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Nursing (890) Inflammatory Bowel

John Marsh
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Inflammatory bowel – nursing-inflammatory bowel disease hesi case study

Delta State University

Nursing (890)

Fight back against


WHEN A PATIENT is admitted to your unit
with a diagnosis of inflammatory bowel disease
(IBD), she has one of two disorders: Crohn’s
disease or ulcerative colitis. Both cause chronic
diarrhea, abdominal pain, fever, arthritis of the
spine and large joints of the arms and legs, and
anorexia, and both can be extremely debilitating,
even life-threatening. But they’re not the
same disease, and you must understand the difference
to intervene appropriately. In this article,
I’ll discuss the similarities and differences,
including diagnostic tests and treatments for
each and what nursing care and teaching you
must be prepared to provide for your patient
after the diagnosis.
Similar but not the same
Crohn’s disease and ulcerative colitis are classified
as IBD because they’re characterized by
chronic inflammation at various sites in the gastrointestinal
(GI) tract. The inflammation usually
causes diarrhea and abdominal pain. Both
types of IBD are chronic, wax and wane in
severity, and can cause signs and symptoms in
other parts of the body. However, ulcerative colitis,
which is confined to the colon, can be
cured by removing the colon. Because Crohn’s
disease can affect the entire GI tract, it’s considered
manageable but incurable.
Both types of IBD can strike at any age but
most patients first experience problems
between ages 10 and 30, with a smaller peak
incidence between ages 50 and 60. The risk is
higher among white patients compared with
nonwhites and among Jewish patients com-



Nursing (890) Inflammatory Bowel

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