NURS 6560 Week 7: Assessment and Care of Patients With Conditions of the Liver/Biliary Tract, Pancreas, and Spleen

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NURS 6560 Week 7: Assessment and Care of Patients With Conditions of the Liver/Biliary Tract, Pancreas, and Spleen Essay Assignment Paper

NURS 6560: Advanced Practice Care of Adults in Acute Care Settings II | Week 7

Conditions related to the liver/biliary tract, pancreas, and spleen frequently are chronic in nature and difficult to diagnose. Although many of these conditions are manageable once diagnosed, they often have a tremendous impact on quality of life for patients. With chronic conditions such as these accounting for 81% of hospital admissions (Partnership to Fight Chronic Disease, n.d.), it is essential that you have a strong foundation in the various presentations and symptoms.

This week, as you examine the pre- and post-operative care of patients with conditions related to the liver/biliary tract, pancreas, and spleen, you explore strategies for assessment, diagnosis, and treatment.

Learning Objectives

By the end of this week, students will:

• Evaluate medical and surgical patients with conditions of the liver/biliary track, pancreas, and spleen
• Develop differential diagnoses for medical and surgical patients with conditions of the liver/biliary track, pancreas, and spleen
• Develop treatment plans for medical and surgical patients with conditions of the liver/biliary track, pancreas, and spleen

Learning Resources

Required Readings

Doherty, G. M. (2015). Current diagnosis and treatment: Surgery (14th ed.). New York, NY: McGraw Hill.

• Chapter 24, “Liver & Portal Venous System”
• Chapter 25, “Biliary Tract”
• Chapter 26, “Pancreas”
• Chapter 27, “Spleen”

Weber, E. C., Vilensky, J. A., & Fog, A. M. (2013). Practical radiology: A symptom-based approach. Philadelphia, PA: F. A. Davis Company.

• Chapter 8, “Abdomen” (Review)

Gay, S. B., Shaffer, H. A., Vu, Q. D. M., Harker, C. O., Kuzminski, C. D., Christensen, J. D., … Kori, G. A. (2013). Introduction to gastrointestinal radiology. Retrieved from https://www.med-ed.virginia.edu/courses/rad/gi/

Required Media

Geertsma, T. S. A. (n.d.). Abdomen and retroperitoneum. Retrieved from http://www.ultrasoundcases.info/Case-List.aspx?cat=158

i-Human Patient Cases. (2014). Retrieved from https://ih2.i-human.com/users/sign_in

Assignment 1: Assessing, Diagnosing, and Treating Pre- and Post-Operative Care Patients – Liver/Biliary Tract, Pancreas, and Spleen

The liver/biliary tract, pancreas, and spleen often are associated with chronic conditions, which may result in long-term symptoms for patients. Whereas some of these symptoms may be connected easily to a particular condition, many symptoms are associated with multiple conditions, making an immediate diagnosis challenging. For this Assignment, as you examine this week’s i-Human patient case study, consider how you might evaluate and treat pre- and post-operative patients who present with health conditions related to the liver/biliary tract, pancreas, and spleen.

To prepare:

• Review this week’s Learning Resources. With the liver/biliary track, pancreas, and spleen in mind, consider how to assess, diagnose, and treat patients in pre- and post-operative care.
• Review this week’s i-Human case study. Based on the patient information provided, think about the health history you would need to collect from the patient.
• Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis.
• Identify three to five possible conditions to consider in a differential diagnosis for the patient.
• Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
• Develop a treatment plan for the patient that includes health promotion and patient education strategies for medical and surgical patients with conditions of the liver/biliary tract, pancreas, and spleen.

To complete:

As you interact with this week’s i-Human patient, complete the assigned case study. For guidance on using i-Human, refer to the i-Human Patients Case Player Student Manual in the Week 2 Learning Resources.

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