Professional Documents
Culture Documents
College of Nursing
CASE PRESENTATION
INGUINAL HERNIA
I. OBJECTIVES
At the end of the case presentation our audience and co-learners in the field of health will
be able to enhance their knowledge, skills and attitudes in properly initiating the actual duties
and responsibilities of a hospital nurse by participating in the reduction of the mortality,
morbidity, disability and further complications of Inguinal Hernia in order to be an effective
and proficient nurses in the future
II. INTRODUCTION
b. Etiology
c. Incidence
d. Theoretical Framework
Adamson University
College of Nursing
Name: Patient RM
Address: San Jose Del Monte, Bulacan
Religion: Catholic
Age: 27
Sex: Male
Race: Asian
Marital Status: Single
Educational Attainment: High School Graduate
Occupation: Carpenter
Date of Admission: November 17, 2010;
Time of Admission: 5:05PM
a. Chief Complain
“Nahihirapan akong umihi at masakit ang ari ko, nagsuka na din ako kaya
dinala na ako sa hospital” as verbalized by the client
b. Present History
Patient RM was admitted at Bulacan Medical Center at 5:05 PM of November
17, 2010. He said that he had difficulty in urinating and he feel pain in his
groin every time he walks He said that this happened after he played basketball
last November 16, 2010 from 8 AM to 3 PM having only little time of rest.
c. Past History
For his childhood illnesses, he experienced asthma, mumps and chicken pox.
He also said that he was able to complete the immunizations when he is a child.
He has an allergy in cement powder, he feels itchy whenever it touches his skin.
It was his first time to be hospitalized. As for his asthma, he took herbal
medicines as given by his grandmother.
d. Personal And Social History
He is married with five children. He has a good family support in the home.
SOCIO ECONOMIC STATUS : He is a retired from job. He has middle class
socioeconomic status
.
e. Developmental History
Adamson University
College of Nursing
f. Physical Examination
assessed
Appearance
Pallor noted.
Smooth in texture.
Pale conjunctiva.
Ears Ears are symmetrical in size and in line with the outer
canthus of the eyes.
distance of 10cm.
Genital Has discharges which appear white and watery and has
foul odor.
Adamson University
College of Nursing
The gastrointestinal tract in humans begins at the mouth, continuing through the
esophagus, stomach, small and large intestines. Taken as a whole, the GI tract is about 9
meters in length. There are many supporting organs as well, such as the liver, which
helps by secreting enzymes that are necessary for the digestion of food.
The human GI tract can be divided into two halves, namely, the upper GI tract and the
lower GI tract.
Upper Gastrointestinal tract
The Mouth
It includes the teeth, tongue, and buccal mucous membranes containing the ends of the
salivary glands that continue with the soft palate, floor of the mouth, and underside of
the tongue. Mouth functions by chewing the food, constantly by the muscular action of
the tongue, cheeks, teeth through the lower jaw and upper jaw.
The Pharynx
The pharynx is enclosed in the neck and throat which functions as part of both the
digestive system and the respiratory system. It protects the food from entering the
trachea and lungs.
The Esophagus
A muscular tube-like structure that functions by carrying food to the stomach. Once the
chewed food reaches the esophagus from the mouth, the action of swallowing becomes
involuntary and is controlled by the esophagus.
The Stomach
This is where most of the digestion takes place. The stomach is a J-shaped bag-like
organ that stores the food temporarily, breaks it down, mixes and churns it with
enzymes and other digestive fluids and finally, passes it along to the small intestine.
Adamson University
College of Nursing
Small intestine
The small intestine is a coiled thin tube, about 6 meters in length, where most of the
absorption of nutrients takes place. Food is mixed with enzymes from the liver and the
pancreas in the small intestine. The surfaces of the small intestine functions by absorbing
the nutrients from the food into the bloodstream, which carries them to the rest of the body.
Large Intestine
The large intestine, also known as the Colon, is a thick tubular organ wrapped around the
small intestine. Its primary function is to process the waste products and absorb any
remaining nutrient and water back into the system. The remaining waste is then sent to the
rectum and discharged from the body as stool
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College of Nursing
VI. PATHOPHYSIOLOGY
Excessive use of
abdominal muscles
Cell damage
scrotum
Inflammatory response
PAIN
Adamson University
College of Nursing