ACTIVE LEARNING TEMPLATE: System Disorder
STUDENT NAME _____________________________________
Diverticulosis
DISORDER/DISEASE PROCESS __________________________________________________________ 39
REVIEW MODULE CHAPTER ___________
Alterations in Pathophysiology Related He omotion and
Health (Diagnosis) to Client Problem Disea n
Characterized by small, sac-like Occurs when weak areas of the
pouches in the intestinal wall intestinal wall allow segments of the
called diverticula. mucous membrane to herniate
outward. Found in the sigmoid colon
ASSESSMENT SA
CONSI RATIONS
Risk Factors Expected Findings
Common in western and industrialized Asymptomatic. but ppl report bowel
countries, so lack of fiber. other related changes. this can be constipation,
factors high intake of red meat, lack of diarrhea, or periodic bouts of each. other
physical activity, obesity, and smoking. sx rectal bleeding, pain in LLQ, nausea,
vomiting, and urinary problems.
Laboratory Tests Diagnostic Procedures
Dx with no sx during colonoscopy
Abd CT with contract w/ pts who have sx.
Stool test for occult blood.
PATIENT-CENTERED CARE Complications
Interventions Diverticulitis: when intestinal
Nursing Care Medications contents can lodge in
Give antiemetics for nausea diverticula causing
monitor comfort and stool Tx: high fiber diet with limited
red meat. Stool Softners or bulk infammation or infection.
characteristics. Note nausea forming laxatives are used to
treat constipation.
-analgesics and anticholinergics may be given for
pain
and vomiting, monitor the pts Diverticulitis r/t irritating
-be alert for sx of perforation (fever abd distention, foods, alcohol, chronic
temp and examine the abd for -Severe pain: analgesics.
rigidty) constipation, and persistent
distention and tenderness -Broad spectrum abx.
-Antichlinergics given to -Teach pt about diverticulosis coughing.
decrease spasms in the colon
S/S fever, pain, bleeding.
-During acute inflammation, the
pt is placed on bed rest and
clear liquids or nPO status. GI Further complication of
Therapeutic Procedures decrompression may also be In erprofessional Care diverticulitis: severe
ordered.
bleeding, obstruction,
-If diverticulum ruptures, the perforation, peritonitis,
abcess is drained through an abscess formation, and
abd puncture site. If sx continue
surgical intervention is
fistula formation (between
necessary to remove the colon and bladder)
affected portion of the colon. A
temp colostomy is created to
allow the bowel to rest.
ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A11
STUDENT NAME _____________________________________
Diverticulosis
DISORDER/DISEASE PROCESS __________________________________________________________ 39
REVIEW MODULE CHAPTER ___________
Alterations in Pathophysiology Related He omotion and
Health (Diagnosis) to Client Problem Disea n
Characterized by small, sac-like Occurs when weak areas of the
pouches in the intestinal wall intestinal wall allow segments of the
called diverticula. mucous membrane to herniate
outward. Found in the sigmoid colon
ASSESSMENT SA
CONSI RATIONS
Risk Factors Expected Findings
Common in western and industrialized Asymptomatic. but ppl report bowel
countries, so lack of fiber. other related changes. this can be constipation,
factors high intake of red meat, lack of diarrhea, or periodic bouts of each. other
physical activity, obesity, and smoking. sx rectal bleeding, pain in LLQ, nausea,
vomiting, and urinary problems.
Laboratory Tests Diagnostic Procedures
Dx with no sx during colonoscopy
Abd CT with contract w/ pts who have sx.
Stool test for occult blood.
PATIENT-CENTERED CARE Complications
Interventions Diverticulitis: when intestinal
Nursing Care Medications contents can lodge in
Give antiemetics for nausea diverticula causing
monitor comfort and stool Tx: high fiber diet with limited
red meat. Stool Softners or bulk infammation or infection.
characteristics. Note nausea forming laxatives are used to
treat constipation.
-analgesics and anticholinergics may be given for
pain
and vomiting, monitor the pts Diverticulitis r/t irritating
-be alert for sx of perforation (fever abd distention, foods, alcohol, chronic
temp and examine the abd for -Severe pain: analgesics.
rigidty) constipation, and persistent
distention and tenderness -Broad spectrum abx.
-Antichlinergics given to -Teach pt about diverticulosis coughing.
decrease spasms in the colon
S/S fever, pain, bleeding.
-During acute inflammation, the
pt is placed on bed rest and
clear liquids or nPO status. GI Further complication of
Therapeutic Procedures decrompression may also be In erprofessional Care diverticulitis: severe
ordered.
bleeding, obstruction,
-If diverticulum ruptures, the perforation, peritonitis,
abcess is drained through an abscess formation, and
abd puncture site. If sx continue
surgical intervention is
fistula formation (between
necessary to remove the colon and bladder)
affected portion of the colon. A
temp colostomy is created to
allow the bowel to rest.
ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A11
