Evaluate the Effectiveness of Appropriate Interventions for Cholelithiasis

Added on - 04 Oct 2020

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Evaluate the effectiveness ofappropriate interventions forCHOLELITHIASIS
CholelithiasisCholelithiasisrefers to formation of gallstones or presence of solid concretions in the gallbladder which is small organ under liver. The stones present in gallbladder can be as small as agrain of sand or may be large as golf ball (Khan and et. al., 2017). However, it is necessary todiagnose particular problem and them implement appropriate treatment procedure in order tomake an individual healthy. The present report is will focus on evaluation of effectiveness ofinterventions and management of Cholelithiasis(Mukai and et. al., 2015).Cholelithiasiscan be described as a medical situation in which hard pebble like structuresdeposition takes place in gallbladder of a person(Maplanka, 2014). These stones are known asgallstones and gallbladder refer to a small organ which is located in abdominal cavity in humanbeings and conduct a function to store bile(Gil and et. al., 2014). However, when gallstonesgenerated then they give rise to excruciating pain along with jaundice so that immediatetreatment is must to prevent further complications(Bagla, Sarria and Riall, 2016). In addition tothis, nursing interventions are required to be followed which facilitate to gain better outcomes ofmanaging Cholelithiasis (Martin and et. al., 2016). Moreover, it is observed that most of peoplehave gallstones which are asymptomatic so that treatment interventions depends upon symptomsof an individual with help of imaging test findings. An individual with asymptomaticcholelithiasis requires treatment due to risk of developing gallbladder carcinoma or gallstonesand higher complications in which case of prophylactic cholecystectomy is performed(Saber andet. al., 2017).At the other hand, interventions are necessary to be followed as they are helpful to conductdiagnosis of specific health problem appropriately so that accurate medication can be providedfor better patient outcomes respectively(Farooq, Reso and Harvey, 2018). As per
recommendations of NICE, several guidelines are provided for diagnosing gallstones whichrender help to conduct correct treating process in more effective as well as efficient manner.Initially,liver function test and ultrasoundshould be carried out with suspected gallstonedisease and abdominal or gastrointestinal symptoms (Chavin and et. al., 2017). Secondly,magnetic resonance cholangiopancreatographyis required to be considered if gallstones incommon bile duct are not detected by ultrasound but the bile duct is dilated and liver functiontest results are abnormal(Easler and Sherman, 2015). Thirdly,endoscopic ultrasoundshouldbe conducted if magnetic resonancecholangiopancreatography does not allow requireddiagnosis. However,pathophysiologyis needed to be done in terms of analysing obstruction,chemical reaction and compression which facilitate to evaluate actual problem(Jovani and et. al.,2015). Moreover, after diagnosing appropriate problems and presence of gallstones, it isnecessary to provide accurate medication to solve it.Apart from diagnosing procedures, it has been analysed that more than 90% of patients aresuffering from acute cholecystitis during middle age whereas chronic form is usually found inold age people(Santarpia and et. al., 2014). There are severalcomplicationswhich can takesplace due to presence of cholelithiasis that consistsempyema, gangrene and cholangitis. Anempyema of bladder develops when the gall bladder becomes filed with purulent fluid (Cha andet. al., 2018). Additionally, gangrene may takes place due to not receiving sufficient amount ofoxygen and nourishment by tissues. Cholangitis can be defined as an infection progresses as itreaches the bile duct(Bingener, 2016). Meanwhile, it is observed that cholecystitis causes aseries of symptoms such aspain, leukocytosis, fever, palpable gallbladder and sepsis. However,Endoscopic retrograde cholangiopancreatography (ERCP)is required to be carried out as itis appropriate method to visualise biliary tree with the help of cannulation of common bile duct
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