Health Variations 1 - Perioperative

Running Head: HEALTH VARIATIONS 1 - PERIOPERATIVE
HEALTH VARIATIONS 1 – PERIOPERATIVE
Name of the student:
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1HEALTH VARIATIONS 1 - PERIOPERATIVE
Table of Contents
Question 1-.................................................................................................................................2
Question 2-.................................................................................................................................3
Question 3-.................................................................................................................................3
Question 4 –...............................................................................................................................4

2HEALTH VARIATIONS 1 - PERIOPERATIVE
Question 1-
Eleanor Brown who is 48 years old now had ulcerative colitis at the age of 31.
Ulcerative colitis is referred to as a disease that damages the large intestine and colon
associated with swelling and irritation. Patient suffering from ulcerative colitis have frequent
episodes of diarrhoea often with pus or blood (Conrad, Roggenbuck & Laass, 2014). For
colitis she has been taking infliximab, along with a combination of specific diet and medical
monitoring. Infliximab is a tumour necrosis factor (TNF) blocker, which is used to treat
moderate to serious colitis or Crohn’s disease (Casteele et al., 2015). Due to frequent
episodes of diarrhoea with blood, a colonoscopy is performed which stated that she has
developed pseudo polyps. Pseudo polyps are bulging commonalities of scar tissue developed
from tissue granulation occurred during the treatment of ulcerative colitis (Plenderleith,
2015). In Ms Brown, the pseudo polyps is observed in her sigmoid and descending colon. She
has been also suffering from feeling of abdominal blotting and cramps. Due to this her doctor
suggested a MRI scan. Result of the test showed that she has Pancolitis. Pancolitis is an
ulcerative colitis that involved the entire large intestine. Symptoms observed in patient
suffering from pan colitis are abdominal pain, cramps, urgency to empty bowel, fatigue and
fever and weight loss (Bullocks & Manias, 2017 pp.437 – 476). It is more serious form of
ulcerative colitis and is common in patient suffering from ulcerative colitis for a longer
period of time. In patient suffering from pancolitis weight loss is common. Along with that
fatigue is also observed with severe abdominal pain (Plenderleith, 2015). In case of Eleanor
Brown, she has lost 9 kilograms of her weight in two weeks and also have a feeling of
fatigues, due to which she is unable to perform her daily activities properly. In ulcerative
colitis or pancolitis, function of the large intestine is hindered, due to which foods are not
absorbed by the intestine. Loss of appetite is also observed in patient suffering from
pancolitis (Hillman, 2017). Due to intestine malfunction and loss of appetite, body does not