Gastrorrhagia

Paper Summary:

The paper provides an overview of the identification of an imaginary patient with gastrorrhagia at the emergency department. The paper provides an analysis of the patient's pathophysiological response to the condition and discusses the features of the holistic assessment this patient requires. The paper offers a justification for the planning and implementation of appropriate treatment plans and interventions used and discusses health education advice. The paper also presents an analysis of the nurse's role within the multidisciplinary team.

Outline:
Introduction
Review and Discussion
Conclusion and Recommendations

From the Paper:

"Gastrorrhagia, or a gastric hemorrhage or bleeding, can be caused by a wide range of conditions, but immediate (same day) specialist referral is indicated for patients presenting with dyspepsia together with significant acute gastrointestinal bleeding (Clinical Guideline 17: Dyspepsia 2004). According to the current NICE guidelines, urgent specialist referral for endoscopic investigation is indicated for patients of any age that are diagnosed with dyspepsia when they present with any of the following: (a) chronic gastrointestinal bleeding, (b) progressive unintentional weight loss, (c) progressive difficulty swallowing, (d) persistent vomiting, (e) iron deficiency anaemia, or (f) epigastric mass or suspicious barium meal (Clinical Guideline 17: Dyspepsia 2004)."

Sample of Sources Used:

• Barve, S., Hill, D., Marsano, L. L., Mcclain, C. J., & Mendez, C. (2003). "Diagnosis and Treatment of Alcoholic Liver Disease and Its Complications." Alcohol Research & Health 27(3):247.
• Dyspepsia: Management of dyspepsia in adults in primary care. NICE Clinical Guideline 17. [Online]. Available: http://www.nice.org.uk/guidance/CG17/niceguidance/word/English.
• Garcia, N., Jr., & Sanyal, A. J. (2001). "Portal hypertension." Clinics in Liver Disease, 5(2):509- 540.
• Govoni, R., Mann, R. E., & Smart, R. G. (2003). "The Epidemiology of Alcoholic Liver Disease." Alcohol Research & Health 27(3):209.
• Henderson, L., & Wood, R. (2000). Explaining Endometriosis. St. Leonards, NSW: Allen & Unwin.

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