Download e-book for kindle: Gastrointestinal Nursing by Graeme Smith, Roger Watson

By Graeme Smith, Roger Watson

ISBN-10: 0632052945

ISBN-13: 9780632052943

Gastrointestinal nursing is an increasing area of expertise with a gentle elevate in either nurse-led companies and in expert nurse practitioners e.g. in inflammatory bowel affliction, stoma care, nutrients, endoscopy and counselling.
This entire textual content lays the principles for care via reviewing the anatomy and body structure underlying universal stipulations sooner than masking their medical gains, reasons, research and administration. Underlying this procedure are the categorical nursing features of taking care of sufferers with gastrointestinal stipulations together with psychosocial elements and matters similar to the dimension of future health similar caliber of lifestyles.

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Example text

Oesophageal candidiasis occurs in debilitated patients and those taking broad-spectrum antibiotics or cytotoxic drugs. It is a particular problem in AIDS patients, who are also susceptible to a spectrum of oesophageal infections. Oesophageal candidiasis rarely develops in patients who do not have an underlying disease such as diabetes, immune deficiency or malignancy. The main symptoms of oesophageal candidiasis are dysphagia and odynophagia. Severe infection of the gullet can destroy oesophageal innervation, causing abnormal motility.

These are found particularly in the husks and germs of cereals and pulses, in yeast and yeast extracts and to a lesser extent in vegetables, fruit, milk, eggs and meat. The chief factors in the vitamin B complex are: • • • • Vitamin B1 (thiamine) is essential for carbohydrate metabolism and controls the nutrition of nerve cells. Vitamin B2 (riboflavin) is essential for the proper functioning of cell enzymes. Vitamin B6 (pyridoxine) is necessary for protein metabolism. Vitamin B12 (cyanocobalamin) is the anti-anaemic substance or factor absorbed by the villi of the small intestine and stored in the liver.

Benign oesophageal stricture An oesophageal stricture is an abnormal formation of fibrous tissue that is usually at the lower end of the oesophagus. Fibrous strictures develop as a consequence of longstanding oesophagitis. Most patients are older and have poor oesophageal peristaltic activity. Progressive dysphagia is the most common clinical feature. Diagnosis is made by endoscopy and biopsies of the stricture are taken to exclude malignancy. Treatment of strictures may involve the use of weighted bougies, pneumatic balloon dilators or graduated plastic Savary-Gillard dilators.

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Gastrointestinal Nursing by Graeme Smith, Roger Watson


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