Case Study on Appendicitis and Family Centered Care

Running head: CASE STUDY ON ANNE
CASE STUDY ON ANNE
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CASE STUDY ON ANNE
Appendicitis is inflammation of the appendix. This organ can be described as the
three and half inch long tube like tissue that is seen to be an extending part from the large
intestine. Appendicitis can be described as the medical emergency that requires almost
prompt surgery for the removal of the swollen appendix. When it is left untreated, the
inflamed appendix has the chance of bursting or getting perforated (Dangleban & Madbak,
2017). This results in the spilling of the infectious materials present inside the appendix into
the abdominal cavity. This results in the occurrence of the peritonitis situation. Researchers
describe this situation as the serious inflammation of the peritoneum which is the abdominal
cavity lining (Drake et al., 2014). This can become fatal if not treated immediately. The
assignment would show how nursing professionals would be caring for a child affected by the
disorder and will help the family to cope up with the situation.
The main cause of acute appendicitis is the obstruction of the lumen of the appendix.
Fecalith (which is actually a hard mass of faecal matter) as well as normal stool and that of
lymphoid hyperplasia are some of the main causes that result in obstruction of the lumen of
the appendix. The lumen, which is distal to the obstruction site, starts getting filled up with
mucus. Thereby it starts acting as a closed loop obstruction (Alvarado, 2018). This
obstruction starts developing distension as well as increase in the intraluminal and intramural
pressure and as the situation becomes progressive, the bacterium that resides here in the
appendix starts multiplying rapidly. The most common bacteria that start multiplication in the
appendix are the Bacteroides fragilis as well as Escherichia coli. It is then found that
distension of the lumen of the appendix results in reflex anorexia as well as vomiting and
nausea and visiting.
The pressure continues to increase and when the pressure of the lumen exceeds the
venous pressure, the small venules as well as capillaries become thrombosed. However
arterioles remain open and this this results in engorgement and congestion of the appendix.

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CASE STUDY ON ANNE
the inflammatory procedure soon starts involving the serosa of the appendix. Therefore, in
the parietal peritoneum in this region, there results in classical right lower quadrant pain.
Once the small arterioles are seen to get thrombosed, division at the antimesenteric border
also start becoming ischemic (Kothadia, Katz & Ginzburg, 2015). Farther infection and
perforation occurs in the appendix. Therefore the bacteria is seen to leak out through the
dying walls and results in formation of pus within the organ and also surrounding the
appendix. Perforation is usually seen just beyond the obstructions rather than at the tip vision
of the appendix.
In the case study as well, right iliac fossa pain was found to be present in the patient
because the appendix have already become perforated and resulted a gangrenous condition
due to the spilling of infectious fluid in the abdominal cavity. It required immediate surgery
so that appendix can be removed and the spreading of infection can be controlled (Rentea &
Peter, 2017).
Erikson’s eight-stage theory of psycho-social development mainly describes that
growth as well as the change that every individuals go throughout life. This theory mainly
focuses on the impact of different types of social interaction as well as the conflicts that
might arise at the different stages of the development. Researchers are of the opinion that
better the individuals balance this conflicts, they will be able to handle each of the stages
successfully and this will in turn help them to be live a successful life in harmony (Light,
2017). A lifelong psychological virtue can only be developed when the individuals can
successfully overcome the challenges and face the developmental crisis properly. The
theorists propose eight important ages and the important stage that can be applied to the case
study of Anne is the industry versus inferiority stage. This stage is mainly seen to take place
in children during the early years from approximately 5 to 11. In this stage, children are seen
to develop a sense of pride in their accomplishments as well as their abilities. Studies have