Crohn’s Disease

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Crohn’s Disease: Made Easy: 

Crohn’s Disease: Made Easy Jurmaida H. Pagayao , BSN, RN

Overview of crohn’s disease: 

Overview of crohn’s disease Jurmaida H. Pagayao , BSN, RN

Definition : 

Definition Type of inflammatory bowel disease ( IBD ) Usually occurs in the ileum, but it can affect any part of the digestive tract, from the mouth to the anus

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Diagnosis is sometimes difficult since Crohn’s often is very similar to other disorders including irritable bowel syndrome and ulcerative colitis.

Incidence : 

Incidence Both men and women are equally affected.

Onset : 

Onset Most likely to occur between the ages of 15 and 30 years and after the age of 60.

Etiology : 

Etiology Unknown.

Clinical Findings: 

Clinical Findings Most common symptoms: Abdominal pain, often on lower right quadrant Diarrhea

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Rectal bleeding Weight loss Fever Anemia may occur if bleeding is persistent

Nursing focus: 

Nursing focus

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Monitor intake and output Maintain fluid and electrolyte balance Assess for skin breakdown Provide routine skin care

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Unless contraindicated, fluid intake should be 3000 mL/day Use calorie counts to ensure adequate nutrition Monitor lab results

Patient teaching: 

Patient teaching

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Provide patient and family with literature on Crohn’s Disease Instruct patient that fluid intake should be at least 3 liters per day Meals should be small and frequent to maintain adequate nutrition

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Teach patient to minimize the frequency and severity of future exacerbations by: Getting adequate rest and relaxation Reducing or avoiding stress Maintaining adequate nutrition Explain the dosages, route, actions and adverse reactions of meds.

Thank You!: 

Thank You!