Exam (elaborations) I-Human Simulation—Otto Smithers (NSG170) solved

Exam (elaborations) I-Human Simulation—Otto Smithers (NSG170) solved I-Human Simulation—Otto Smithers 1. The rationale for why healthcare providers evaluates rectal bleeds is because it could be a underlying serious condition that cannot be seen with the naked eye. Precancerous polyps could mimic hemorrhoids and go unnoticed for a while until symptoms get worse. Any type of bleeding should be reported to your physician to be examined more closely, especially if it lasts a few days or more. 2. Compare Diverticulitis to Diverticulosis: a. Diverticulitis is an infection of small pouches that formed within the colon whereas Diverticulosis is the protrusion of polyps from the colon wall. 3. Risk factors of Diverticulitis are obesity, age, smoking, no exercise, a diet full of animal fat and low fiber intake, medications such as steroids, opioids, and NSAIDS. Actions that can be taken to prevent Diverticulitis is starting and continuing an exercise regimen, increase the fiber intake in the diet, and drinking plenty of fluids. 4. A client should be admitted to the hospital for the disease if the symptoms come on suddenly and complications arise. Signs of peritonitis such as fever, decreased urine output, etc. should be taken seriously and medical assistance should be sought out. 5. Peritonitis happens when a patch/polyp that has been inflamed ruptures and the contents spill into the abdominal cavity. This can happen by way of trauma or injury. Some symptoms are abdominal pain and tenderness, diarrhea, fever, fatigue, bloating and the inability to pass stool or gas. SBAR notes: S: Good afternoon, Dr. Olson this is Rebekah Taylor calling from 4S about Mr. Smithers in room 52. Mr. Smithers is a 58 year old Caucasian male that was a direct admit from his primary care physician to the med floor for further evaluation and treatment for recurrent episodes of mild to severe abdominal cramping, as well as a bout of diarrhea with blood streaked stool. I am calling because I am concerned about his fever as well as his abdominal pain. His temperature is now 101.8 and his pain level is now a 7/10 in his abdomen and he states the pain is now constant. B: Mr. Smithers is a full code, 265lbs with a history of hypertension, type 2 diabetes mellitus, hyperlipidemia, gout (all which are controlled by medications), and obesity. He has a family history of colon cancer from which his father and older brother died from at the age of 55 and 58.