Term
|
Definition
PROTRUSION OF THE BOWEL THROUGH A DEFECT (CONGENITAL, ACQUIRED, OR POST OP) IN THE ABDOMINAL WALL
|
|
|
Term
|
Definition
| UNABLE TO PUSH BOWEL BACK IN & CIRCULATION CUT OFF LEADING TO GANGRENE OF BOWEL |
|
|
Term
HERNIAS
INCARCERATED/NONREDUCIBLE |
|
Definition
| UNABLE TO PUSH BOWEL BACK IN R/T EDEMA OF TISSUES & CONSTRICTION OF MUSCLE |
|
|
Term
|
Definition
| ABLE TO PUSH THE BOWEL BACK INTO THE ABD. WITH PT. SUPINE |
|
|
Term
|
Definition
| MOST COMMON TYPE, MEN > WOMEN |
|
|
Term
|
Definition
FOLLOWS SPERMATIC CORD IN MEN,
ROUND LIGAMENT IN WOMEN |
|
|
Term
|
Definition
| FOLLOWS POSTERIOR INGUINAL WALL |
|
|
Term
|
Definition
UMBILICAL ORIFICE DOES NOT CLOSE AFTER BIRTH, PROLONGED ABD DISTENSION IE PREGNANCY, OBESITY
WOMEN > MEN
|
|
|
Term
|
Definition
BOWEL PROTRUDES WHERE FEMORAL ARTERY ENTERS FEMORAL CANAL, BELOW INGUINAL LIGAMENT
WOMEN > MEN
ESP. OLDER WOMEN WHO’VE HAD CHILDREN
MOST LIKELY TO STRANGULATE
|
|
|
Term
HERNIAS
INCISIONAL (VENTRAL) |
|
Definition
OCCURS WHEN HEALING IMPAIRED OR POOR SURGICAL TECHNIQUE
|
|
|
Term
|
Definition
WOUND INFECTION, OBESITY, AGING
|
|
|
Term
HERNIAS
CLINICAL MANIFESTATIONS
INITIALLY
|
|
Definition
NONE EXCEPT SMALL VISIBLE PROTRUSION NOTED
MORE APPARENT WHEN COUGHING, LIFTING, OR BEARING DOWN
MAY BE SLIGHTLY PAINFUL UNTIL REDUCED
|
|
|
Term
HERNIAS
CLINICAL MANIFESTATIONS
LATER
|
|
Definition
BECOMES LARGER & MAY BECOME INCARCERATED OR STRANGULATED
|
|
|
Term
HERNIAS
CLINICAL MANIFESTATIONS STRANGULATION |
|
Definition
EXTREME PAIN & INTESTINAL OBSTRUCTION R/T KINKED & EDEMATOUS
ACUTE EMERGENCY – NEED IMMEDIATE SURGERY TO PREVENT DEAD BOWEL
|
|
|
Term
GENERAL HERNIA MANAGEMENT
MEDICAL |
|
Definition
FOR PT. WHO IS UNABLE OR UNWILLING TO HAVE SURGERY
WEAR TRUSS
PERIODIC REDUCTION (PT. CAN LEARN TO DO) |
|
|
Term
GENERAL HERNIA MANAGEMENT
SURGICAL REPAIR
HERNIORRHAPHY |
|
Definition
| PUSH BOWEL BACK IN & REPAIR DEFECT |
|
|
Term
GENERAL HERNIA MANAGEMENT
SURGICAL REPAIR
HERNIOPLASTY |
|
Definition
| WEAK AREA AT HIGH RISK FOR RECURRENCE (IE OBESE OR LONG NEGLECTED) SO USE MESH, WIRE, OR FASCIA TO REINFORCE MUSCLE |
|
|
Term
|
Definition
| T&DB BUT NO COUGH (R/T COUGH INCREASES ABD PRESSURE) UNLESS ACTUAL SECRETIONS PRESENT, I&O, WOUND CARE, MOBILIZE |
|
|
Term
HERNIAS
NURSING
TEACH PT.
|
|
Definition
OBSERVE FOR S/S STRANGULATION IF NO SURGERY
|
|
|
Term
HERNIAS
NURSING
TEACH PT.
TRUSS MANAGEMENT IF NO SURGERY
|
|
Definition
SKIN IRRITATION – USE CORNSTARCH & KEEP AREA CLEAN & DRY
HOW TO PUT IT ON
|
|
|
Term
HERNIAS
NURSING
TEACH PT
COUGHING
|
|
Definition
CONTROL COUGH & SUPPORT AREA WITH HAND
|
|
|
Term
HERNIAS
NURSING
TEACH PT.
AVOID INCREASED ABD PRESSURE
|
|
Definition
AVOID CONSTIPATION, PROLONGED STANDING, HEAVY LIFTING
GOOD BODY MECHANICS
OCCUPATION MODIFICATION FOR HEAVY WORK
|
|
|
Term
HERNIAS
NURSING
TEACH PT.
POST-OP -- |
|
Definition
ELEVATE SCROTUM WITH ICE & REPORT INCREASED EDEMA
|
|
|
Term
HERNIAS
NURSING
TEACH PT.
WRITTEN INSTRUCTIONS |
|
Definition
| RE: POST-OP COMPLICATIONS (URINARY RETENTION R/T SPINAL OR EPIDURAL ANESTHESIA, BLEEDING, INFECTION) |
|
|
