Sunday, February 24, 2019
Abdominal Pain Critique
Assessment of the longanimous with acute group AB anguishfulness is an hold published in Standard Nursing in 2006, written by Elaine Cole, Antonia Lynch, and Helen Cugnoni. In this expression, Elaine Cole, Antonia Lynch, and Helen Cugnoni provide an overview of how nurses flowerpot thoroughly perform an mind of ab pain in adults. For this reason, it is important that nurses obtain an accurate comprehensive uncomplaining history and assessment. This phrase also provides an overview of the anatomy and physiology of the breadbasket, the various causes associated, and live questions to justly perform an assessment of the type AB pain.Summary of Article Abdominal pain is the one of the most(prenominal) common reasons that people seek assistance for medical exam care (Cole, Lynch, & Cugnoni, 2006). The abdomen is the largest cavity in the body and contains m whatever variety meat and structures. The abdomen consists of the stomach, liver, spleen, gallbladder, pancreas, ki dneys, small intestine, and large intestine. For assessment theatrical roles the abdomen is divided into four-spot quadrants left upper quadrant, left lower quadrant, indemnify upper quadrant, and effective lower quadrant.Abdominal pain has many causes, from simple to complex presentations (Cole et al. , 2006). Therefore, it is all important(p) for nurses to understand the anatomy of the abdomen and be able to distinguish betwixt acute and non-acute conditions to provide an effective treatment plan. According to Cole, Lynch, and Cugnoni (2006), It may be difficult to establish the cause of the abdominal pain because of the diversity of clinical signs and symptoms. A drawing description of the common causes of abdominal pain and relate symptoms are further discussed.Just to name a few causes, for example, appendicitis is an turmoil of the appendix that often has a colicky pain around the belly notwithstandington or epigastrium symptoms include vomiting, constipation, loss of appetite, or occasional diarrhea (Cole et al. , 2006). Another, cholesystitis is an fervency of the gallbladder with a constant colicky pain in the beneficial upper quadrant symptoms include anorexia, nausea, vomiting and fever (Cole et al. , 2006). In addition, hepatitis is an infected disease affecting the liver.There are several different types of hepatitis but the most common is hepatitis A the pain is usually in the right upper quadrant with anorexia, jaundice, dark urine and pale s incisions, hepatomegaly and splenomegaly, pyrexia, and urtication (Cole et al. , 2006). Furthermore, a urinary tract infection (UTI) is also a really common cause associated with abdominal pain. Women are most prone in developing this infection. UTIs are often characterized by suprapubic discomfort, dysuria (pain or importunate during micturition), frequency, hematuria, urgency and cloudy urine (Cole et al. , 2006).In order for a patient role to receive the appropriate care needed for the abd ominal pain, nurses must end up an accurate and pointed history and assessment. According to Cole et al. (2006) a systemic approach to perform an assessment should be used so that vital information is not overlooked. Questions should be take oned concerning pain, associated symptoms, past medical history, medicine history, family history, and a social history. Questions regarding pain should include the position, radiation, quality, character, relieving and exacerbating factors, severity, timing and duration.Additionally, other questions to ask would be pertaining to appetite or weight change, bowel habits, and nausea and vomiting, and urinary symptoms. As well as, a complete past medical history, veritable medications, social and family history should be included. Regardless of the symptoms or diagnosis, all patients should strike nothing to eat or drink in case any operative interventions are needed. The physical assessment should present the patients vital signs temperature , heart rate, blood pressure, and respiratory rate. Further, diagnostics should consist of an electrocardiogram, urinalysis, laboratory test, and fluids.Patients may benefit from non-pharmacological methods of pain control such as positioning, cordially compresses, and anxiety reduction through reassurance nevertheless, analgesia exit be prescribed to ease pain and distress (Cole et al. , 2006). Also, anti-emetics are usually accompanying the pain medication to relieve any nausea and vomiting. Evaluation of the Article This is an interesting member, presenting an insinuate of an assessment of a patient with abdominal pain. The title clearly defines what the article is all about.The centre population, the major outcome being heedful, and a brief description of the possible causes are all included in the title. The focused population here is adults experiencing abdominal pain. The major outcome being measured is the nurses overall understanding of anatomy and physiology and a thorough history taking and a brief description pointing out the most common causes of abdominal pain in a clinical setting. The author emphasizes on the most common causes of abdominal pain, as well as to assist nurses in the history taking and physical assessment.The article provides valuable knowledge of the assessment strategy in an organized fashion and a clear manner. However, the authors did not present any evidence, such as real cases or statistics. The purpose of this article is practical, interesting, and relevant. Practical since the assessment tools can most definitely be useful in the everyday use of health providers, so it can be easily adopted into nursing practice. Interesting as it goes into detail about the numerous possible causes and symptoms of abdominal pain. Relevant since it applies to nurses and other health providers in an acute clinical setting.The content discussed in the article will benefit nurses and practitioners. The summary in this article was ab le to provide me with an brilliant overview of the topic encouraging me to want to read on and on. Also, the summary was gip and concise. After nurture this article, a deeper insight into understanding the anatomy and physiology of the abdomen is developed. The authors did a great job providing a table dis sporting the organs in the abdominal cavity, which was refreshing to ones memory while reading about each possible cause of abdominal pain, thus allowing the article to be easily read.Additionally, the pneumonic used for the causes of pancreatitis is a great tool to have for future reference. The research in this article is sufficient in providing information on the health assessment and does not need additive research. Lastly, many terms mentioned in the article were well defined, but thither were spelling errors in the article, pointing out a few words such as localized, generalized, feces, characterized, and summarized. Overall the article was good, yet, it could benefit fr om some improvement.ConclusionThis article provides a practical overview of the many abdominal pain causes, from acute to non-acute conditions. Nurses play a key role in collecting an accurate patient history and assessment of a patient presenting with abdominal pain. Abdominal pain is the most common reason people seek medical help and can reflect physical discomfort. Therefore knowledge of the many causes of abdominal pain and management is vital. Furthermore, it is essential that nurses understand the anatomy and physiology plus the symptoms related to abdominal pain.
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