1. SEMINAR ( Inflammatory Bowel Disease )
Done by:

2. content : Introduction Scenario Last of nursing diagnosis
Nursing care plan
Evidence base practice
Summary & conclusion
References

3. Introduction
chronic inflammatory GI disorders ( Crohn’s disease and Ulcerative colitis ) .
Unknown Cause
triggering factors : Food additives /Tobacco/ smoking /Use of NSAID and other .

4. Right lower abdominal pain Left lower abdominal pain Steatorrhea
Crohn’s Disease
Ulcerative Colitis
acute or chronic inflammation of the layers of GI tract wall (distal ileum to ascending colon)
inflammatory disease of mucosal and sub-mucosal layers of colon and rectum
Right lower abdominal pain
Left lower abdominal pain
Steatorrhea
Bleeding
Diarrhea Less severe
Diarrhea
10-20 times
Dehydration

5. Scenario

6. Last of nursing diagnosis
Diarrhea R/T inflammatory process
Acute pain R/T increased peristalsis & GI inflammation
Imbalanced nutrition R/T diet restriction and malabsorption
Deficient fluid volume R/T nausea and diarrhea
Anxiety R/T change in health status
Risk for impaired skin integrity R/T diarrhea

7. Nursing care plan Actual Nursing Diagnosis :
Diarrhea R/T inflammatory process AMB Frequent, and often severe, watery stools and Increased bowel sounds
Outcomes:
Pt report reduction in frequency of stools, return to more normal stool consistency and avoid contributing factors within one week.

8. Nursing Interventions :
 Observe and record stool frequency, characteristics, amount, and precipitating factors.
 Identify foods and fluids that precipitate diarrhea, e.g., raw vegetables and fruits, whole-grain cereals, condiments, carbonated drinks, milk products.
 Promote bed rest, provide bedside commode.
 Restart oral fluid intake gradually. Offer clear liquids hourly; avoid cold fluids.

9. Actual Nursing Diagnosis :
Imbalanced nutrition less than body requirements R/T diet restriction and malabsorption AMB pt look thin has weight 61 kg and pt feel weak .
Outcomes :
Pt will gain weight 2 kg within one month and absence of signs of malnutrition.

10. Nursing Interventions :
 Weigh daily and check for BS
Provide oral hygiene.
Avoid foods that might cause abdominal cramping (e.g., milk products, foods high in fiber or fat, alcohol)
Provide clear liquids progressing to bland, low residue; then high-protein, high-calorie, caffeine-free, non-spicy, and low-fiber as indicated.
Record intake and out put.

11. Potential Nursing Diagnosis :
Risk for impaired skin integrity R/T diarrhea
Outcomes :
Pt skin remain intact .

12. Nursing Interventions :
Inspect skin daily .
Clean and dry the area after defecation .
Irritated area over bony prominences must given immediate attention .
Avoid tight cloth and change the cloth to relieve pressure and contamination of microorganisms .

13. Evidence base practice

14. Summary & conclusion

15. References :