Cholecystitis

Cholecystitis is the chronic or acute inflammation of the gallbladder. Cholecystitis occurs mostly from the blockage of the tube leading out of the gallbladder by gallstones. The inflammation of the gallbladder is either acute or chronic. Cholecystitis is grouped into two, the calculous and acalculous cholecystitis. In the calculous cholecystitis, there is obstruction of the bile outflow by a gallbladder stone while for the acalculous is the acute inflammation due to the absence of gallstones that cause obstructions ( Doenges et al, 2014). Cholecystitis is caused by various causes which include, bacteria, infections, bile stasis, tumor, gallbladder stone and alterations in electrolytes and fluids.

However, there are risk factors for developing cholecystitis and examples are hypertension, damage of tissue, prolonged fasting, many blood transfusion and obstruction of the cystic duct by a gallstone. Nurses may diagnose a patient based on the assessment data. Primary diagnosis for such a patient includes acute pain about the process of inflammation and imbalanced nutrition linked to self-dietary plans and pain (Doenges et al, 2014). During the discharge, the nurse should provide detailed information about the disease healing process and treatment need. Also, the nurse should relieve pain to avoid the patient being discharged in intense pain, prevent complications and maintain balance in the electrolyte and the fluid.

The teaching plan for cholecystitis entails, education to patients concerning causes of the disease, complications if any and surgical and medical options — discharge and guidelines on how to take care of while at home (Doenges et al, 2014). On their diet, patients need to visit and consult a dietitian to be able to cater to all the nutritional needs. Also, for the activity, they should increase as tolerated.

 
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