Gastrointestinal Tract: Disorders of Motility
Assignment 1:
Gastrointestinal Tract: Disorders of Motility
Jamie
is a 3-month-old female who presents with her mother for evaluation of
“throwing up.” Mom reports that Jamie has been throwing up pretty much all the
time since she was born. Jamie does not seem to be sick. In fact, she drinks
her formula vigorously and often acts hungry. Jamie has normal soft brown bowel
movements every day and, overall, seems like a happy and contented baby. She
smiles readily and does not cry often. Other than the fact that she often
throws up after drinking a bottle, she seems to be a very healthy, happy
infant. A more precise history suggests that Jamie does not exactly throw
up—she does not heave or act unwell—but rather it just seems that almost every
time she drinks a bottle she regurgitates a milky substance. Mom thought that
she might be allergic to her formula and switched her to a hypoallergenic
formula. It didn’t appear to help at all, and now Mom is very concerned.
Cases
like these are not uncommon. The mother was concerned and thinking her daughter
may have an allergy; she changed to a different formula. However, sometimes
babies have immature GI tracts that can lead to physiology reflux as they adapt
to normal life outside the uterus. Parents often do not consider this
possibility, prompting them to change formulas rather than seeking medical
care. As in the case study above, GI alterations can often be difficult to
identify because many cause similar symptoms. This same issue also arises with
adults—adults may present with symptoms that have various potential causes.
When evaluating patients, it is important for the advanced practice nurse to
know the types of questions he or she needs to ask to obtain the appropriate
information for diagnosis. For this reason, you must have an understanding of
common GI disorders such as gastroesophageal reflux disease (GERD), peptic
ulcer disease (PUD), and gastritis.
To
Prepare
·
Review this week’s media presentation
on the gastrointestinal system.
·
Review Chapter 35 in the Huether and
McCance text. Identify the normal pathophysiology of gastric acid stimulation
and production.
·
Review Chapter 37 in the Huether and
McCance text. Consider the pathophysiology of gastroesophageal reflux disease
(GERD), peptic ulcer disease (PUD), and gastritis. Think about how these
disorders are similar and different.
·
Select a patient factor different from
the one you selected in this week’s Discussion: genetics, gender, ethnicity,
age, or behavior. Consider how the factor you selected might impact the
pathophysiology of GERD, PUD, and gastritis. Reflect on how you would diagnose
and prescribe treatment of these disorders for a patient based on this factor.
·
Review the “Mind Maps—Dementia,
Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2
Learning Resources. Use the examples in the media as a guide to construct a
mind map for gastritis. Consider the epidemiology and clinical presentation of
gastritis.
Write
a 2- to 3-page paper that addresses the following:
·
Describe the normal pathophysiology of
gastric acid stimulation and production. Explain the changes that occur to
gastric acid stimulation and production with GERD, PUD, and gastritis
disorders.
·
Explain how the factor you selected might
impact the pathophysiology of GERD, PUD, and gastritis. Describe how you would
diagnose and prescribe treatment of these disorders for a patient based on the
factor you selected.
·
Construct a mind map for gastritis.
Include the epidemiology, pathophysiology, and clinical presentation, as well
as the diagnosis and treatment you explained in your paper.
posted by simon jones @ 06:56
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