Study Document
Acute Abdominal Pain -- Assessment Nurses Are Essay
Pages:3 (870 words)
Sources:1
Subject:Health
Topic:Appendicitis
Document Type:Essay
Document:#83494389
Acute Abdominal Pain -- Assessment
Nurses are very often the first medical aid providers that most patients see. In today's interprofessional healthcare set up, a nurse's approach in collecting a patient's history and diagnosing if the pain is acute or non-acute would assuredly help in providing the patient with appropriate treatment. It is therefore primary that nurses be fully equipped to diagnose the various ailments and start on the care to be provided. Nurses are also the first information gatherers and it is vital that they acquire the patient's past medical history. The importance of a structured approach in gathering this information is very vital as it forms the basis of analysis and also influences the care provided. Abdominal pain is one of the most common ailments that people complain of and seek medical care for. In most cases the pain's primary cause of pain may be ascertained almost immediately but on certain occasions, it is essential to correlate the pain with the patient's history and physiological examination.
70% of the time, a patient's history can give the nurse a fair idea of what the problem could be. (Birkitt and Quick 2002, Talley and O'Connor 2006). This theory however works only if the nurse has taken meticulous care in the compilation of the history. To be able to assess if the pain is acute or non-acute, the nurse would have to be proficient in describing the anatomy and physiology of the organs associated with the pain. When the nurse is able to collate pertinent facts regarding patient history, the reason for the abdominal pain may be deciphered and it would be possible to discuss the optimal treatment with the patient. Nurses would have to know about the organs that could be responsible for the abdominal pain as well as which other organs might be affected because of the pain. For this the anatomy and physiology of the abdominal cavity is primary.
The abdominal cavity houses, the stomach, liver, spleen, pancreas, gall bladder, kidneys, small intestine and large intestine. Some of the abdominal organs are also housed in the pelvis: the bladder, caecum, sigmoid colon, appendix, rectum and female reproductive organs. To assist in clinical analysis, the abdominal cavity is sectioned into four quadrants: the right upper quadrant, the left upper quadrant, the right lower quadrant and the left lower quadrant. When a patient is able to identify the pain as being localized in any of the quadrants, knowledge of the same will help in providing care instantly. Within the right upper quadrant are the gall bladder, duodenum, the right lobe of the liver, head of…
Sample Source(s) Used
Biliary Colic: Biliary colic is a result of intermittent cystic duct or bile duct obstruction caused by gall stones. Typically affecting overweight women, pain in this case is usually colicky and localized in the right upper quadrant and in the epigastrium radiating towards the back. Vomiting is an associated symptom and the onset of pain is sudden and severe and it resolves as fast and spontaneously or after administering opiate analgesic.
Bowel Obstruction: Both the large and small intestines can get obstructed. Large intestine obstruction is caused by impacted faeces, tumors or volvulus (a case of the intestine twisting around itself). Obstructions in the small intestines are largely due to Crohn's disease, tumors, swallowed foreign objects or adhesions (Longmore et al. 2004.)The patient may experience colicky pain, vomiting, and will display a distended abdomen. It is also possible that some patients may become constipated as they might not be able to pass stools or gas due to the obstruction (Longmore et al. 2004). An X-ray can display the accurate position of the obstruction and help in finding speedy care.
Cholecystitis: An acute or chronic inflammation of the gall bladder, this is predominantly caused by