Caring Science Integration Paper
Caring Science Integration Paper:
Promoting and Accepting the Expression of Positive and Negative Feelings Hirschsprung disease, or Congenital Aganglionic Megacolon, is a congenital anomaly that comes from a physical obstruction due to the intestines not performing peristalsis. It accounts for ¼ of all cases of neonatal intestinal obstruction. The pathology of HD is because of the absence of ganglion cells in the affected areas of the intestine which results in a loss of rectosphincteric reflex and an abnormal environment of the cells of the infected intestine. The absence of ganglion cells, which are nerves outside of the central nervous system, results in a lack of nervous system stimulation. This decreases the internal sphincter’s ability …show more content…
Nurses should promote normalization, teach self-care of the ostomy as soon as possible after surgery, and refer children and parents to mutual support groups as appropriate.” (Erwin-Toth, 2008). It is essential to encourage the parents to give the toddler a diet high in fiber so they can combat the constipation. Offer whole grains, such as whole-wheat bread and reduce refined grains. Encourage fruits, vegetables, and fluid intake. Sugary foods like candy, soda, and fruity drinks are discouraged. It is important to allow the mother to have her feelings acknowledged and allow her to express both positive and negative feelings and give her time to adjust to the stoma and colostomy bag. It is vital to make sure that the child does not have a negative body image correlating with the mother’s reaction to the colostomy. Talking together with the parents and child can help everyone express their feelings openly and the nurse’s role is to encourage participation in care so that the parents and child adapt and become more comfortable with the colostomy. The nurse should continue to reassure the child and promote positive self-talk and self-esteem. The nurse should also educate the mother on what to look for and when to report to the doctor. The nurse can also include resources for the patient and
Promoting and Accepting the Expression of Positive and Negative Feelings Hirschsprung disease, or Congenital Aganglionic Megacolon, is a congenital anomaly that comes from a physical obstruction due to the intestines not performing peristalsis. It accounts for ¼ of all cases of neonatal intestinal obstruction. The pathology of HD is because of the absence of ganglion cells in the affected areas of the intestine which results in a loss of rectosphincteric reflex and an abnormal environment of the cells of the infected intestine. The absence of ganglion cells, which are nerves outside of the central nervous system, results in a lack of nervous system stimulation. This decreases the internal sphincter’s ability …show more content…
Nurses should promote normalization, teach self-care of the ostomy as soon as possible after surgery, and refer children and parents to mutual support groups as appropriate.” (Erwin-Toth, 2008). It is essential to encourage the parents to give the toddler a diet high in fiber so they can combat the constipation. Offer whole grains, such as whole-wheat bread and reduce refined grains. Encourage fruits, vegetables, and fluid intake. Sugary foods like candy, soda, and fruity drinks are discouraged. It is important to allow the mother to have her feelings acknowledged and allow her to express both positive and negative feelings and give her time to adjust to the stoma and colostomy bag. It is vital to make sure that the child does not have a negative body image correlating with the mother’s reaction to the colostomy. Talking together with the parents and child can help everyone express their feelings openly and the nurse’s role is to encourage participation in care so that the parents and child adapt and become more comfortable with the colostomy. The nurse should continue to reassure the child and promote positive self-talk and self-esteem. The nurse should also educate the mother on what to look for and when to report to the doctor. The nurse can also include resources for the patient and