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I.

INTRODUCTION

Appendicitis is an inflammation of the appendix, a 3 1/2-inch-long tube of tissue that extends from
the large intestine.
Appendicitis is a medical emergency that almost always requires prompt surgery to remove the
appendix. Left untreated, an inflamed appendix will eventually burst, or perforate, spilling infectious
materials into the abdominal cavity. This can lead to peritonitis, a serious inflammation of the
abdominal cavity's lining (the peritoneum) that can be fatal unless it is treated quickly with
strong antibiotics.

Sometimes a pus-filled abscess (infection that is walled off from the rest of the body) forms
outside the inflamed appendix. Scar tissue then "walls off" the appendix from the rest of
the abdomen, preventing infection from spreading. An abscessed appendix can perforate or
explode and cause peritonitis. For this reason, almost all cases of appendicitis are treated as
emergencies, requiring surgery.

What Causes Acute Appendicitis?


 Appendicitis is usually caused by a bacterial infection, although the reason the appendix
becomes infected is unknown.
 The appendix may become obstructed by a lump of feces, calcium salts, and fecal debris
(called fecaliths) or tumors (rarely), leading to inflammation and infection.
 Swelling and inflammation lead to infection, blood clot, or rupture of the appendix.
 Lymphoid hyperplasia is associated with inflammatory and infectious disorders such as
Crohn disease, measles, amebiasis, gastroenteritis, respiratory infections, and
mononucleosis.

II. GENERAL OBJECTIVES

This study aims to determine, understand and gain extensive knowledge on the general health problems

and needs experienced by a client who is diagnosed with acute appendicitis. As student nurses this

study tends to broaden our knowledge about the general condition and well-being of our patient

and how to provide a holistic nursing care to aid the comfort of our client. Moreover, this study

also intends to help patient promote health and medical understanding of such condition through the

application of the nursing skills and theoretical knowledge.

Specific Objectives

 To build rapport with the patient and significant others for an effective nurse-patient

interaction.
 To gather meaningful information about the patient’s health history for an accurate health

assessment.

 To develop insight about the diagnosis of the patient and set considerations and priorities about

the patient’s condition

 To perform physical assessment to the patient

 To be able to familiarize with the medications administered to the patient knowing its mechanism

of action, frequency, dosages, indication, contraindications and the nursing responsibilities to

consider.

 To formulate an attainable nursing care plan based on the subjective and objective cues

gathered, make diagnosis and provide necessary nursing management and interventions.

 To formulate appropriate health teaching for continuity of care and patient’s fast recovery and

prevention of possible complications.

III. REVIEW OF SYSTEMS

GENERAL SURVEY (+) Weakness of the body, (-) weight loss,

INTERGUMENTARY SYSTEM (-) edema on the IV insertion area

HEENT HEAD

(-) mass

EARS

(-) hearing loss

EYES

(-) blurring of vision

NECK

(-) pain, (+) palpable nodule


(-) mass

(-) swelling

THROAT

(-) dysphagia

(-) odynophagia

RESPIRATORY SYSTEM (-) difficulty of breathing

CARDIOVASCULAR SYSTEM (-) palpitations

(-) chest pain

GASTROINTESTINAL SYSTEM (-) epigastric pain

GENITOURINARY (-) hematuria, (-) edema of hands and feet

MUSCOSKELETAL (-) stiffness, (-) pain and swelling in bones, joints

and muscles

NEUROLOGICAL (-) confusion

(+) balance coordination


VI. REVIEW OF ANATOMY AND PHYSIOLOGY

What Does the Appendix Do?

The appendix is not a vital organ and medical researchers still debate its exact function in our
bodies. One hypothesis suggests that it is a vestigial remnant of a once larger cecum. This
larger cecum would have been used by vegetarian ancestors to digest cellulose from plants.
Supporters of this hypothesis therefore conclude that the appendix no longer serves any
purpose for us.

Another hypothesis suggests that the appendix acts as a storage area for beneficial bacteria
during times of illness. Beneficial bacteria living in the appendix could survive being flushed
out of the large intestine by diarrhea. The appendix would therefore help a person to recover
more rapidly from illness by enabling the bacteria to re-colonize the intestines after the illness
has passed.