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elderly male stomach cancer patient (successful jejunal feeding tube…
elderly male stomach cancer patient
successful jejunal feeding tube placement
neglects to take care of insertion area with unhygienic techniques leading to a nasty infection
other complications include bowel necrosis, infection and intolerance
inadequate nutrition leads to starvation then death
takes care of area skin around feeding tube avoiding infection and irritation
tube will have to be replaced every now and then in addition to good hygiene of washing with soap and water, tube flushing as well as proper taping of the tube to adhere to skin preventing opportunistic infections
is diagnosed with stomach cancer and has a feeding tube placed starting in the jejunum
continues to eat a high cholesterol high in fats diet after removal even though he no longer has the essential organ
excess dietary cholesterol leads to gallstones that get out of control and prevent the release of bile so it is decided it would be best if the gallbladder was removed
Male has a family history of stomach cancer but continues to eat a high salt diet and other irritating foods that are high in cholesterol
Physiology of the digestive tract
mouth- teeth and chewing break down food by mechanically breaking up the food through chewing and chemically beginning digestion through saliva via salivary glands to break down and moisten through serous or mucous the food which is now named bolus
pharynx and esophagus- the throat serves multiple functions, the pharynx breaks off at the esophagus taking food to the stomach via peristalsis and breaks off the trachea which takes air to the lungs
lower esophageal sphincter allows food to pass from the esophagus into the stomach and keep it there
stomach secretes HCI and pyloric acid to break down the food called chyme at this point to churn, chemically break down and turn chyme into a liquid substance to prepare for absorption
small intestines duodenum jejunum and ileum chyme is continued to be broken down in the duodenum via help of the liver gallbladder and pancreas through enzymes and bile to further break down the food and is moved peristalsis to the jejunum and ileum for absorption of nutrients
cecum and colon- small intestines dumps food chyme into the ascending colon where the appendix is located at the bottom for immunity purposes preventing a bacterial infection incase of a backup, chyme moved into transverse colon where water is continued to be absorbed into the descending colon all via peristalsis into the sigmoid where the now solid waste is stored
rectum - sensors communicate via nervous system telling brain time to release and holds until release
anus internal and external anal sphincters, pelvic floor muscles keep contents from exiting when it is not supposed to and when its time, release contents that is now called feces
where the essential nutrients that are needed and absorbed containing vitamins, minerals, protein, fats, water and carbs
Anatomy of the digestive tract
mouth- mechanical and chemical digestion through teeth and saliva via salivary gland
pharynx and esophagus- (throat) connects and delivers food from mouth to stomach
lower esophageal sphincter open close valve connecting esophagus and stomach
stomach- enzymes and acid
small intestines - upper GI tract duodenum jejunum and ileum
cecum and colon - lower GI tract colon starts with the ascending with attached appendix , transverse , descending into the sigmoid of the colon
rectum- sphincters
anus- internal and external anal sphincters
liver gallbladder bile, pancreatic enzymes
early stage stomach cancer treated with chemotherapy and proactive drugs
moderate stage stomach cancer may be treated with chemotherapy stacked with radiation
severe stage stomach cancer leads to a Gastroenterostomy
cancer too far advanced hospice and support groups are the best option to improve remainder of life time
death
maldigestion and malnutrition
diarrhea with the new shortened GI tract
anemia because of malnutrition lack of essential nutrients
bypassing of the duodenum may cause bone disease
dumping syndrome may cause rapid emptying into the jejunum after eating or prolonged caused by too high intake of refined sugars
malnourishment = death
cholecystectomy and later potential
Complete gastrectomy
feeding tube placement for nutrition
enteral nutrition delivering protein, carbs/sugar, fat, vitamins and minerals to maintain metabolic functions of the body
life time of active awareness and care for new lifestyle change to maintain health and life