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Cse Stud

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GENERAL OBJECTIVES

This study aims to provide a better understanding of the disease process of the patient
having a diagnosis of Appendicitis.

SPECIFIC OBJECTIVES:

 To obtain necessary information regarding the patient and her condition.

 To identify patient’s health care needs through analysis of all the data gathered.

 To implement the best nursing care or appropriate nursing actions that can improve the
patient’s condition.

 To evaluate the effectiveness of the nursing care.

 To widen and enhance the student nurse’s knowledge and skills through additional
research about the nature of the disease, its signs and symptoms, its pathophysiology, its
diagnosis and treatment
Introduction

The appendix is a small fingerlike appendage about 10 cm (4 in) long, attached to


the cecum just below the ileocecal valve. No definite functions can be assigned to it in humans.
The appendix fills with food and empties as regularly as does the cecum, of which it is small, so
that it is prone to become obstructed and is particularly vulnerable to infection (appendicitis).

Appendicitis is the most common cause of acute inflammation in the right lower
quadrant of the abdominal cavity. About 7% of the population will have appendicitis at some
time in their lives, males are affected more than females, and teenagers more than adults. It
occurs most frequently between the age of 10 and 30.

The disease is more prevalent in countries in which people consume a diet low in
fiber and high in refined carbohydrates.

The lower quadrant pain is usually accompanied by a low-grade fever, nausea,


and often vomiting. Loss of appetite is common. In up to 50% of presenting cases, local
tenderness is elicited at Mc Burney’s point applied located at halfway between the umbilicus and
the anterior spine of the Ilium.

Rebound tenderness (ex. Production or intensification of pain when pressure is


released) may be present. The extent of tenderness and muscle spasm and the existence of the
constipation or diarrhea depend not so much on the severity of the appendiceal infection as on
the location of the appendix.

If the appendix curls around behind the cecum, pain and tenderness may be felt in
the lumbar region. Rovsing’s sign maybe elicited by palpating the left lower quadrant. If the
appendix has ruptured, the pain become more diffuse, abdominal distention develops as a result
of paralytic ileus, and the patient condition become worsens.

Constipation can also occur with an acute process such as appendicitis. Laxative
administered in the instance may result in perforation of the in flared appendix. In general a
laxative should never be given when a person’s has fever, nausea or pain.

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