You are on page 1of 22

University of Pangasinan Phinma Education Network College of Nursing Dagupan City

GALLBLADDER HYDROPS CALCULUS CHOLECYSTITIS


A Case Study presented to the

UNIVERSITY of PANGASINAN COLLEGE of NURSING


In Partial Fulfillment of the Requirements for the Course

RELATED LEARNING EXPERIENCE III


at

REGION 1 MEDICAL CENTER, DAGUPAN CITY


Presented By:

Presented To: Sir. Kenneth Camacho , BSN-RN (Clinical Instructor)

TABLE OF CONTENTS
I. Acknowledgement II. Introduction III. Significance of the study Nursing Education Nursing Practice Nursing Research IV. Objectives General: Specific: 1. 2. 3. V. Patients Profile: Nursing Health History Physical Assessment Developmental Data VI. Disease Proper VII. Anatomy and Physiology VIII. Pathophysiology IX. Diagnostic test X. Medical-Surgical Management Drug Study XI. Nursing Management Nursing Care Plan XI. Discharge Plan Medication Economy/Exercise Treatment/Therapy Health Teachings/Hygiene Out-patient consultation DietSEX XIII. Evaluation Definition of Terms Bibliography

I. ACKNOWLEDGEMENT
In the preparation of this case study, we would like to extend our sincerest gratitude. First and foremost, to our Almighty God, for without Him this case study will not come into completion. The group would also want to thank many people for their help and support. We give appreciation to: Our patient, Miss U, for allowing us to have an opportunity to study her case and for her full cooperation in the making of this case study. Our clinical instructor, Sir. Kenneth Camaco for teaching us what to do and also for untiring assistance and support. Friends, instructors, and staff of Region 1 Medical Center for kind heartedly accommodating us. Our Parents and Guardians for extended assistance, love, and support. Thank you very much for helping us to enhance our knowledge and further our skills in preparation for our chosen career. Thank you and God Bless you all!!!

II. INTRODUCTION
This is the case of Miss U, a 28 years old Married women from Gabon, Calasiao Pangasinan. She was admitted at REGION1 MEDICAL CENTER with the chief complaint of abdominal pain at Righ Upperr Quadran for four dayst. She was diagnosed with IUFD

III. SIGNIFICANCE OF THE STUDY


A. Nursing Practice
Our case study provides a good source of information that may give way for the improvement of different areas of the nursing practice namely: health promotion, maintenance, restoration. As the society is informed and made aware that more researched is giving for the profession, the more they put their trust on the workers, paving way for the confidence on themeselves and more respect and dedication will be given towards their work. B. Nursing Education This case study can be used by health workers for acquiring significant and vital information to specific cases. It will help them to be knowledgeable. Future researcher will be guided to the utilization of proper nursing interventions and management. C. Nursing Research Our case study function as an aid reference on how to deal with this particular type of disease. It promoted teamwork between the members of the group. They became self motivated by employing own different strategies on how to work on task assign to them. Resourcefulness has become the key in the complication of their work.

IV. OBJECTIVES
A. General objective:
1.

The core purpose of this case study is to impact knowledge to fellow students and to know more about Gallbladder Hydrops Calculus Cholecystitis its possible causes, treatment, and the methods of prevention.

B. Specific Objectives: At the end of the study, we hope to accomplish the following 1
2. 3.

To be able to define the Gallbladder Hydrops Calculus Cholecystitis. To understand its nature and its effects to the patient. To be able to answer: -What are the factors that predispose to this kind of Disorder? -What is the Pathophysiology of the disease based on our patient's condition? -What are the signs and symptoms? -What are the surgical and medical management to this disease -What drug and other treatments can cure the disease?

4. To assist our subject in regaining her optimum level of functioning. 5. To be able to come up with the best nursing care plans appropriate for patients with Gallbladder Hydrops Calculus Cholecystitis.

V. PATIENTS PROFILE
Name: Address: Age: Sex: Civil Status: Nationality: Religion: Occupation: Date of Admission: Chief Complaint: Diagnosis:

A. History of Illness
Past Health History:

Present Illness:

VI. DISEASE PROPER

Gallbladder Hydrops Calculus Cholecystitis


DESCRIPTION

FREQUENT SIGNS AND SYMPTOMS

CAUSES

VII. ANATOMY AND PHYSIOLOGY

VIII. PATHOPHYSIOLOGY

IX. DIAGNOSTIC TEST

X. MEDICAL SURGICAL MANAGEMENT


MEDICAL MANAGEMENT:

SURGICAL MANAGEMENT:

XI. NURSING MANAGEMENTS

XII. DISCHARGE PLANNING

University of Pangasinan Phinma Education Network Dagupan City College of Nursing Nursing Care Plan Name of Patient: Medical Diagnosis:
Assessment Diagnosis Analysis Planning Intervention Rationale Evaluation

University of Pangasinan Phinma Education Network Dagupan City College of Nursing Nursing Care Plan Name of Patient: Medical Diagnosis:
Assessment Diagnosis Analysis Planning Intervention Rationale Evaluation

DRUG STUDY
DRUG NAME DRUG ACTION DRUG INDICATION CONTRAINDICATION ADVERSE EFFECT DRUG INTERACTION NURSING CONSIDERATION

DRUG NAME

DRUG ACTION

DRUG INDICATION

CONTRAINDICATION

ADVERSE EFFECT

DRUG INTERACTION

NURSING CONSIDERATION

DRUG NAME

DRUG ACTION

DRUG INDICATION

CONTRAINDICATION

ADVERSE EFFECT

DRUG INTERACTION

NURSING CONSIDERATION

DRUG NAME

DRUG ACTION

DRUG INDICATION

CONTRAINDICATION

ADVERSE EFFECT

DRUG INTERACTION

NURSING CONSIDERATION