Case Study Questions

What other assessments should be included for this patient?
i. Blood and stool tests would be conducted to correctly diagnose the correct conditionand exclude conditions such as Celiac disease, inflammatory bowel disease (IBD) or Parasitic infection from Irritable Bowel Syndrome.
ii. Sigmoidoscopy or Colonoscopy – these tests are usually recommended for patient above 50 years of age with the symptoms presented. The visual examination of the rectum is usually conducted in cases where patients above 50 years of age present symptoms of loss of weight or as a diagnostic screening for colon cancer.
iii. Fecal calprotectin test: This test was approved by The National Institute for Health and Care Excellence as a differential diagnosis of various gastrointestinal disorders, especially IBS from IBD. The test will alsohelp in correctly diagnosing bowel disorders, especially ulcerative colitis, and Crohn’s disease.
iv. The nurse should also check for any signs of rectal bleeding, fever, nausea or recurrent vomiting and anemia.

What questions should the nurse ask with regard to the abdominal pain?
i. A nurse should inquire whether the patient’s abdominal pain or bloating is usually relieved after passing stools from the bowels.
ii. The nurse should also inquire whether the abdominal pain occurs mainly at night or it happens at random times.
iii. The nurse should also inquire about the times when the abdominal pain occurs, For example,Always? More often in the morning or at night?
iv. The nurse should also inquire whether the abdominal pain comes and goes, how long individual pain episodes last each time, and how long he has been experiencing the abdominal pain.
v. The nurse should also inquire whether the abdominal pain occurs after consumingparticular foods or after taking alcohol.
vi. The nurse should also inquire whether activities such as lying on one side or eating reduce the pain.
vii. Lastly, the nurse should inquire whether the patient has been injured recently.

2. Fromthe readings, subjective data, and objective data, what is the most probable cause of the abdominal pain?
From the symptoms presented by the patient, the most plausible reason and cause of the abdominalpain could be painful spasms and cramping in the large intestine. Whoever, it could also be as a result of sphincters muscles, or muscles of the pelvis and colon not contracting as they should be causing the patient to experience diarrhea and constipation causingthe pain in the abdominal, cramping and have a feeling of incomplete stool movement.

3. Develop a problems list from the subjective and objective findings.
Problem List
Abdomen Pain
Loss of Appetite
Weight loss
Cramping and diarrhea
Hyperactive Bowel sounds

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