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Crohn'S Disease Concept Map

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Cagayan de Oro College PHINMA Education Network

College of Allied Health Sciences


Nursing Department
BSN-3 Medical Surgical Nursing Activity Sheet
2nd Semester, Periodical 1, S.Y. 2020-2021

NAMES:__________MAMBUAY, IRIS JUNE F.__________________________________________ DATE:_02/17/2021______


SECTION:__C1-01___________ C.I:_MS. PHOEBE JAENN TAN, RN_________
CROHN’S DISEASE CONCEPT MAP

NURSING DIAGNOSES RISK FACTORS CROHN’S DISEASE COMPLICATIONS


CLINICAL MANIFESTATIONS
 Diarrhea related to inflammatory  Heredity Sub-acute and chronic inflammation of the GI  Intestinal obstruction/stricture
process  Age (occurring usually around 20 – 30 tract wall that extends through all layers; most formation  Prominent right lower abdominal
 Acute pain related to increased years old) commonly occurs in the distal ileum and the  Perianal disease quadrant pain
peristalsis and GI inflammation  Being Caucasians ascending colon; “cobblestone appearance  Fluid and electrolyte imbalances  Chronic diiarrhea unrelieved with
 Deficient fluid volume related to  Smoking  Malnutrition from defecation
anorexia, diarrhea and nausea  Chronic use of NSAIDs malabsorption  Abdominal tenderness and spasm
 Anxiety related to impending  Diet  Fistula and abscesses formation  Crampy pain that appear after meals
ASSESS/DX
surgery  Stress  Colon cancer (pt’s with colonic  Weight loss
 Risk for impaired skin integrity  Lower socioeconomic status  Barium study of upper GI tract Crohn’s disease)  Malnutrition
related to malnutrition and  CT scan  Anorexia  Secondary anemia
diarrhea  MRI  Blood clots  Fever
 CBC  Leukocytosis
 Steatorrhea

MANAGEMENT
MEDICAL/SURGICAL NURSING
EIMs (Extraintestinal
 Oral fluids  Relieve pain and worsening of symptoms
MEDS Manifestations)
 Low-residue, high-protein and high-calorie diet  Maintain fluid intake
 Supplemental vitamins therapy and iron supplement  Maintain optimal nutrition by suggesting types of food appropriate  Joint disorders
 Sulfasalazine
 IV therapy if hospitalized for the patient’s diet 
 Natalizumab Skin lesions
 Cold foods and smoking are avoided  Promoting rest  Ocular disorders
 Metronidazole
 Sedatives, antidiarrheals and antiperistaltic, corticosteroids and  Reduce anxiety through relaxation techniques such as visualization  Oral ulcers
 Hydrocortisone
immunomodulators medications and deep breathing exercises
 Budesonide
 Laparoscope-guided strictureplasty  Enhancing coping measures
 Azathioprine/methotrexate
 Small bowel resection with anastomosis  Preventing skin breakdown through perianal care
 Intestine transplant (children)  Monitoring and managing potential complications
 Partial or complete colectomy with ileostomy  Educating about self –care

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