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Describe the typical presentation and location of lesions in Crohn's Disease.
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Lesions in Crohn's Disease are transmural and can be random, commonly affecting the distal ileum and ascending colon. They may lead to abscesses, ulcers, fissures, fistulas, scarring, fibrosis, and stenosis.
Why is therapeutic communication essential in nursing care for IBD patients?
Therapeutic communication is essential to support the psychosocial and holistic needs of IBD patients, addressing stress and quality of life concerns.
How can a colectomy cure Ulcerative Colitis?
Colectomy can cure Ulcerative Colitis because it involves removing the diseased part of the colon, thus eliminating the site of inflammation.
What surgical option is available for Crohn's Disease, and why does it not cure the disease?
Ileostomy is a surgical option for Crohn's Disease, but it does not cure the disease because Crohn's can affect any part of the GI tract.
What are the primary diagnostic tools for Crohn’s Disease?
Primary diagnostic tools include x-rays, MRIs, CT scans, colonoscopy, CBC, BMP, inflammation markers like ESR and C-reactive protein, albumin, and protein levels.
What are the suspected factors contributing to the onset of Crohn's Disease?
Genetics, immune response, and gut microorganisms are suspected factors contributing to Crohn's Disease.
What are the main differences in symptom location between Crohn’s Disease and Ulcerative Colitis?
Crohn's Disease may cause pain in the right lower quadrant while Ulcerative Colitis often causes pain in the left lower quadrant with bloody diarrhea.
Identify life-threatening complications associated with Crohn's Disease.
Life-threatening complications include strictures, obstructions, fistulas, abscesses, colon cancer, perforation, hemorrhage, and peritonitis.
What additional nursing interventions are emphasized specifically for Ulcerative Colitis?
Nursing interventions include managing severe anemia and potential blood transfusions, in addition to anatomical and psychosocial care.
Why is patient education critical in the management of IBD?
Patient education is critical to improve patients' understanding, compliance with treatment plans, and management of potential complications of IBD.
List common treatments for Crohn's Disease.
Common treatments include corticosteroids, amino salicylates, immunomodulators, monoclonal antibodies, antibiotics, and parenteral feeding.
What urgent complication must be managed in Ulcerative Colitis to prevent fatal outcomes?
Toxic megacolon in Ulcerative Colitis requires immediate management to prevent fatal outcomes.
Explain why IBD might be exacerbated during hospital stays for other conditions.
IBD may be exacerbated due to increased stress or inflammatory responses that can be triggered by various factors during hospital stays.
What distinguishes Ulcerative Colitis lesions from those in Crohn's Disease?
Lesions in Ulcerative Colitis only affect the mucosal and submucosal layers of the colon and rectum and typically cause severe bleeding.
How do the symptoms of Crohn's Disease differ based on the location of lesions in the GI tract?
Lesions in the small bowel mainly cause absorption issues, leading to malnutrition, while those in the large bowel predominantly cause water and electrolyte imbalance issues.
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