemed fine. The doctor referred my client to a physician that specialized in internal medicine and had him to make an appointment for a procedure called an endoscopy. The endoscopy was performed at a hospital later that week. During the procedure, a long, thin tube was inserted into my client's mouth and directed into his digestive tract. The end of the tube was equipped with a light source and a small camera which allowed the doctor to observe the interior of client’s stomach. The endoscope was also equipped with a small claw-like structure that the doctor could use in order to obtain a small tissue sample from the lining of client’s stomach, if required. The endoscopy exposed that my client had a peptic ulcer. Analysis of a tissue sample taken from the site showed that client also had an infection that was caused by Helicobacter pyloribacteria. The doctor who performed the endoscopy gave Mr.XYZ prescriptions for two different antibiotics and a medication that would decrease the secretion of stomach acid. The doctor also instructed my client to schedule an appointment for another endoscopy procedure in 6 months.

HLTEN512B - IMPLEMENT AND MONITOR NURSING CARE FOR CLIENTS WITH ACUTE HEALTH PROBLEM

Introduction to Peptic Ulcer:
A peptic ulcer is a sore that occurs in the lining of a part of the gastrointestinal tract that is exposed to pepsin and acid secretions. Most peptic ulcers occur in the lining of the stomach or duodenum. 90% of all duodenal ulcers and 80% of all gastric ulcers are caused by H. pylori infection. Most of the remaining peptic ulcers are caused by long-term usage of certain anti-inflammatory medications like aspirin. There is still some question as to how H. pylori is spread. However, H. pylori has been identified in the saliva of infected individuals and may be spread via this fluid. H. pylori bacteria have the ability to survive the acid environment in the stomach because they produce enzymes that neutralize stomach acids. They also have the ability to move through the mucous membrane lining the stomach or duodenum and take up residence in the underlying connective tissue. The damage to the mucous membrane that results from a H. pylori infection allows pepsin and hydrochloric acid to further damage the wall of the stomach or duodenum. The sore that results is the peptic ulcer. Peptic ulcer disease refers to painful sores or ulcers in the lining of the stomach or first part of the small intestine, called the duodenum.

What Causes Peptic Ulcers?
No single cause has been found for ulcers. However, it is now clear that an ulcer is the end result of an imbalance between digestive fluids in the stomach and duodenum. Peptic Ulcers can be caused by: Infection with a type of bacteria called Helicobacter pylori (H. pylori) Use of painkillers called nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin, naproxen (Aleve, Anaprox, Naprosyn, and...

References: 1) Digestive Disorders Health Center, Accessed on 2014, from http://www.webmd.com/digestive-disorders/digestive-diseases-peptic-ulcer-disease.
2) Peptic ulcer, Reviewed on 30 July 2011, from http://www.bupa.com.au/health-and-wellness/health-information/az-health-information/peptic-ulcers.
3) Diabetes Health Center, Accessed on 2014, from http://www. webmd.com/diabetes/types-of-diabetes-mellitus.
4) Diabetes Mellitus Nursing Care Plans, Reviewed on 2014, from http://nurseslabs.com/6-diabetes-mellitus-nursing-care-plans/, 6 Diabetes Mellitus Nursing Care Plans - Nurseslabs.
5) What is Diabetes? What causes Diabetes?, from www.medicalnewstoday.com/info/diabetes/
6) Nursing Care Plan Diabetes Mellitus – Reviewed on Apr 12, 2012, from
nanda-nursinginterventions.blogspot.com/.../3-nursing-care-plan-diabete...
7) Clinical Guidelines (Nursing): Wound care, Accessed on April 2012, from http://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/Wound_care/
8) Advanced Wound Management, Accessed on 24 November 2014, from http://www.smith-nephew.com/australia/about-us/what-we-do/advanced-wound-management/
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