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Pancreatitis abscess - Coggle Diagram

- - - - To reduce and promote comfort of patient
    - - No pain
      - Good facial expression
      - Pain score decrease or 3/10
    - - Impression : Pancreatic abscess
      - Face expression is anxiety about pain
    - - The patient complaint generalized abdominal pain with pain score 5/10, Date 20/12/2021
    - - Assess Bowel sound ( inspection, auscultation, percussion, palpitation )of patient
      - Adjust head of bed of 15-30 degrees position to relax abdominal pain
      - Assess facial expression for assessing pain of patient
      - Promote safety and reacted environment , sleep and rest to relieve pain
      - Assess pain score of patient
      - Tramadol 50 mg 1 tab per oral prn for severe pain
      - Assess side effect of Tramadol ( nausea vomiting, dizziness, drowsiness) if have side effects notify the doctor
    - - Pain is an unpleasant sensation and emotional experience that links to tissue damage. It allows the body to react and prevent further tissue damage. pancreatitis is inflammation of the pancreases it is caused by the inability of pancreatic juice to pass through the pancreatic duct, grastic juice instead of pancreatic tissue thus causing more inflammation and pain in the upper part of your belly that goes into your back. Eating may make it worse, especially foods high in fat
    - - Date 22/12/2021
        
        Pain score of patient is 3
        
        Good facial expressions
      - Date 23/12/2021
        
        Pain score of patient is 3
        
        Good facial expressions
      - Date 21/12/2021
        
        Good facial expressions
        
        Pain score of patient is 4
      - Date 24/12/2021
        
        Pain score of patient is 3
        
        Good facial expressions
      - Date 20/12/2021
        
        Pain score of patient is 4
        
        Good facial expressions
  - - - His facial expression has not anxiety and discomfort
      - Patient didn’t have criteria of SIRS such as body temperature, Heart rate , Respiratory, WBC
      - Patient has body temperature 35.4-37.4 C
    - - Provide tepid sponge to reduce high fever and hygiene care to patient comfort
      - Provide cold pack for reduce high temperature of patient
      - Assess vital sign every 4 hours to assessing high body temperature of patient
      - Stimulate patient to sip a water for reduce heat body
      - Assess criteria of SIRS such as body temperature, Heart rate , Respiratory, WBC
      - Provide antibiotic vancomycin 500 mg every 8 hours (20/12/2021)
      - Assess side effects of medication after give antibiotics for reduce infection of patient
    - - To promote comfort and decrease infection
    - - Patient said “I feel fatigue and tired “, Date 20/12/2021
    - - MRCP at 6.0x2.6-cm multiloculated rim-enhancing lesions at peripancreatic region adjacent to body, Date 15/12/2022
      - Impression : Pancreatic abscess
      - Body temperature 38.6 C, Date 20/12/2021
    - - Date 20/12/2021
        
        Patient has body temperature 38.4 C
        
        Facial expressions has anxiety and discomfort
        
        Patient has criteria about SIRS about high body temperature
      - Date 21/12/2021
        
        Facial expressions has anxiety and discomfort
        
        Patient has criteria about SIRS about high body temperature
        
        Patient has body temperature 38.7 C
      - Date 22/12/2021
        
        Facial expressions has not anxiety and discomfort
        
        Patient has body temperature 37.2 C
      - Date 23/12/2021
        
        Patient has body temperature 37.4 C
        
        Facial expressions has not anxiety and discomfort
      - Date 24/12/2021
        
        Patient has body temperature 37.2 C
        
        Facial expressions has not anxiety and discomfort
    - - Pancreatitis is a disease caused by inflammation of the cells of the pancreas with both acute inflammation that occurs suddenly. But most of the symptoms do not last long and usually get better on their own and chronic inflammation in which the cells of the pancreas are destroyed until they are unable to recover. The cause of this disease is mainly from gallstones in the gallbladder and from heavy alcohol consumption
  - - - Plan for Percutaneous Drainage underlying alcoholic chronic pancreatitis
      - The patient ask about Percutaneous Drainage
      - He look anxiety
    - - patient said “ I feel anxiety about PCD “
    - - To promote patient understanding about Percutaneous Drainage and relieve anxiety
    - - The patient said that he not anxiety
      - The face expression of the patient is not anxiety
      - He can answer 3/4 questions about Percutaneous Drainage
    - - Assess knowledge about Percutaneous Drainage of patient
      - Provide information about Percutaneous Drainage to patient for reduce anxiety
      - Reassure the patient understands about Percutaneous Drainage
      - Encourage the patient to ask questions and ventilated
    - - Anxiety is caused by environmental factors such as injury, lack of knowledge or experiencing events that may cause anxiety especially this patient has a congenital disease and is an elderly person is worried about treatment or lacks knowledge and understanding of the disease that he or she is causing anxiety.
    - - Date 21/12/2021
        
        The patient said that he not anxiety
        
        He can answer 4/4 questions about Percutaneous Drainage
        
        The face expression of the patient is not anxiety
      - Date 22,23,24/12/2021
        
        No problem
      - Date 20/12/201
        
        The face expression of the patient is anxiety
        
        The patient said that he anxiety
        
        He can answer 3/4 questions about Percutaneous Drainage
- - - - Hemoculture II results: No growth after 5 days
      - MRCP results: peripancreatic fluid collection or abscess
    - - Hemoculture I results: Streptococcus group c
      - Hemoculture II results: No growth after 2 day
- - - - Family history of pancrease disoder
      - Gallstones
      - Cystic fibrosis
      - High triglycerides
      - Longtime alcohol use
    - - Higher heart rate
      - Nausea and vomiting
      - Fever
      - Swollen and tender belly
      - Pain in the upper part of your belly that goes into your back. Eating may make it worse, especially foods high in fat