These include irritable bowel syndrome, stomach ulcers, appendicitis, and Crohn's disease.
Click here to read her blog or join her newsletter! Diverticulitis case study is Diverticular Diverticulitis case study Diverticular disease is the term used to encompass a spectrum of issues from diverticulosis the presence of sac-like pouches called diverticula that protrude from the colonic wall to diverticulitis the inflammation of these pouches and the accompanying symptoms.
This is a case involving a healthy 54 year-old male, Thomas Ibb, who presented to the Hospital for a CT scan on the advice of his PCP for signs and symptoms of diverticulitis. Summary points: CT scan is the gold standard means of investigation for acute diverticulitis and helps classify the stage of disease. Evidence to support outpatient treatment of uncomplicated diverticulitis is beginning to appear, however hospital admission and treatment with broad spectrum intravenous antibiotics is often required . Penetration of the colon to the posterior uterine wall secondary to diverticulitis is unusual, with diagnostic methods not yet established. Non-invasive imaging, such as computed tomography and magnetic resonance imaging may help to establish a proper diagnosis, but .
Diverticular disease is common in the Western world, with the highest rates seen in the United States and Europe. Even in those countries the disease was almost unheard of inbut by the s it was the most common affliction of the colon.
Despite the fact that diverticular disease is so common, we know relatively little about it and the common recommendations are based on limited data. However, these recommendations are based on inconclusive research and may not provide much benefit to you.
In fact, few studies show any benefit to avoiding nuts and seeds and one study even showed that intake of nuts and popcorn was associated with a decreased risk of diverticulitis and diverticular bleeding. Underlying Factors That Contribute to Diverticulosis Newer research suggests that the factors underlying diverticular disease are the following [ 78 ]: Inflammation While inflammation is well-accepted in the model of acute diverticulitis, more and more research points to the involvement of chronic low grade inflammation in the development of symptomatic diverticulosis.
This is also why chronic use of non-steroidal anti-inflammatory drugs NSAIDs such as ibuprofen have been shown to increase the risk of diverticular complications [ 1011 ], since they are known to increase intestinal inflammation.
It is clear that chronic inflammation is involved in the development of diverticular disease, and that those who wish to prevent attacks should take steps to reduce intestinal inflammation.
Thankfully, one of the best ways to decrease intestinal inflammation is to eat a paleo diet! By avoiding potentially irritating and inflammatory foods such as grains, omega-6 fatty acids and lactose, we can reduce intestinal inflammation and encourage proper gut health.
A paleo diet also positively influences gut bacteria, which in turn results in reduced inflammation as well. A paleo diet for diverticular disease should focus on gelatinous cuts of meat, bone broths, well-cooked vegetables, starchy tubers, and fermented foods. Reducing your stress level is also important for bringing down levels of intestinal inflammation, as stress has been shown to activate inflammation in the intestine.
This means incorporating mind-body activities such as yoga, meditation, tai chi, etc on a regular basis. This one is important! Another way to reduce an inflamed intestine is to supplement with soothing and healing demulcent herbs — deglycyrrhizinated licorice DGL has been shown to reduce mucosal damage and inflammation in rodents [ 1617 ] and it is likely that other demulcent herbs such as slippery elm and marshmallow root may have the same effect.
Take chewable DGL tablets or mix a spoonful of slippery elm or marshmallow root powder in a small amount of water and drink times per day to help soothe and heal an inflamed intestine. Another healing substance for the gut — bone broth — should be liberally consumed for this purpose as well.
Altered intestinal bacteria Small intestinal bacterial overgrowth SIBO is common in diverticulitic patients.
Probiotic supplementation has been shown to be safe and potentially useful in diverticular disease [ 22 ] and is likely to be even more beneficial when combined with other therapies.
As Chris has mentionedPrescript Assist tends to be the probiotic of choice for those suffering from constipation so start with that if you tend to err on the side of decreased motility. Prebiotics are also very useful for correcting dysbiosis, and should be considered by those with diverticular disease.
Supplementation with 10g of FOS per day has been shown to increase counts of bifidobacteria.
However, if you tolerate them well I think prebiotics can be a powerhouse when it comes to correcting imbalanced gut flora. This is similar to what is found in patients with constipation predominant IBS and in functional constipation.Home» Diverticulitis» Diverticulitis - 3 Nursing Diagnosis and Interventions» Nursing Diagnosis and Interventions» Diverticulitis - 3 Nursing Diagnosis and Interventions.
Nursing Care Plan for Diverticulitis. Share this article: Share on FB Tweet Share on G+ Submit to Digg. Though the visceral fat that lies behind the abdominal wall makes up only a small percentage of the body's fat.
A growing body of research indicates that. GI Case Study #1 Mr B is a year-old man who was admitted yesterday after starting to pass black stools. He has a two-day history of severe stomach pains .
Aug 26, · The study was published Tuesday in The there are no studies showing this to be the case," researcher Lisa L. Strate, MD, MPH, tells WebMD.
week had a 20% lower risk of diverticulitis . Critically Ill Obese Patient presented by Scott Shikora, MD, FACS A 55 year old female is transferred to your ICU from an outside hospital with septic shock after undergoing an exploratory laparotomy and colon resection for a perforated diverticulitis.
Diverticulitis — Treatment of diverticulitis depends upon how severe your symptoms are. Home treatment — If you have mild symptoms of diverticulitis (mild abdominal pain, usually left lower abdomen), you can be treated at home with a clear liquid diet and oral antibiotics.