What are the modifiable and non-modifiable risk factors

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Reference no: EM131433219 , Length: word count:2500

Nursing Assignment

Mrs Lopez is a 45-year-old, obese, Hispanic tourist who presents to the Emergency Department with acute abdominal pain. She has a recent history of abdominal pain over the past two weeks, gradually increasing in intensity. No known family history of any abdominal conditions. Mrs Lopez states she has accompanying symptoms of nausea and vomiting, pain radiating to her right shoulder, sweating and chills. When questioned about her social history, she states her diet has consisted of regular takeaway with an intolerance to fatty food and little exercise.

Mrs Lopez is complaining of moderate abdominal pain. She is febrile at 38.2 degrees Celsius, with a blood pressure of 126/72 mmHg, a regular pulse of l28bpm, a respiratory rate of 22 breaths/min, arid an oxygen saturation of 97% while breathing room air. The plan for Mrs Lopez is to admit her to the surgical ward for observation, medication management and surgery.

Mrs Lopez is anxious and says she feels guilty about her lifestyle, which she considers has contributed to this admission today.

Mrs Lopez will require a laparoscopic cholecystectomy.

1. Risk Factors and Health Promotion

What are the modifiable and non-modifiable risk factors that may have contributed to Mrs Lopez's cholelithiasis and acute cholecystitis? Mrs Lopez requests assistance regarding her modifiable risk factors. Outline how you would approach Mrs Lopez regarding these including what health promotion information and referrals you would provide to her.

2. Pathophysiology

Briefly describe in your own words (in the way you would explain it to a family member) the pathophsiology behind acute cholecystitis.

3. Homeostatic Mechanisms

Outline the homeostatic mechanisms that result in the following symptoms Mrs Lopez is experiencing on your nursing assessment:

  • Referred shoulder pain
  • nausea and vomiting
  • fever

4. Nursing Care

Outline and justify the nursing care required for Mrs Lopez with her initial presenting symptoms placing this nursing care in order of clinical priority.

5. Activities of Daily Living

Consider the twelve (12) activities of living outlined in the Roper Logan & Tierney Model of Nursing and specifically discuss which of these activities of living may be influenced or altered for Mrs Lopez post operatively. Outline how the registered nurse could assist the patient to manage them.

Reference no: EM131433219

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len1433219

3/20/2017 1:03:27 AM

Total 2500 words nursing assignment. 20-25 references in Harvard style. There must be evidence in every question. All references should be recent, and none should be more than 10 years old. You should incorporate current research to support your discussion(less than 10 years old) texts/journal articles and/or other resources. No more than 3 web-based resources should be used. Your assessment should be presented in academic format as per the Assessment Handbook.

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