Week 9 Practicum Reflective Post: Irritable bowel syndrome

Week 9 Practicum Reflective Post: Irritable bowel syndrome: Select an experience you have had recently in your practicum. Describe the experience, your thoughts and feelings, your evaluation of the situation, your analysis of the experience, conclusions and learning from the experience, and your action plan resulting from the experience…

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Week 9 Practicum Reflective Post: Irritable bowel syndrome

Paper details

Will do patient that came in with irritable bowel syndrome

Select an experience you have had recently in your practicum. Describe the experience, your thoughts and feelings, your evaluation of the situation, your analysis of the experience, conclusions and learning from the experience, and your action plan resulting from the experience, using scholarly writing, APA 7th ed. For peer response replies, critique 2 of your classmates experiences and discuss.

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Provide rationale and respond to faculty. The purpose of assignment is to stimulate the student to build and experience community together, analyze learning elements and connections to the primary care adult patients. This assignment is intended to allow you to show evidence of achievement of: Utilize the Information technology to access current, up to date information on a patient Provide patient education to the patient and family regarding the health condition Describe health maintenance issues and disease prevention for this age group Will Discuss IBS sorry forgot to include

Solution

Week 9 Reflective Post

Recent Experience

I encountered a 25-year lady with an irritable bowel syndrome (IBS) in my recent practicum. She visited the facility complaining of stomach pains that worsen after eating, bloating, and constipation. She adds that she has recently been taking a lot of refined grains and cheese.

Thoughts and Feelings

I felt she was experiencing a condition with her gastrointestinal system, but I was unsure which one was specific. For a more accurate diagnosis, I conducted a stool test to check for infection with the intestines, which could have affected malabsorption. This test would help rule out other conditions that present similar symptoms, such as Crohn’s disease, gallstones, and inflammatory bowel disease (Perera et al., 2019). I also asked about her current medical history to add to the subjective data.

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Situation Evaluation

Following several questions, she reported taking at least two glasses of wine daily. She denied having a family history of gastrointestinal-related conditions. She also added that she has been experiencing heightened stress after breaking up with her boyfriend.

Analysis

Based on the subjective data, the patient presents irritable bowel syndrome. This condition is characterized by abdominal pain, bloating, cramping, and constipation. Nonetheless, the patient has an increased chance of this condition as she is a female below 50 years of age, indulges in excessive alcohol consumption, stress and has been taking a lot of cheese and refined grains which are some of the triggers of irritable bowel syndrome (Dionne et al., 2018). Additionally, the stool test showed that the patient had mucus on the stool, which confirmed the condition.

Conclusion and Learning

Following the situation analysis, it is clear that the patient had mild irritable bowel syndrome. I also learned that while the condition may be wrongly diagnosed due to similarities in symptoms presented, there is a need to carry out laboratory tests to confirm the diagnosis.

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Action Plan

The main treatment objective was to reduce the symptoms to prevent severe IBS, leading to colon cancer. Therefore, I prescribed linaclotide 30 minutes before meals to increase fluid secretion in the small intestine, which helps to pass stool. Additionally, I asked the patient to take more fiber supplements, exercise regularly, reduce alcohol consumption and avoid taking gluten and high gas (Shah et al., 2020). Through medication and lifestyle changes, the patient’s well-being will improve.

References

  • Dionne, J., Ford, A. C., Yuan, Y., Chey, W. D., Lacy, B. E., Saito, Y. A., Quigley, E. M., & Moayyedi, P. (2018). A systematic review and meta-analysis evaluating the efficacy of a gluten-free diet and a low FODMAPS diet in treating symptoms of irritable bowel syndrome. American Journal of Gastroenterology, 113(9), 1290-1300. https://doi.org/10.1038/s41395-018-0195-4
  • Perera, L. P., Radigan, M., Guilday, C., Banerjee, I., Eastwood, D., Babygirija, R., & Massey, B. T. (2019). Presence of irritable bowel syndrome symptoms in quiescent inflammatory bowel disease is associated with high rate of anxiety and depression. Digestive Diseases and Sciences, 64(7), 1923-1928. https://doi.org/10.1007/s10620-019-05488-8
  • Shah, K., Ramos-Garcia, M., Bhavsar, J., & Lehrer, P. (2020). Mind-body treatments of irritable bowel syndrome symptoms: An updated meta-analysis. Behaviour Research and Therapy, 128, 103462. https://doi.org/10.1016/j.brat.2019.103462

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