Name the two types of inflammatory bowel disease and discuss the differences between the two types and their characteristics including diarrhea, rectal bleeding and areas involved.
Mrs. Greenway is 25-years-old and is complaining of bloody diarrhea. She claims that she was in good health “except for the last three months when this condition started” (referring to the bloody diarrhea). In the past three months, Mrs. Greenway has had three instances of bloody diarrhea, where it would last for a few days and resolve. Her husband claims that her appetite is “just not what it used to be” while she tells you she has been “feeling more tired than usual.” She says she has a stressful job and has been getting occasional headaches for which she takes one 200 mg Advil for. Her husband adds that she “smokes one pack of cigarettes a day” to relieve her stress. Mrs. Greenway reports abdominal tenderness upon palpation. The physician suspects that Mrs. Greenway has inflammatory bowel disease. From your pharmacology class, you know that some of the treatments Mrs. Greenway may receive include anti-diarrhea, immunosuppressive agents and corticosteroids.
1.Name the two types of inflammatory bowel disease and discuss the differences between the two types and their characteristics including diarrhea, rectal bleeding and areas involved.
2. What additional information would you like to obtain regarding the bleeding episodes? Explain your answer.
3. What laboratory work or diagnostic tests would you like to investigate further in this patient? Why?
4. Describe the differences between an ileostomy and a colostomy and what is expected after surgery?
5.. What are the treatment (surgical or/and non-surgical) options for Mrs. Greenway? Explain your answer
6. Discuss at least 3 initial nursing interventions that you would start if Mrs. Greenway was to be hospitalized.
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