Patient Education Plan Essay

This is a fall uponed role Education Plan for a patient of suffering from a GI unwellnessiness c anyed coloured cirrhosis. Gastrointestinal infection is verbalise to be any communicable complaint which involves the gastrointestinal tract making it as its introduction of entry of affecting it by any subject matter. The organisms which produce toxins cause this human body of infectious intestinal unsoundness every by themselves. Thus, cirrhosis is an irreversible part of liver-colored dam sequence described as a dense scarring (fibrosis) of the hepatic tissues. In the United States, the major causes are unwarranted alcoholic bever come on consumption and viral Hepatitis C. a nonher(prenominal) known causes include continuing hepatitis B and D, iron everyplaceload, autoimmune/inherited diseases, chronic bile duct obstruction, and drugs, toxins and some other infections as well. The patient in this specific fibre is a 38-year old male who has been change by reversal ing as a gardener and janitor in one of the p soporigious learning institutions in the United States. Even if he is scarcely 38, he looks like he is 50 old age old already. Let us call him Dave for purposes of confidentiality and patient protection. Dave is the breadwinner of a family of five. He has three children and his wife is manoeuvreing as a clerk for an agency in spite of appearance the neighborhood.Being a gardener and a janitor at the same term, he is lots on duty the whole mean solar day under the intense heat of the fair weather with little rest or no rest at all. He alike computes daily without any rest days and frequently engages in over time to get extra assume to sustain lifes needs. forbearing 2 Because of too practically work done, Dave believes he deserves to relax after work so he always drinks alcohol to relax his muscles. This has become a level(p) habit of his for the past 15 years. It all began as a relaxing scheme until it has become a daily habit. intoxication has become his approximation of socialization.Though he knows the dilemmas of habitual drinking, he is finding a hard time to get himself to disparage or stop drinking. Even at work, he keeps a bottle secretly kept so he burn take sips or gulps from time to time while keeping himself busy. It has become as sort-of water to him. It should be noted that ahead Dave became an alcoholic, he has a large skeleton in the closet weighing 180 lbs. and standing at 5 feet and 11 inches. After he became an alcoholic, he now weighs only cl lbs. which is way below his ideal weight. His undress wrinkled and darkened just with tinges of xanthous areas all throughout his body.His body bulged since his liver has inflamed already and edema has occurred indoors him. Physically, one will know correct then that he is sick. As to his family history, it is serious to be aware that his take was similarly a habitual drinker but lucky enough for him that he did not develop liv er cirrhosis. However, two brothers of his father had liver cirrhosis and one of them died of the disease. Therefore, utter gastrointestinal disease runs in their family. Dave had a chance of going to college but because of pose problems he fell short and washed-up only game civilise.So he ended up with a humble job as a school gardener and janitor. Based on his pedant records, he was a good student. He gained good grades, not academically recognise but decent enough to pass on college scholarships. His alleged stubborn traits had won him over. patient 3 The patient, Dave, preferred to engage in one-to-one learning technique sooner than learning by group method. Dave has several(prenominal) sensitive, private and critical issues which he opts to manage only with the learning provider, in this case, the nurse. In fact, Dave did not even approved of the idea of learning at first because of his stubbornness.He wants to do things alone but with exhaustive explanation, he was able to understand his physique little by little and began cooperating to work on his sick state. So what is liver cirrhosis all about? The disease has been defined earlier as a form of liver damage which affects the gastrointestinal system. Among the early signs include weakness/fatigue, anorexia, stomatitis, tea-colored urine, clay-colored stool, amenorrhea, rock-bottom sexual urge, loss of pubic and axilla hair, hepatomegaly, jaundice, and pruritus or urticaria.Late signs involve hematological, endocrine, git and neurological changes. Further, it chamberpot complicate into to a greater extent serious illnesses such as edema and ascites (fluid buildup), bruising and bleeding, jaundice, itching, gallstones, toxins in the melody or promontory leading to impaired brain function, kidney failure, sensitivity to medication, portal hypertension, varices, insulin resistance and eccentric 2 diabetes, liver cancer and problems with other organs. In Daves case, it began as a severe case of alcoholism have with malnutrition which led Laennecs cirrhosis.This went on to the last of hepatic cells or hepatocytes then fibrosis or scarring. Following thereafter is an obstruction of blood flow which increases pressure in the venous and sinusoidal channels then superfatted infiltration leading to further fibrosis or scarring. Finally, portal hypertension or high blood pressure (hypertension) in the portal veins and its branches resulted. Patient 4 The prevalence of liver cirrhosis can come across all ages starting at the age of 21 but as the age increases, the rate of scarring onward motion increases as well.This means that liver cirrhosis cases are more than than serious with higher age. In Daves case, his age may directly affect the severity of his condition. Development of his illness was hastened in that it has been at least 15 years since he became a habitual drinker. It was collect through time and in his case, progression is faster compared to others. Be cause of his liver disease, he cannot work as a gardener and janitor anymore as these are jobs which require much strength and energy.He cannot fulfill his responsibilities at home and his family as well since his health is generally impaired. Further, he cannot participate in community activities too. Patient needs to be educated regarding his nutritional needs. He essential monitor his calorie intake and the amounts and kinds of pabulum that he takes to avoid obesity. If possible, he must(prenominal) be given a chronicle of diet so he can eat the right kinds of food at the right time and place. Moreover, he must be taught how to improve his depreciating self-esteem due to inability to fulfill his inveterate duties.He must develop powerful lifestyle practices and new behaviors which will function him regain his confidence. From this moment on, Dave must be able to recover from his health and temperament deficiencies. Instead of feeling down and troubled, he must mature by beholding the brighter side of life. The key is acceptance of his submit condition and avoid feeling drear and confused as much as possible. This can be done more competently with the support of the nurse and the important others who are connected to him.