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Dietary Management of Crohn's Disease

   

Added on  2020-02-18

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Running head: NEW ASSIGNMENTNew assignmentName of the student:Name of the University:Author’s note
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1NEW ASSIGNMENTIntroduction: This report focuses on the case study of Bob Jackson who has been identified to besuffering with Crohn’s disease and ulcerative colitis based on his symptoms and past medicalhistory. His presenting complaint was regarding diarrhoea and left lower quadrant (LLQ)abdominal pain and past medical history showed health issues of obesity, rhinitis, AF,hypertension, osteoarthritis right knee and AF. All the symptoms are linked to inflammation ofthe digestive tract. The purpose of this report is to analyze characteristics of pain in Bob anddecide on one pain medication that would provide relief to patient. Secondly, as care of patientsrequire multidisciplinary team approach, role of one multidisciplinary team member is discussedwho would engage in Bob’s care during the hospital stay. Choice of medication for Bob:After admission to the hospital ward following abdominal pain and diarrhoea, Bob haspressed his call bell for pain relief. The assessment of his LLQ abdominal pain using COLDSPAdenotes that he experiences a dull pain all the time in his , which increases to a strong pressureon the body. The issue is that the onset of pain has got worse since the last two days. Hisabdominal pain at rest was 6/10 and it has the potential to increase to 9/10 if appropriate painmedication is not provided to student. Among the choice of three medications, Endone 5-10mgPO PRN is considered to be the most appropriate pain killer to control pain in patient. This isbecause his pain has become worst for the past 2 days and Endone can start working within 10-15 minutes to relieve pain. The patient had taken Endone at 1130 am and since he is complainingof pain again at 1200 pm, this is an indication that Endone dose is needed again. This can give
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2NEW ASSIGNMENTrelief to patient for 3-6 hours and the nurse can adjust the dose based on the severity of pain afterconsultation with the clinician[ CITATION End17 \l 1033 ].Considering his LLQ pain and increase of pain on movement, giving Endone medicationis necessary. The rational for using Endone is that it is an opioid analgesic consisting of theactive ingredient ocxycodone hydrochloride and it influences the way body responds to pain. Theopioid activates the opioid pain receptors in the central nervous system and disrupts thetransmission of pain signals through the nervous. This consequently reduces the transmission ofsignal through the spinal cord and cause relied from pain[ CITATION Oxy171 \l 1033 ]. Bobparticularly had symptoms of diarrhea and abdominal pain and Endone works to reduce neuronalexcitability in response to pain signals. Impairment of gastrointestinal tract function was a majorissue in Bob indicated by symptoms of LLQ pain, lower abdominal distension, loose stool andwatery diarrhea. Research study has also supported the opioid analgesics as one of the treatmentoption for relieving pain in patients with Crohn’s disease or ulcerative colitis[ CITATION Reg17\l 1033 ]. One research study also proves that opioid analgesics are used for treating boweldysfunction. However, as it is associated with flare up of the condition and risk of infection, it isnecessary to combine oxycodone with peripherally acting opioid receptor antagonist to reduceadverse effect on Bob. Oral laxatives and opioid switch may also be considered in case ofadverse side effects in patient[ CITATION Lep12 \l 1033 ]. Role of one health care team member in the management of Bob: While caring for Bob, the role of dietician will be the most important for the recovery ofpatient. This is because Bob has been diagnosed with ulcerative colitis and Crohn’s disease,which is the most common type of inflammatory bowel disease, and management of diet will be
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