NURS 3444 Lecture Notes - Lecture 19: Abdominal Pain, Legal Guardian, Appendicitis
Document Summary
Acute appendicitis: etiology and pathophysiology, peri-umbilical area, abdominal pain, mcburney"s point, movement pain, rigid abdomen, rlq focused, symptoms, fever, tachycardia, vomiting, constipation, diarrhea, anorexia, pallor, lethargy, irritability. Informed consent: legal guardian (cid:498)assent(cid:499) for older children and adolescents. Treatment without parental consent: emergency, consent by designated proxy, conflicts with religious beliefs, child abuse. Prepare the child and family: family centered care, prepare parents and child for (cid:498)what to expect(cid:499, encourage hospital tour. Appendicitis: diagnostic evaluation, ct scan, therapeutic management, prognosis, surgery, ng tube, iv, antibiotics, nursing considerations, ruptured appendix, peritonitis, rigid, board-like abdomen, absent bowel sounds, severe pain, fever, possible shock and death. Stressors of (ospitalization and children"s reactions: separation from parents and loved ones, fear of the unknown, loss of control and autonomy, bodily injury resulting in discomfort, pain, and mutilation, fear of death and mutilation. Nursing care of family: family assessment, encourage parent participation in planning and care.
