Instructions Instructions: Look in your modules and find case study chapter 51 1. Complete the assignment by the due date. 2. In order to receive credit: Responses must be in complete sentences Response must be thorough and logical Responses may be “bulleted” 3. Cite textbook page and header of response. Case Study, Chapter 51, Elimination Mr. Buckholz is in room 227. He is recovering from gastric resection related to an intestinal obstruction. Today Mr. Buckholzis complaining of abdominal pain. You auscultate his abdomen and note slight bowel sounds. Mr. Buckholz reports no bowel movement since surgery. The healthcare provider has ordered that Mr. Buckholz be ambulated three to four times a day in the hall. Mr. Buckholzstates he doesn’t want to get up right now. (Learning Objectives 2, 3) 1. How do you respond? 2. What do you think might be causing the pain? 3. Explain how the healthcare provider’s order for ambulation would be helpful in restoring bowel function. 4. After surgery, Mr. Buckholzcomplained of difficulty in voiding even though he thought his bladder was full. How do you respond?
ANSWER SUMMARY
- I would respond by explaining to Mr. Buckholz the importance of ambulation in restoring bowel function and how it can also help alleviate his abdominal pain. I would also remind him that the healthcare provider has ordered this and it is important to follow the orders for a successful recovery.
- The pain Mr. Buckholz is experiencing may be caused by gas or constipation, which can be common after gastric resection surgery.
- Ambulation can help restore bowel function by promoting peristalsis, which is the rhythmic contraction and relaxation of the muscles in the intestines that move food through the digestive tract. This can also help to relieve constipation and gas.
- I would respond by asking Mr. Buckholz to provide more information about his difficulty voiding. If necessary, I would report this to the healthcare provider and recommend that a catheter be inserted to empty his bladder. The healthcare provider may also recommend physical therapy to help Mr. Buckholz regain bladder control.
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