BULACANdSTATEdUNIVERSITY
CitydofdMalolos,dBulacan
COLLEGEdOFdNURSING
IndPartialdFulfillmentdofdthedRequirementsdindNCMd104dBd(RLE)
A Case Study of a 27 year old male, with Incarcerated Inguinal Hernia who underwent Herniorrhaphy
d d d d d d d d d d d d d d d
Submitteddto:
Ms.dKathleendB.dOngdR.Nd Mr.dFlorescodAdaoagdR.Nd
Mr.dMarviedCadaciodR.N Ms.dJesusadCapispisandR.N
Submitteddby:dGrou
pdLeader:
FAJARDO,dMa.dJaninedM.
Members:
DELLOSA,dRowenadA.d GUTIERREZ,dLenitadD.
ENTERESO,dJennicadD. INOCENCIO,dGracelinedL.dISA
dEUGENIO,dOliverdB.dG GUNDE,dAvondLorainedS.P.dJO
ARCIA,dPaulinedG. RE,dEdwarddJohn
JOSE,dGracedAnnedS.
, INTRODUCTION
Thisdisdadcasedstudydofdad27dyeardolddmaledwithdIncarcerateddInguinaldHerniadwhodunderwentdHerniorrhaphydwhodwasdadmitteddatdBulacandMedicaldCenter,dMalolo
candlast,dNovemberd17,d2010.
AdHerniadisdadprotrusiondofdandinternaldorgandordpartdofdandorgandthroughdadtear,dholedorddefectdindthedwalldofdadbodydcavityd(iedthedabdominaldwallmuscle).dInguinaldHer
dconditiondindwhichdintra-
abdominaldfatdordpartdofdthedsmalldintestinedbulgesdthroughdadweakdareadindthedlowerdabdominaldmuscledwhichdindthisdcasedoccursdindthedinguinaldring,dthedopeningdtodthedin
canal.dAndIncacerateddInguinaldHerniadondthedotherdhand,disdadherniadthatdbecomesdstuckdindthedgroindordscrotumdanddcannotdbedmassageddbackdintodthedabdomen.dCommon
danddriskdfactorsdofdIncarcerateddInguinaldHerniadaredasdfollows;dliftingdheavydobjects,dobesity,dpregnancy,dgeneticdpredisposition,danddpersistentdcoughingdsuchdasdsmoker
h.
InguinaldHerniadhappensdmostdoftendindmalesdthandindfemales.
ThedstudydofdadpatientdwithdIncarcerateddInguinaldHerniadhasdbeendchosendbydthisdgroupdforditsdsignificancedanddconnectiondtodusd studentsdwhodaredinddepthdsearchd
wledgedanddexperiencedasdwedstudydthisdcase,d whichdonedofdthedmaindfocusdofdadthirddyeardleveldstudentsdwhodaredstudyingdMedicaldSurgicaldNursing.dThedstudydofditsdocc
,dmedicaldanddnursingdmanagementdalongdwithdthedresponsibilities,dcausationdanddpossibledcomplications,dadvantagedandddisadvantagedwoulddprovidedbetterdunderstandin
owdourdresponsibilitiesdasdsoon-to-bednursesdshoulddbe,dbydgainingdknowledge,dskillsdanddlearningdthroughdhands-
ondexperiences,dobservationdthroughdthedusedofdcriticaldthinkingdskillsdanddpatientdcentereddinteractiondanddassessments.
• Objectives:
GENERALdOBJECTIVE:
, d Todobtaindadcomprehensivedunderstandingdanddlearningdofdthedclient’sdexperienceddhealthdproblemdanddfordusdstudentdnursesdtodperformdresponsibilitiesdanddrespon
ptlydtodthedneedsdofdthedpatientdfordhisdrecoverydanddpromotiondofdwelldbeing.
STUDENTdCENTEREDdOBJECTIVES:
d KNOWLEDGE:
-Todbedabledtodfamiliarizedselfdaboutdtheddisease;dIncarcerateddInguinaldHernia
-dTodbedabledtodidentifydtheddifferentdsignsdanddsymptomsdofdtheddisease.
-Todbedabledtodknowdthedpossibledpreventiondanddproperdmanagementdofdinguinaldhernia.
d SKILLS:
-Todbedabledtodapplydnursingdinterventionsdthatdcandhelpdmanagedpatient’sdcondition.
-Todbedabledtodpertaindproperdnursingdmanagementdtodhelpdpreventdthedoccurrencedofdpossibledcomplications.d.
-Todbedabledtodbuilddupdskillsdtodaugmentdnursingdpractice.
d ATTITUDE:
-Todbedabledtoddevelopdandoptimisticdoutlookdtowardsdprovidingdholisticdcaredofdpatient
-Todbedabledtodprovidedsupportdduringdthedtreatmentdprocess
-Todbedabledtodpromotedencouragementdtodthedpatient
CLIENTdCENTEREDdOBJECTIVES:
d Todestablishdtherapeuticdcommunicationdanddrapportdwithdthedpatientdfordeffectivedpatient-nursedinteractiondalldthroughoutdthedcaredprovidingdprocess.
d Todcarry-outdproperdNursingdInterventionsdthatdwilldpromotedpatient’sdcomfortdanddsafety.
, d Todeducatedpatientdregardingdhisdcondition,dhencedbedabledtodprovidedawarenessdregardingdthedmanagementdofdtheddisease.
NURSINGdASSESSMENT
A. BiographicdData
Name:dPatientdRM
Address:dSandJosedDeldMonte,dBulacandRel
igion:dCatholic
Age:d27dSex
:dMaledRace
:dAsian
MaritaldStatus:dSingle
EducationaldAttainment:dHighdSchooldGraduate DatedofdAdmission:dNovemberd17,d2010
Occupation:dCarpenter TimedofdAdmission:d5:05PM
B. ChiefdComplaint:
*“Nahihirapandakongdumihidatdmasakitdangdaridko,dnagsukadnaddindakodkayaddinaladnadakodsadhospital”dasdverbalizeddbydthedclient.
C. HistorydofdPastdIllness
Fordhisdchildhooddillnesses,dhedexperienceddasthma,dmumpsdanddchickendpox.dHedalsodsaiddthatdhedwasdabledtodcompletedthedimmunizationsdwhendhedisdadchild
sdandallergydindcementdpowder,dhedfeelsditchydwheneverditdtouchesdhisdskin.dItdwasdhisdfirstdtimedtodbedhospitalized.dAsdfordhisdasthma,dhedtookdherbaldmedicinesdasdg
ydhisdgrandmother.
D. Historydofdpresentdillness
PatientdRMdwasdadmitteddatdBulacandMedicaldCenterdatd5:05dPMdofdNovemberd17,d2010.dHedsaiddthatdhedhadddifficultydindurinatingdanddhedfeeldpaindindhisdgroi
erydtimedhedwalksdHedsaiddthatdthisdhappeneddafterdhedplayeddbasketballdlastdNovemberd16,d2010dfromd8dAMdtod3dPMdhavingdonlydlittledtimedofdrest.
CitydofdMalolos,dBulacan
COLLEGEdOFdNURSING
IndPartialdFulfillmentdofdthedRequirementsdindNCMd104dBd(RLE)
A Case Study of a 27 year old male, with Incarcerated Inguinal Hernia who underwent Herniorrhaphy
d d d d d d d d d d d d d d d
Submitteddto:
Ms.dKathleendB.dOngdR.Nd Mr.dFlorescodAdaoagdR.Nd
Mr.dMarviedCadaciodR.N Ms.dJesusadCapispisandR.N
Submitteddby:dGrou
pdLeader:
FAJARDO,dMa.dJaninedM.
Members:
DELLOSA,dRowenadA.d GUTIERREZ,dLenitadD.
ENTERESO,dJennicadD. INOCENCIO,dGracelinedL.dISA
dEUGENIO,dOliverdB.dG GUNDE,dAvondLorainedS.P.dJO
ARCIA,dPaulinedG. RE,dEdwarddJohn
JOSE,dGracedAnnedS.
, INTRODUCTION
Thisdisdadcasedstudydofdad27dyeardolddmaledwithdIncarcerateddInguinaldHerniadwhodunderwentdHerniorrhaphydwhodwasdadmitteddatdBulacandMedicaldCenter,dMalolo
candlast,dNovemberd17,d2010.
AdHerniadisdadprotrusiondofdandinternaldorgandordpartdofdandorgandthroughdadtear,dholedorddefectdindthedwalldofdadbodydcavityd(iedthedabdominaldwallmuscle).dInguinaldHer
dconditiondindwhichdintra-
abdominaldfatdordpartdofdthedsmalldintestinedbulgesdthroughdadweakdareadindthedlowerdabdominaldmuscledwhichdindthisdcasedoccursdindthedinguinaldring,dthedopeningdtodthedin
canal.dAndIncacerateddInguinaldHerniadondthedotherdhand,disdadherniadthatdbecomesdstuckdindthedgroindordscrotumdanddcannotdbedmassageddbackdintodthedabdomen.dCommon
danddriskdfactorsdofdIncarcerateddInguinaldHerniadaredasdfollows;dliftingdheavydobjects,dobesity,dpregnancy,dgeneticdpredisposition,danddpersistentdcoughingdsuchdasdsmoker
h.
InguinaldHerniadhappensdmostdoftendindmalesdthandindfemales.
ThedstudydofdadpatientdwithdIncarcerateddInguinaldHerniadhasdbeendchosendbydthisdgroupdforditsdsignificancedanddconnectiondtodusd studentsdwhodaredinddepthdsearchd
wledgedanddexperiencedasdwedstudydthisdcase,d whichdonedofdthedmaindfocusdofdadthirddyeardleveldstudentsdwhodaredstudyingdMedicaldSurgicaldNursing.dThedstudydofditsdocc
,dmedicaldanddnursingdmanagementdalongdwithdthedresponsibilities,dcausationdanddpossibledcomplications,dadvantagedandddisadvantagedwoulddprovidedbetterdunderstandin
owdourdresponsibilitiesdasdsoon-to-bednursesdshoulddbe,dbydgainingdknowledge,dskillsdanddlearningdthroughdhands-
ondexperiences,dobservationdthroughdthedusedofdcriticaldthinkingdskillsdanddpatientdcentereddinteractiondanddassessments.
• Objectives:
GENERALdOBJECTIVE:
, d Todobtaindadcomprehensivedunderstandingdanddlearningdofdthedclient’sdexperienceddhealthdproblemdanddfordusdstudentdnursesdtodperformdresponsibilitiesdanddrespon
ptlydtodthedneedsdofdthedpatientdfordhisdrecoverydanddpromotiondofdwelldbeing.
STUDENTdCENTEREDdOBJECTIVES:
d KNOWLEDGE:
-Todbedabledtodfamiliarizedselfdaboutdtheddisease;dIncarcerateddInguinaldHernia
-dTodbedabledtodidentifydtheddifferentdsignsdanddsymptomsdofdtheddisease.
-Todbedabledtodknowdthedpossibledpreventiondanddproperdmanagementdofdinguinaldhernia.
d SKILLS:
-Todbedabledtodapplydnursingdinterventionsdthatdcandhelpdmanagedpatient’sdcondition.
-Todbedabledtodpertaindproperdnursingdmanagementdtodhelpdpreventdthedoccurrencedofdpossibledcomplications.d.
-Todbedabledtodbuilddupdskillsdtodaugmentdnursingdpractice.
d ATTITUDE:
-Todbedabledtoddevelopdandoptimisticdoutlookdtowardsdprovidingdholisticdcaredofdpatient
-Todbedabledtodprovidedsupportdduringdthedtreatmentdprocess
-Todbedabledtodpromotedencouragementdtodthedpatient
CLIENTdCENTEREDdOBJECTIVES:
d Todestablishdtherapeuticdcommunicationdanddrapportdwithdthedpatientdfordeffectivedpatient-nursedinteractiondalldthroughoutdthedcaredprovidingdprocess.
d Todcarry-outdproperdNursingdInterventionsdthatdwilldpromotedpatient’sdcomfortdanddsafety.
, d Todeducatedpatientdregardingdhisdcondition,dhencedbedabledtodprovidedawarenessdregardingdthedmanagementdofdtheddisease.
NURSINGdASSESSMENT
A. BiographicdData
Name:dPatientdRM
Address:dSandJosedDeldMonte,dBulacandRel
igion:dCatholic
Age:d27dSex
:dMaledRace
:dAsian
MaritaldStatus:dSingle
EducationaldAttainment:dHighdSchooldGraduate DatedofdAdmission:dNovemberd17,d2010
Occupation:dCarpenter TimedofdAdmission:d5:05PM
B. ChiefdComplaint:
*“Nahihirapandakongdumihidatdmasakitdangdaridko,dnagsukadnaddindakodkayaddinaladnadakodsadhospital”dasdverbalizeddbydthedclient.
C. HistorydofdPastdIllness
Fordhisdchildhooddillnesses,dhedexperienceddasthma,dmumpsdanddchickendpox.dHedalsodsaiddthatdhedwasdabledtodcompletedthedimmunizationsdwhendhedisdadchild
sdandallergydindcementdpowder,dhedfeelsditchydwheneverditdtouchesdhisdskin.dItdwasdhisdfirstdtimedtodbedhospitalized.dAsdfordhisdasthma,dhedtookdherbaldmedicinesdasdg
ydhisdgrandmother.
D. Historydofdpresentdillness
PatientdRMdwasdadmitteddatdBulacandMedicaldCenterdatd5:05dPMdofdNovemberd17,d2010.dHedsaiddthatdhedhadddifficultydindurinatingdanddhedfeeldpaindindhisdgroi
erydtimedhedwalksdHedsaiddthatdthisdhappeneddafterdhedplayeddbasketballdlastdNovemberd16,d2010dfromd8dAMdtod3dPMdhavingdonlydlittledtimedofdrest.
