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Cholelithiasis

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Cholelithiasis
Objectives:

General Objectives:

* This study aims to develop the knowledge, skills and attitudes of studentnurses through effective utilization of nursing process in dealing with the course treatment of patient with Cholelithiasis.

Specific Objectives:

* To interpret the pertinent data gathered from the patient and significant others.

* To learn the detailed process of the disease associated with its prevention and treatment and somehow help the patient and her family promote, prevent and restore health by providing adequate nursing interventions

INTRODUCTION

Cholelithiasis is the formation of stones (calculi or gallstones) within the bladder or biliary duct system. Altered bile flow through the hepatic, cystic or common bile duct is a common problem. It often leads to inflammation and other complications. Gallstones are the most common cause of obstructed blood flow. Clients with gallbladder disorder may experience pain, multiple metabolic and nutritional disturbances and altered body image. Nursing care addresses physiologic and psychosocial needs of the client and family.
A common digestive disorder worldwide, where 75to80% of gallstones are of the cholesterol type, and approximately 10 to 25% of gallstones are bilirubinate of either black or brown pigment. In Asia, pigmented stones predominate, although recent studies have shown an increase in cholesterol stones in the Far East. According to Tierney et.,al 2005 It affects more than 10% of men and 20% of women by age of 65 and affects 30% to 40% of people by the age of 80 years. They are uncommon in children and young adults but become more prevalent in increasing age. The incidence of gallstones varies among people of different ethnic backgrounds.
In Asia, pigmented stones predominate, although recent studies have shown an increase in cholesterol stones in the Far East. Gallstones are crystalline structures formed by concretion (hardening) or accretion(adherence of particles,



References: Brunner and Suddhart’s Medical Surgical Nursing. (2010). Smeltzer et al., 12th Ed. Volume 2. Assessment and Management of patient with Biliary Disorders pp 1172-1179 Principles of Medical Surgical Nursing

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