first of all, i want to make sure that you know about these threads on the nursing student forums even though you say you have been lurking for a while. much of what i say in answer to questions about care plans
is also posted in replies on these threads as well:
ok. now, start with the nursing process. writing a care plan is the nursing process on paper. first step is to collect data. what data have you collected on this patient? all i know from what you posted is that he has an elevated alt (alanine aminotransferase). and, by the way, alt is found to be elevated in people who have pancreatitis so this is not a surprise to me. in order to complete a care plan, however, you need more data than just lab results. what did you learn about this patient's ability to perform his adls? what kinds of statements did he make to you that might have set off a red flag in your mind? what signs and symptoms did the physician list for this patient on his history and physical? what kinds of medications and treatments were ordered? all these things are information that will help you in planning this patient's care. only after developing this list of abnormal data can you begin to choose nursing diagnoses for him. then, you proceed to the formulation of outcomes and nursing interventions. so, i can't help you any further with a care plan without any other assessment data.
with regard to the pathophysiology of acute pancreatitis, i have some weblinks that you might find helpful. in general, the majority of people who get pancreatitis are abusing alcohol or drugs. that's not to say that all are involved in these behaviors. when there is alcoholism involved the patient is continually ill with this disease because the ingestion of alcohol keeps aggravating the condition. liver disease and cirrhosis are usually not far behind.
- pathophysiology of the digestive system. this is for medical students, but still has some good information although it is very basic.
- this is a real nice tutorial on pancreatitis designed for patients, but you should take a look at it for the good information in it. if you don't want to see it as a slide show you can just download a text version of the script.
- information on pancreatitis from jama
- links to information on pancreatitis
- a really good discussion by physicians about acute pancreatitis, its definition, prevalence, etiology, pathophysiology, signs and symptoms, diagnosis, treatment and outcomes.
- about chronic pancreatitis from the same source.
some of the nursing diagnoses that you are going to want to consider for this patient will probably be:
- acute pain
- imbalanced nutrition: less than body requirements
- deficient fluid volume (if he is vomiting)
- excess fluid volume (if his kidneys have shut down and he's not making urine)
if you have more information that i can work with, please post it so i can help you out.
welcome to allnurses!