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(PDF) Clinical Approach in the Diagnosis of Acute Appendicitis

   

Added on  2021-04-16

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Running head: APPENDICITISAPPENDICITISName of the StudentName of the universityAuthor’s note
(PDF) Clinical Approach in the Diagnosis of Acute Appendicitis_1
1APPENDICITISIntroductionAppendicitis is the inflammation of the vermiform appendix. Acute appendicitis may befollowed by perforations in the appendix, due to ischemic necrosis. If the appendix burst then itmay give rise to peritonitis. Appendicitis causes sharp pain in the right abdomen. Anappendectomy is the surgical removal of the infected appendix. The paper focuses on Anne, a 10year old patient being subjected to Appendectomy. The post surgical period may bring aboutcomplication in the child if not treated carefully. Hence the paper aims to describe about thegrowth and the developmental theory related to pediatrics nursing care, the family centered careand the impact of hospitalization on the family and the patient. PathophysiologyAppendicitis is the acute inflammation of the vermiform appendix (Bhangu et al., 2015).The inflammation is thought to be caused by a number of facts such as lymphoid hyperplasia,fecaliths, parasites and other foreign bodies. Fecal stasis and fecaliths are considered to be themost common cause of appendiceal obstruction (Bhangu et al., 2015). In the pediatrics or theadolescence, the appendicitis is mainly caused by the lymphoid aggregate that is actuallypresence in large number at this age group. As per the theory, the inflammation is caused due tothe obstruction, which further raises the intraluminal pressure and finally ischemia (Bhangu etal., 2015). As a result the appendix grows in size and the cause’s inflammatory changes in thesurrounding fat and the peritonium. The febrile pain occurring in the right iliac fossa is due to theappendicitis infection. The bacterial infection and the ischemia that produce inflammation canproduce to gangrene and necrosis due to which it may perforate (Drake et al., 2014). The
(PDF) Clinical Approach in the Diagnosis of Acute Appendicitis_2
2APPENDICITISprogression of the perforation from obstruction does not take more than 72 hours. Theperforation is due to the recreation of the inflammatory fluids and accumulation of the infectiousbacteria in the abdominal cavity (Bhangu et al., 2015). On further inflammation of the surface ofthe peritonium, peritonitis is developed. Nursing careAnne is just a girl of 10 years and requires utmost care. One of the most important goalsfor the appendicitis is the pain and tenderness management followed by the IV fluids. Surgeryfollowed by proper rest and medications can rule out the complications but it should be kept inmind that Anne is a 10 years old girl who is just on the verge of entering the adolescent period,hence any nursing care should done considering her age and the needs. Growth and developmentThere are four areas of the developmental theories such as the biophysical factors,psychosocial factors, cognitive factors and the moral factors. In nursing these developmentaltheories are required to provide appropriate care as per the age. Erikson's developmental theoriescan help nurses to analyze the patients’ symptomatic behavior (Chinn & Kramer, 2013). It isnatural that a burden of any disease can be traumatic for a child of 10 years and hence should bedealt in a more holistic way. Erikson’s psychosocial stages help the nurses to under thebehavioral patterns of each age group. For example, from birth to 18 months the psychosocialstage is trust vs. Mistrust, where if a care giver is able to anticipate what the baby needs then theinevitable moments of frustration in the child could be avoided (Kaakinen et al., 2013). In childof about 18 months to 3 years the psychosocial stage is dependant of autonomy vs. shame. In thisstage the child will be developing a sense of autonomy and will be doing some of the tasks on
(PDF) Clinical Approach in the Diagnosis of Acute Appendicitis_3

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