Ulcerative Colitis Care Plan - Lecture Notes

ULCERATIVE COLITIS WHAT IS


Long term
IT

IBU condition
causing inflammation
AIMS/MANAGEMENT in the large intestine & rectum.

Main-Get into remission with reliefofsymptoms!" SYMPTOMS

·
Prevent
relapse
·
Anaemia:due to blood loss through stools and
·
to improve GoL:↓
treatment inflammation malabsorption bowels
Drug from

Dietand exercise and inflammation
Toxic
megacolon (swelling
·
·




cower stress levels spread into deeper layers ofthe colon)
·




·
surgery:Removal ofcolon/rectum, requiring ileo/colostomy. ·
Rectal
bleeding:injury in rectur

NIETARY TREATMENT ·

Inflammation of mucosa:
Pseudopolyps form to
-
-
correct
dehydration
-

fluid o electrolytes try repair damaged areas hanging mucosa:can

Consider low fibre dietfor symptom management become
malignantcancer.
-




Then up fibre to tolerance in constipation
remission to prevent oedema, a muscle mass, I
immunity due to
-
·




-some
may tolerate skin
not pips or husks (dry outer
covering protein mal absorption.

such as coconuto r seed shells)
Introduce fibre slowly, adequate intake can help manage. NUTRITIONAL
-


UESICIENCIES

a reduce relapse. startwith, then solids Calcium:a vit =↓ vit 2. Inflammation of
a
food fortification +/- ONS:Enteral feeding:liquid to colon can affectabsorption. May promote osteop.
-




speed up recovery or inflammation, gut recover.
let iron:due to blood loss from inflammed, damaged
iron isdeficient. Malabsorption also due to inflammation.
Vit& Min losses,
especially colon.
-




a
Ispoor appetite small butfrequent meals. Vitamin 0:Inadequate dietary intake, sunlight,
·
-




Macros:4 Protein (helps repair), complex carbohydrates, due to
lost increased excretion.




I
or
-




&
Omega-3s for inflammation. Krohns & colitis, 2023) food, Nutritional deficiencies
Micros:malabsorption so may need supplements.
-




pre/probiotics:Positive effect, prolongs remission. PROBIOTIC USE
-




May help people with mildly active VC,
·
some


EATING IN FLARE
A UP
alongside prescribed medications

-Drink
plenty fluid loss from diarrhoea/bleeding. May want USL3 has been studied the mostin colitis:it
·




to use oral rehydration solution contains 8 differentstrains good
of bacteria.

>Include healthy fats (P/MUSAS) high in
energy, good way to
-
scrowns a colitis, 2023) food, special diets for CURUC.

keep calories up while appetite is low

FIBRE COLITIS:
High protein:Body uses more than usual for repairs. Encourage IN ULCERATIVE


eggs, dairy, meat, fish, pulses, beans or nut butters. individual response possible
- to meetfibre
req
-easy to
digestfibre- well cooked, peel reg, bananas, melons introduced
If
slowly!
or fruit juice. ↳
Important to prevent relapse.
-low appetite;could
suggestsoups or smoothies -Reintroduce AFTER all symptoms are CONE.

>
Ifdairy worsens symptoms:try alternatives fortified with Cat Low Residue Diet

like out, nut, rice Limits high fibre foods hard to
digest:fo v
·
or
soy.
When
feeling better
healthy, balanced diet. Ifcertain foods skin, nuts, seeds, wholegrains.
worsened flare ups, try gradually adding them back when well.
·
Also limits food that stays in the gut for a


while, such milk.




I
500DS TO AVO110 as


"High fibre foods (wholegrains, dried fruit, raw with LRD can d symptoms during flare up. No
·


veg
tough skin:Must
thoroughly cook
veg so better digested. good evidence thatit works.

"avoid vegetable in the diet:If
with seeds. fibre is
really important doing
·




-Avoid gas-producing veg(broccoli, cauliflower a sprouts) fibre
/ increase when better.


spicy foods >Caffeine diarrhoea contribution
- --




-
whole nuts a seeds:
choose smooth nutbutters PATIENT RESOURCES

-cried foods,
fatty foods & processedfoods ·
Crohns & Colitis UK


High sugar foods /fruitjuices baked goods):diarrhoea support
IBD foundation
·

a