Case Study For Cholelithiasis Assignment Paper

The primary diagnosis for the patient is Cholelithiasis. Cholelithiasis, also known as gallstone ileus, is an intestinal obstruction caused by one or more gallstones becoming impacted within the bowel’s lumen (Ball et al., 2018). This condition is more common in the elderly population. Abdominal pain, especially RUQ pain, is a prominent symptom of cholelithiasis and it is associated with illnesses such as diabetes and cardiovascular disease. The patient has a history of hypertension and Type II Diabetes Mellitus. The impacts and dis-impacts caused by the tumbling of gallstones in the gastrointestinal tract cause obstruction which consequently causes frequent diarrhea when there is intermittent abdominal distention. The patient reported feeling nausea and having vomited. Nausea, vomiting, and right upper quadrant pain are major symptoms strongly associated with Cholelithiasis (Woo et al., 2015). The patient is also obese having a BMI of 30.61 (Bass et al., 2015)Case Study For Cholelithiasis Assignment Paper.

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Treatment with surgery and medications such as ursodeoxycholic acid (UDCA) and chenodeoxycholic acid (CDCA) that dissolve gallstones. These drugs alter the composition of bile, improve bile flow, decrease secretion of cholesterol by the liver into bile, decrease intestinal absorption of cholesterol, and dissolve gallstones. Although a combination of Chenodeoxycholic Acid and Ursodeoxycholic Acid is effective in dissolving radiolucent gallstones, laparoscopic cholecystectomy remains the standard treatment for symptomatic gallstones (Hassler et al., 2022). Treatment with bile dissolving agents also takes too long to effectively clear the gallstones. Contrary, laparoscopic cholecystectomy is a safe, feasible, and successful procedure with a low readmission rate and associated minimal complications. On top of its effectiveness, the cost savings and patient satisfaction are the major unique benefits of laparoscopic cholecystectomy hence recommended for the patient (Hassler et al., 2022)Case Study For Cholelithiasis Assignment Paper

References

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2018). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). Elsevier Mosby.

Bass, G., Gilani, S. N., & Walsh, T. N. (2015). Validating the 5Fs mnemonic for cholelithiasis: Time to include family history. Postgraduate Medical Journal, 89(1057), 638-641. https://doi.org/10.1136/postgradmedj-2012-131341

Hassler, K. R., Collins, J. T., Philip, K., & Jones, M. W. (2022). Laparoscopic cholecystectomy. Treasure Island (FL): StatPearls Publishing.

Woo, M. Y., Taylor, M., Loubani, O., Bowra, J., & Atkinson, P. (2015). My patient has got abdominal pain: Identifying biliary problems. Ultrasound, 22(4), 223-228. https://doi.org/10.1177/1742271×14546181 Case Study For Cholelithiasis Assignment Paper

Once the underlying cause is identified, an appropriate drug therapy plan can be recommended based on medical history and individual patient factors. In this Assignment, you examine a case study of a patient who presents with symptoms of a possible GI/hepatobiliary disorder, and you design an appropriate drug therapy plan. To Prepare Review the case study assigned by your Instructor for this Assignment Reflect on the patient’s symptoms, medical history, and drugs currently prescribed. Think about a possible diagnosis for the patient. Consider whether the patient has a disorder related to the gastrointestinal and hepatobiliary system or whether the symptoms are the result of a disorder from another system or other factors, such as pregnancy, drugs, or a psychological disorder. Consider an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed. By Day 7 of Week 4 Write a 1-page paper that addresses the following: Explain your diagnosis for the patient, including your rationale for the diagnosis. Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed. Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples. Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center offers an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm)Case Study For Cholelithiasis Assignment Paper.

All papers submitted must use this formatting. Submission and Grading Information To submit your completed Assignment for review and grading, do the following: Please save your Assignment using the naming convention “WK4Assgn+last name+first initial.(extension)” as the name. Click the Week 4 Assignment Rubric to review the Grading Criteria for the Assignment. Click the Week 4 Assignment link. You will also be able to “View Rubric” for grading criteria from this area. Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK4Assgn+last name+first initial.(extension)” and click Open. If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database. Click on the Submit button to complete your submission. Grading Criteria To access your rubric: Week 4 Assignment Rubric Check Your Assignment Draft for Authenticity To check your Assignment draft for authenticity: Submit your Week 4 Assignment draft and review the originality report. Submit Your Assignment by Day 7 of Week 4 To participate in this Assignment: Week 4 Assignment Case Study For Cholelithiasis Assignment Paper