Question

Inflammatory Bowel Disease (Crohns and Ulcerative Colitis)

15. Priority nursing actions (remember physiologic needs take priority over psychologic needs)

16. Appropriate diet include which foods would be considered low fiber or low residue

17. Complications of ulcerative colitis that result from bloody stools

Answer 1

Inflammatory bowel disease is an idiopathic disease caused by dysregulated immune response to the intestine flora.

There are two major types of inflammatory disease -they are

• Crohn's disease
• Ulcerative colitis

Priority nursing actions will be :

1. Diarrhea: Passage of loose stools or unformed stools. so as a nurse assess the onset and pattern of diarrhea. Observe and record stool frequency , characterstics , amount and caustive factors.Provide bed rest to patient and comfort.
2. Risk for voulme deficit:Excessive loss of fluid will be there due to loose stools . so as a nurse needs to replenish the fluid through iv infusion.Increase the fluid intake and monitor intake and output.
3. Acute pain: Acute abdominal pain will be there due to cramps etc, So appropriate pain medicines to be given as per advise.
4. Imbalanced nutrition less than body requirements: So due to loose stools and pain abdomen patient will be not having proper food, so get a diet plan as per dietician orders then provide appropriate food which balance the nutritional factors required for the body.

Diet plan for patient with inflammatory bowel disease:

Breakfast: 1 cup of oatmeal with 1 cup of light soy milk and 1 banana with 2tbsp of peanut butter.

Mid morning snack: 1 cup of low fat plain greek yogurt with 1 cup diced cantaloupe.

Lunch: 2oz turkey burger open faced on 1/2 potato bun with 1 cup roasted carrot fries.

Mid afternoon snack:Green juice , celery, cucumber and green apples.

Dinner: lean meat loaf, mashed potatoes, 1 cup almond milk.

Complications of ulcerative colitis:

• colon cancer
• skin, joint inflammation
• blood clots
• severe bleeding
• perforated colon
• severe dehydration
• mega colon
• liver disease