BULACAN STATE UNIVERSITY
City of Malolos, Bulacan
COLLEGE OF NURSING
In Partial Fulfillment of the Requirements in NCM 104 B (RLE)
A Case Study of a 27 year old male, with Incarcerated Inguinal Hernia who underwent Herniorrhaphy
Submitted to:
Ms. Kathleen B. Ong Mr. Floresco Adaoag
R.N Mr. Marvie R.N Ms. Jesusa
Cadacio R.N Capispisan R.N
Submitted by:
Group Leader:
FAJARDO, Ma. Janine
M.
Members:
DELLOSA, Rowena GUTIERREZ, Lenita D.
A. ENTERESO, INOCENCIO, Graceline L.
Jennica D. EUGENIO, ISAGUNDE, Avon Loraine
Oliver B. GARCIA, S.P. JORE, Edward John
Pauline G.
JOSE, Grace Anne
S.
, INTRODUCTION
This is a case study of a 27 year old male with Incarcerated Inguinal Hernia who underwent Herniorrhaphy who was admitted at Bulacan Medical
Center, Malolos, Bulacan last, November 17, 2010.
A Hernia is a protrusion of an internal organ or part of an organ through a tear, hole or defect in the wall of a body cavity (ie the abdominal wallmuscle).
Inguinal Hernia is a condition in which intra-abdominal fat or part of the small intestine bulges through a weak area in the lower abdominal muscle which in
this case occurs in the inguinal ring, the opening to the inguinal canal. An Incacerated Inguinal Hernia on the other hand, is a hernia that becomes stuck in
the groin or scrotum and cannot be massaged back into the abdomen. Common causes and risk factors of Incarcerated Inguinal Hernia are as follows; lifting
heavy objects, obesity, pregnancy, genetic predisposition, and persistent coughing such as smokers cough.
Inguinal Hernia happens most often in males than in females.
The study of a patient with Incarcerated Inguinal Hernia has been chosen by this group for its significance and connection to us students who are in
depth search for knowledge and experience as we study this case, which one of the main focus of a third year level students who are studying Medical
Surgical Nursing. The study of its occurrence, medical and nursing management along with the responsibilities, causation and possible complications, advantage
and disadvantage would provide better understanding on how our responsibilities as soon-to-be nurses should be, by gaining knowledge, skills and learning
through hands-on experiences, observation through the use of critical thinking skills and patient centered interaction and assessments.
Objectives:
GENERAL OBJECTIVE:
2
, To obtain a comprehensive understanding and learning of the client’s experienced health problem and for us student nurses to perform responsibilities and
respond promptly to the needs of the patient for his recovery and promotion of well being.
STUDENT CENTERED OBJECTIVES:
KNOWLEDGE:
-To be able to familiarize self about the disease; Incarcerated Inguinal Hernia
- To be able to identify the different signs and symptoms of the disease.
-To be able to know the possible prevention and proper management of inguinal hernia.
SKILLS:
-To be able to apply nursing interventions that can help manage patient’s condition.
-To be able to pertain proper nursing management to help prevent the occurrence of possible complications. .
-To be able to build up skills to augment nursing practice.
ATTITUDE:
-To be able to develop an optimistic outlook towards providing holistic care of patient
-To be able to provide support during the treatment process
-To be able to promote encouragement to the patient
CLIENT CENTERED OBJECTIVES:
To establish therapeutic communication and rapport with the patient for effective patient-nurse interaction all throughout the care providing process.
To carry-out proper Nursing Interventions that will promote patient’s comfort and safety.
3
, To educate patient regarding his condition, hence be able to provide awareness regarding the management of the disease.
NURSING ASSESSMENT
A. Biographic Data
Name: Patient RM
Address: San Jose Del Monte, Bulacan
Religion: Catholic
Age: 27
Sex: Male
Race:
Asian
Marital Status: Single
Educational Attainment: High School Graduate Date of Admission: November 17, 2010;
Occupation: Carpenter Time of Admission: 5:05PM
B. Chief Complaint:
*“Nahihirapan akong umihi at masakit ang ari ko, nagsuka na din ako kaya dinala na ako sa hospital” as verbalized by the client.
C. History of Past Illness
For his childhood illnesses, he experienced asthma, mumps and chicken pox. He also said that he was able to complete the immunizations when he
is a child. He has an allergy in cement powder, he feels itchy whenever it touches his skin. It was his first time to be hospitalized. As for his asthma,
he took herbal medicines as given by his grandmother.
D. History of present illness
Patient RM was admitted at Bulacan Medical Center at 5:05 PM of November 17, 2010. He said that he had difficulty in urinating and he feel
pain in his groin every time he walks He said that this happened after he played basketball last November 16, 2010 from 8 AM to 3 PM having only
4
City of Malolos, Bulacan
COLLEGE OF NURSING
In Partial Fulfillment of the Requirements in NCM 104 B (RLE)
A Case Study of a 27 year old male, with Incarcerated Inguinal Hernia who underwent Herniorrhaphy
Submitted to:
Ms. Kathleen B. Ong Mr. Floresco Adaoag
R.N Mr. Marvie R.N Ms. Jesusa
Cadacio R.N Capispisan R.N
Submitted by:
Group Leader:
FAJARDO, Ma. Janine
M.
Members:
DELLOSA, Rowena GUTIERREZ, Lenita D.
A. ENTERESO, INOCENCIO, Graceline L.
Jennica D. EUGENIO, ISAGUNDE, Avon Loraine
Oliver B. GARCIA, S.P. JORE, Edward John
Pauline G.
JOSE, Grace Anne
S.
, INTRODUCTION
This is a case study of a 27 year old male with Incarcerated Inguinal Hernia who underwent Herniorrhaphy who was admitted at Bulacan Medical
Center, Malolos, Bulacan last, November 17, 2010.
A Hernia is a protrusion of an internal organ or part of an organ through a tear, hole or defect in the wall of a body cavity (ie the abdominal wallmuscle).
Inguinal Hernia is a condition in which intra-abdominal fat or part of the small intestine bulges through a weak area in the lower abdominal muscle which in
this case occurs in the inguinal ring, the opening to the inguinal canal. An Incacerated Inguinal Hernia on the other hand, is a hernia that becomes stuck in
the groin or scrotum and cannot be massaged back into the abdomen. Common causes and risk factors of Incarcerated Inguinal Hernia are as follows; lifting
heavy objects, obesity, pregnancy, genetic predisposition, and persistent coughing such as smokers cough.
Inguinal Hernia happens most often in males than in females.
The study of a patient with Incarcerated Inguinal Hernia has been chosen by this group for its significance and connection to us students who are in
depth search for knowledge and experience as we study this case, which one of the main focus of a third year level students who are studying Medical
Surgical Nursing. The study of its occurrence, medical and nursing management along with the responsibilities, causation and possible complications, advantage
and disadvantage would provide better understanding on how our responsibilities as soon-to-be nurses should be, by gaining knowledge, skills and learning
through hands-on experiences, observation through the use of critical thinking skills and patient centered interaction and assessments.
Objectives:
GENERAL OBJECTIVE:
2
, To obtain a comprehensive understanding and learning of the client’s experienced health problem and for us student nurses to perform responsibilities and
respond promptly to the needs of the patient for his recovery and promotion of well being.
STUDENT CENTERED OBJECTIVES:
KNOWLEDGE:
-To be able to familiarize self about the disease; Incarcerated Inguinal Hernia
- To be able to identify the different signs and symptoms of the disease.
-To be able to know the possible prevention and proper management of inguinal hernia.
SKILLS:
-To be able to apply nursing interventions that can help manage patient’s condition.
-To be able to pertain proper nursing management to help prevent the occurrence of possible complications. .
-To be able to build up skills to augment nursing practice.
ATTITUDE:
-To be able to develop an optimistic outlook towards providing holistic care of patient
-To be able to provide support during the treatment process
-To be able to promote encouragement to the patient
CLIENT CENTERED OBJECTIVES:
To establish therapeutic communication and rapport with the patient for effective patient-nurse interaction all throughout the care providing process.
To carry-out proper Nursing Interventions that will promote patient’s comfort and safety.
3
, To educate patient regarding his condition, hence be able to provide awareness regarding the management of the disease.
NURSING ASSESSMENT
A. Biographic Data
Name: Patient RM
Address: San Jose Del Monte, Bulacan
Religion: Catholic
Age: 27
Sex: Male
Race:
Asian
Marital Status: Single
Educational Attainment: High School Graduate Date of Admission: November 17, 2010;
Occupation: Carpenter Time of Admission: 5:05PM
B. Chief Complaint:
*“Nahihirapan akong umihi at masakit ang ari ko, nagsuka na din ako kaya dinala na ako sa hospital” as verbalized by the client.
C. History of Past Illness
For his childhood illnesses, he experienced asthma, mumps and chicken pox. He also said that he was able to complete the immunizations when he
is a child. He has an allergy in cement powder, he feels itchy whenever it touches his skin. It was his first time to be hospitalized. As for his asthma,
he took herbal medicines as given by his grandmother.
D. History of present illness
Patient RM was admitted at Bulacan Medical Center at 5:05 PM of November 17, 2010. He said that he had difficulty in urinating and he feel
pain in his groin every time he walks He said that this happened after he played basketball last November 16, 2010 from 8 AM to 3 PM having only
4
