* This study aims to develop the knowledge, skills and attitudes of studentnurses through effective utilization of nursing process in dealing with the course treatment of patient with Cholelithiasis.
* To interpret the pertinent data gathered from the patient and significant others.
* To learn the detailed process of the disease associated with its prevention and treatment and somehow help the patient and her family promote, prevent and restore health by providing adequate nursing interventions
Cholelithiasis is the formation of stones (calculi or gallstones) within the bladder or biliary duct system. Altered bile flow through the hepatic, cystic or common bile duct is a common problem. It often leads to inflammation and other complications. Gallstones are the most common cause of obstructed blood flow. Clients with gallbladder disorder may experience pain, multiple metabolic and nutritional disturbances and altered body image. Nursing care addresses physiologic and psychosocial needs of the client and family. A common digestive disorder worldwide, where 75to80% of gallstones are of the cholesterol type, and approximately 10 to 25% of gallstones are bilirubinate of either black or brown pigment. In Asia, pigmented stones predominate, although recent studies have shown an increase in cholesterol stones in the Far East. According to Tierney et.,al 2005 It affects more than 10% of men and 20% of women by age of 65 and affects 30% to 40% of people by the age of 80 years.
They are uncommon in children and young adults but become more prevalent in increasing age. The incidence of gallstones varies among people of different ethnic backgrounds. In Asia, pigmented stones predominate, although recent studies have shown an increase in cholesterol stones in the Far East. Gallstones are crystalline structures formed by concretion (hardening) or accretion(adherence of particles, accumulation) of normal or abnormal bile constituents.According to various theories, there are four possible explanations for stone formation. First, bile may undergo a change in composition. Second, gallbladder stasis may lead to bile stasis. Third, infection may predispose a person to stone formation. Fourth, genetics and demography can affect stone formation.
There are surgical and non surgical removal of GaIlastones. Nonsurgical management includes Dissolving gallstones, stone removal by instrumentation, Intracorporeal Lithotripsy and Extracorporeal Shock Wave Lithotripsy while surgical management includes Laparoscopic Cholecystectomy, Cholecystectomy, Mini Cholecystectomy, Choledochostomy, Surgical and Percutaneous Cholecystectomy In the case of our patient the treatment that cured her gallbladder disease is surgical removal of thegallbladder, cholecystectomy. Generally, when stones are present and causingsymptoms, or when the gallbladder is infected and inflamed, removal of the organ is usually necessary.
Most patients experience no further symptoms after cholecystectomy. However, mild residual symptoms can occur, which can usually be controlled with a special diet and medication. Our group was given opportunity to have a hospital exposure at Lipa Medix Medical Center last December 10.It was on that said date that the group found a creditable case sensible to be presented as case presentation and was agreed by whole group. The patient, F.O, was one of the patients admitted because of Cholelithisis. The group chose patient F.O as their subject primarily because her case posed as a very intricate case requiring due understanding and knowledge. Making this case is a good avenue to broaden the proponents’ knowledge about the illness involved.
Brunner and Suddhart’s Medical Surgical Nursing. (2010). Smeltzer et al., 12th Ed. Volume 2. Assessment and Management of patient with Biliary
Disorders pp 1172-1179 Principles of Medical Surgical Nursing. Lemone and Burke.4th Ed. Volume 1.Nursing Care Of Clients with Gall bladder, Liver and Pancreatic Disordders pp 697-698. http://www.scribd.com