Nursing care for cholecystectomy with underlying disease : 2 case study

Abstract

     This study was comparative study of 2 case studies. Aimed to study nursing care for gallstone surgery patients with co-morbidities. To be safe and prevent death from complications The patient had open abdominal surgery for gallstones and had comorbidities. By studying patient history from inpatient medical records. History taking of patients and relatives, observation, comparative data analysis according to Gordon's 11 health patterns, from pathology, signs, symptoms, treatment by surgery for gallstones in the gallbladder, problems, and nursing diagnosis. Both before surgery and

after surgery, including discharge planning and continuing care. The study was conducted from October 2020 to December 2020.

     Results: Case Study 1: A 50-year-old Thai man with a history of high blood pressure. Received treatment at Kalasin Hospital and control blood pressure well Came to the hospital with symptoms of abdominal pain and vomiting after eating. Had it 3 hours before coming to the hospital, 2 months ago, had fever and abdominal pain on the right side. Received treatment for cholangitis by doing Endoscopic Retrograde Cholangiopancreatography (ERCP). The doctor diagnosed Common bile duct stone with Acute Cholecystitis. Had Open Cholecystectomy Surgery The total duration of the patient's stay in the hospital was 13 days. Case study 2: A 75-year-old Thai male patient with co-morbidity is high blood pressure. Received treatment at Kalasin Hospital and control blood pressure well Came to the hospital with symptoms after eating Cassia curry. Then there was abdominal pain on the right side, nausea and vomiting for 1 day. The doctor diagnosed Common bile duct stone with Acute Cholecystitis. Had Open Cholecystectomy Surgery After receiving medical treatment, the patient's symptoms improved. The total duration of the patient's stay in the hospital was 6 days.