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Second level
Third level
Fourth level
Fifth level
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Copyright 2015, 2011 by Education, Inc.
All Rights Reserved
Nursing A Concept-Based Approach to Learning
Volume One, Second Edition
Copyright 2015, 2011 by Education, Inc.
All Rights Reserved
Nursing
A Concept-Based Approach to Learning
VOLUME ONE SECOND EDITION
Nursing A Concept-Based Approach to Learning
Volume One, Second Edition
Copyright 2015, 2011 by Education, Inc.
All Rights Reserved
Nursing A Concept-Based Approach to Learning
Volume One, Second Edition
Click to edit Master text styles
Second level
Third level
Click to edit Master title style
Copyright 2015, 2011 by Education, Inc.
All Rights Reserved
Nursing A Concept-Based Approach to Learning
Volume One, Second Edition
Click to edit Master text styles
Second level
Third level
Click to edit Master title style
Copyright 2015, 2011 by Education, Inc.
All Rights Reserved
Nursing A Concept-Based Approach to Learning
Volume One, Second Edition
Click to edit Master text styles
Second level
Third level
Fourth level
Fifth level
Inflammation
10
Nursing
A Concept-Based Approach to Learning
MODULE
VOLUME ONE SECOND EDITION
The Concept of Inflammation
Concept Learning Outcomes
After reading about this concept, you will be able to
Summarize the physiology of the inflammatory process.
Examine the relationship between inflammation and other concepts/systems.
Concept Learning Outcomes, continued
After reading about this concept, you will be able to
Identify commonly occurring alterations in inflammation and their related therapies.
Differentiate common assessment procedures used to examine the inflammatory process across the life span.
Concept Learning Outcomes, continued
After reading about this concept, you will be able to
Describe diagnostic and laboratory tests to determine the individual s inflammatory process status.
Explain management of the inflammatory process and prevention of inflammation.
Concept Learning Outcomes, continued
After reading about this concept, you will be able to
Demonstrate the nursing process in providing culturally competent and caring interventions across the life span for individuals with common alterations in the inflammatory process.
Concept Learning Outcomes, continued
After reading about this concept, you will be able to
Compare and contrast common independent and collaborative interventions for clients with alterations in the inflammatory process.
Normal Presentation
Inflammation
Adaptive response to injury, illness that brings plasma, dissolved substances, blood cells into interstitial tissues where damage occurred
Nonspecific
Debridement
Damaged cells, bacteria, exudate removed through phagocytosis
Physiology Review
Five signs
Pain
Swelling
Redness
Heat
Impaired function
-itis describes inflammatory process
Physiology Review, continued
Injurious agents
Physical
Chemical
Microorganisms
Inflammatory process
Complex response of vascular tissues triggered by harmful stimuli
Acute or chronic
Physiology Review, continued
j
Physiology Review, continued
Stages of inflammation
Stage 2 exudate production
Serous
Purulent
Hemorrhagic
Stage 3 reparative phase
Regeneration
Fibrous tissue formation
Granulation tissue
Cicatrix
Physiology Review, continued
Genetic and Lifespan Considerations
Genetic and Lifespan Considerations, continued
,
Alterations
Inflammation can occur in any tissue
Common disorders
Allergic rhinitis
Appendicitis
Crohn disease, IBD
Arthritis
Nephritis
Gallbladder disease
Peptic ulcers
Alterations, continued
Autoimmune disorders
Rheumatoid arthritis
Systemic lupus erythematosus
Guillane-Barr syndrome
Alterations and Manifestations
Classic signs
Redness
Swelling
Healthy inflammatory response includes activation and recruitment of WBCs to the affected site
Localized
Generalized
Prevalence
Genetic Considerations and Nonmodifiable Risk Factors
Native or Mexican Americans
Increased risk for gallstones.
Female gender
African Americans
More likely than Caucasians to develop nephritis as a result of lupus
Family history
Associated with peptic ulcer disease
Concepts Related to Inflammation
Infection
Immunity
Oxygenation
Teaching and Learning
Prevention
Avoid known triggers
Avoid foods or beverages that are triggers
Hand washing
Modifiable Risk Factors
Crohn disease
Diet low in refined sugars
Increased fiber intake
Smoking cessation
Gallstone formation
Maintain an appropriate weight
Diet high in fiber and low in fat
Avoid rapid weight loss
Modifiable Risk Factors, continued
Nephritis
Diabetes mellitus
Hypertension
Overuse of NSAIDs
Drug abuse
Screening
For acute disorders with inflammation, screen is not possible
Skin testing identifies allergen
TSH test for Hashimoto thyroiditis
Assessment
Nursing Assessment
History
Risk
Client report that suggests inflammation
Physical assessment
Signs, symptoms vary according to area
Widespread inflammation
Diverse symptoms
Assessment interview
Lifespan and Cultural Considerations
Diagnostic Tests
Interventions and Therapies
Aimed at reducing mobility, edema
Elevation
Antipyretics, anti-inflammatory medications
Specific treatment
Antibiotics
Surgery
Steroids
Interventions and Therapies, continued
Independent
Preventing further injury
Medications as prescribed
Maintaining intake of liquids, nutrients
Interventions and Therapies, continued
Collaborative
Surgery
Pharmacologic therapy
NSAIDs
Corticosteroids
Analgesics
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