Nursing care for patients with intestinal obstruction who have co-morbidities Receiving prosthetic fistula surgery: 2 case studies.

Abstract

     This study was 2 case study. The objective is to study and compare nursing care for patients with intestinal obstruction. There were 2 cases who received artificial anus surgery and were admitted for treatment. Khon Kaen Hospital How to perform specific selection procedures in patients with intestinal obstruction who received artificial anus surgery by collecting information from illness history, treatment, medical records, interviews, and assessing health status, determining nursing diagnoses using the concept of patient assessment according to Gordon's 11 health models. Plan nursing action according to nursing diagnosis. Summarize and evaluate results
     Results of the study: Nursing results found that in the preoperative period, the same problems were encountered, namely relatives and patients worried about the condition. Diseases and surgical treatment received during the critical period are also uncomfortable due to pain from the surgical wound. The difference is that each case study has different comorbidities. In case study 1, there was hyperglycemia. and breathing heavily Having low potassium. Case study 2. Risk of acute heart attack. have overhydration and has a lack of oxygen Have an infection in the body Important nursing care in both cases is physical and mental preparation for patients and relatives. It provides information on treatment and surgery regarding anal prostheses. To treat and relieve acute life-threatening problems. And every patient, once they are out of critical condition, must be prepared to take care of their artificial fistula. Total care period for case study number 1 was 16 days, case study case number 2 was 35 days