Seneca College NURSING PNP401 Case Study # 2 -
Lower GI disorder: Tommy, a 56-year-old school
counselor.
Section: PNP401KDD
Grade /30 (15% WT)
Case Study # 2 - Lower GI disorder
Tommy, a 56-year-old school counselor, has come into the
gastroenterologist office for recurrent mild to severe cramping in his
abdomen and blood-streaked stool.
Here are the findings of the initial nursing assessment upon his arrival to the
clinic:
•Mildly obese man
•Guarding of his abdomen with both direct and rebound tenderness,
especially in the left lower quadrant (LLQ)
•BP: 168/98, HR: 110, RR: 24, Temp: 38 degrees
•Slightly diaphoretic
•He reports that he has periodic constipation.
•He reports previous episodes of abdominal pain but this time “the
pain is getting worst” Tommy’s past medical history:
•A sedentary job with “lots of emotional draining moments”.
•Smoked a pack of cigarettes a day for the past 20 years.
•Drinks 2-3 large cans of beer every evening until 3 months ago.
•Diet consists of white bread, meat, ice cream and nuts.
•He denies history of cardiac or pulmonary problems
•No personal history of cancer
•Father and older brother died of colon cancer
•Not on any medications
1. Identify 3 risk factors of Tommy based on the nursing assessment and
past medical history. (0.5/ea point, 1.5 marks total)
Family history: Tommy’s father and brother both died due to colon cancer and
this family related medical history can be a risk factor for him.
Smoking and substance use: Smoking and alcohol both are toxic substances for
This study source was downloaded by 100000866603821 from CourseHero.com on 07-06-2023 05:25:26 GMT -05:00
https://www.coursehero.com/file/199575917/Case-Study-2-LOWER-GI-DISORDER-docx/
, the
This study source was downloaded by 100000866603821 from CourseHero.com on 07-06-2023 05:25:26 GMT -05:00
https://www.coursehero.com/file/199575917/Case-Study-2-LOWER-GI-DISORDER-docx/
Lower GI disorder: Tommy, a 56-year-old school
counselor.
Section: PNP401KDD
Grade /30 (15% WT)
Case Study # 2 - Lower GI disorder
Tommy, a 56-year-old school counselor, has come into the
gastroenterologist office for recurrent mild to severe cramping in his
abdomen and blood-streaked stool.
Here are the findings of the initial nursing assessment upon his arrival to the
clinic:
•Mildly obese man
•Guarding of his abdomen with both direct and rebound tenderness,
especially in the left lower quadrant (LLQ)
•BP: 168/98, HR: 110, RR: 24, Temp: 38 degrees
•Slightly diaphoretic
•He reports that he has periodic constipation.
•He reports previous episodes of abdominal pain but this time “the
pain is getting worst” Tommy’s past medical history:
•A sedentary job with “lots of emotional draining moments”.
•Smoked a pack of cigarettes a day for the past 20 years.
•Drinks 2-3 large cans of beer every evening until 3 months ago.
•Diet consists of white bread, meat, ice cream and nuts.
•He denies history of cardiac or pulmonary problems
•No personal history of cancer
•Father and older brother died of colon cancer
•Not on any medications
1. Identify 3 risk factors of Tommy based on the nursing assessment and
past medical history. (0.5/ea point, 1.5 marks total)
Family history: Tommy’s father and brother both died due to colon cancer and
this family related medical history can be a risk factor for him.
Smoking and substance use: Smoking and alcohol both are toxic substances for
This study source was downloaded by 100000866603821 from CourseHero.com on 07-06-2023 05:25:26 GMT -05:00
https://www.coursehero.com/file/199575917/Case-Study-2-LOWER-GI-DISORDER-docx/
, the
This study source was downloaded by 100000866603821 from CourseHero.com on 07-06-2023 05:25:26 GMT -05:00
https://www.coursehero.com/file/199575917/Case-Study-2-LOWER-GI-DISORDER-docx/
