Patient Education Plan Essay

This is a enduring Education Plan for a patient suffering from a GI disease cal lead liver cirrhosis of the liver. Gastrointestinal infection is said to be whatsoever communicable disease which involves the gastrointestinal tract making it as its vena portae of entry of carry oning it by any means. The organisms which produce toxins cause this shape of infectious intestinal disease all by themselves. Thus, cirrhosis is an irreversible type of liver damage described as a dumb scarring (fibrosis) of the hepatic tissues. In the United States, the major causes are excessive alcoholic drink consumption and viral Hepatitis C.Other known causes include chronic hepatitis B and D, iron overload, autoimmune/inherited diseases, chronic bile duct obstruction, and drugs, toxins and otherwise infections as well up. The patient in this specific case is a 38-year former(a) male who has been working as a gardener and janitor in angiotensin-converting enzyme of the prestigious learning i nstitutions in the United States. Even if he is solo 38, he looks like he is 50 years old already. allow us call him Dave for purposes of confidentiality and patient protection. Dave is the breadwinner of a family of five. He has three children and his married woman is working as a clerk for an agency within the neighborhood. world a gardener and a janitor at the same beat, he is frequently on duty the whole day under the intense pepperiness of the sun with little rest or no rest at all. He too works daily without any rest long meter and frequently invades in over beat to get extra even off to sustain lifes needs. tolerant 2 Because of too ofttimes toiling through with(p), Dave believes he deserves to relax after work so he always drinks alcohol to relax his muscles. This has sour a regular attire of his for the past 15 years. It all began as a relaxing dodge until it has become a daily habit. Drinking has become his root of socialization.though he knows the dilemma s of habitual drinking, he is finding a hard time to get himself to minimize or stop drinking. Even at work, he keeps a bottle secretly kept so he plenty take sips or gulps from time to time while keeping himself busy. It has become as sort-of water to him. It should be noted that before Dave became an alcoholic, he has a large frame weighing 180 lbs. and standing at 5 feet and 11 inches. After he became an alcoholic, he now weighs precisely cl lbs. which is way below his ideal weight. His skin wrinkled and darkened yet with tinges of yellowish areas all throughout his body.His body bulged since his liver has inflamed already and edema has occurred in array him. Physically, one will know right then that he is sick. As to his family history, it is important to be aware that his father was also a habitual drinker precisely lucky enough for him that he did not develop liver cirrhosis. However, two brothers of his father had liver cirrhosis and one of them died of the disease. Ther efore, said gastrointestinal disease runs in their family. Dave had a find oneself of going to college but because of attitude problems he fell short and entire only high school.So he ended up with a menial job as a school gardener and janitor. base on his scholastic records, he was a bully student. He gained good grades, not academically rewarding but decent enough to apply college scholarships. His alleged stubborn traits had won him over. Patient 3 The patient, Dave, preferred to engage in one-to-one learning technique rather than learning by group method. Dave has several sensitive, private and critical issues which he opts to share only with the learning provider, in this case, the nurse. In fact, Dave did not even approved of the idea of learning at first because of his stubbornness.He wants to do things alone but with thorough explanation, he was able to understand his condition little by little and began cooperating to work on his sick state. So what is liver cirrhosis all about? The disease has been defined earlier as a form of liver damage which affects the gastrointestinal system. Among the early signs include weakness/fatigue, anorexia, stomatitis, tea-colored urine, clay-colored stool, amenorrhea, decreased sexual urge, loss of pubic and axilla hair, hepatomegaly, jaundice, and pruritus or urticaria. advanced signs involve hematological, endocrine, GIT and neurological changes. Further, it can complicate into more honorable illnesses such as edema and ascites (fluid buildup), bruising and bleeding, jaundice, itching, gallstones, toxins in the line of products or brain lead to impaired brain function, kidney failure, sensitivity to medication, portal hypertension, varices, insulin bulwark and Type 2 diabetes, liver cancer and problems with other organs. In Daves case, it began as a severe case of alcoholism combined with malnutrition which led Laennecs cirrhosis.This went on to the destruction of hepatic cells or hepatocytes then fibrosis or scarring. Following thereafter is an obstruction of blood flow which increases pressure in the venous and sinusoidal channels then fatty infiltration leading to further fibrosis or scarring. Finally, portal hypertension or high blood pressure (hypertension) in the portal veins and its branches resulted. Patient 4 The prevalence of liver cirrhosis can come across all ages starting at the age of 21 but as the age increases, the rate of scarring feeler increases as well.This means that liver cirrhosis cases are more unsafe with higher age. In Daves case, his age may directly affect the severity of his condition. Development of his illness was hastened in that it has been at least 15 years since he became a habitual drinker. It was accumulated through time and in his case, progression is faster compared to others. Because of his liver disease, he cannot work as a gardener and janitor anymore as these are jobs which require lots strength and energy.He cannot fulfill his responsibili ties at home and his family as well since his health is generally impaired. Further, he cannot participate in community activities too. Patient needs to be educated regarding his nutritional needs. He essential(prenominal) monitor lizard his calorie intake and the amounts and kinds of food that he takes to avoid obesity. If possible, he must be given a schedule of diet so he can eat the right kinds of food at the right time and place. Moreover, he must be taught how to improve his depreciating self-esteem due(p) to inability to fulfill his usual duties.He must develop good for you(p) lifestyle practices and new behaviors which will help him regain his confidence. From this moment on, Dave must be able to recover from his health and personality deficiencies. Instead of savour down and troubled, he must mature by seeing the brighter side of life. The key is acceptance of his present condition and avoid feeling dismal and confused as much as possible. This can be done more compe tently with the support of the nurse and the significant others who are machine-accessible to him.