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Assignment:
Mr. Jones, a 35-year-old male, 2 months post-op from surgery resulting in an end ileostomy presents to the emergency room with abdominal cramping, nausea, and vomiting. He states he has not passed stool for 8 hours, and that he ate popcorn while at the Cinema with friends last night. He admits he has never eaten popcorn with his ileostomy, and that he tends to get partial blockages when he eats certain fruits and vegetables. He reports he has taken a warm bath and has been massaging his abdomen with no relief. Stoma exam reveals a red, budded stoma measuring 1-3/4" in diameter. Mr. Jones appears distressed and explains that his stoma typically measures 1-1/4" in diameter. After assessment by the physician, it is recommended that Mr. Jones undergo an ileal lavage. Mr. Jones states his aunt has a colostomy and that she irrigates her stoma daily. He wonders if ileal lavage is the same as a colostomy irrigation. Based on the case study, answer the following:
1. Briefly compare and contrast ileal lavage and colostomy irrigation.
2. Does Mr. Jones have a partial or complete blockage? What evidence supports your decision?
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