NURSING OBJECTIVE

Jun 29th, 2015
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Tufts University School of Medicine
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Patient J.L.D is 31 year-old married woman who was admitted at the Surgery Department last June 21, 2009 due to severe pain at her right lower quadrant, the patient was diagnosed with acute appendicitis. The patient underwent emergency appendectomy the next day, June 22, 2009.

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I.INTRODUCTIONPatient J.L.D is 31 year-old married woman who was admitted at the SurgeryDepartment last June 21, 2009 due to severe pain at her right lower quadrant, the patientwas diagnosed with acute appendicitis. The patient underwent emergency appendectomythe next day, June 22, 2009.Appendicitis is the inflammation of the vermiform appendix and was firstdescribed as a pathologic condition by Reginald Fitz in 1886, it is caused by anobstruction attributed to infection, stricture, fecal mass, foreign body or tumor.Appendicitis can affect either gender at any age, but is most common in male ages 10-30.Appendicitis is the most common disease requiring surgery and one of the mostcommonly misdiagnosed diseases.Appendectomy, removal of the appendix, is the standard treatment for acuteappendicitis, it is important to immediately remove the appendix after the diagnosis toprevent the occurrence of the life-threatening complication of appendix. The mostfrequent complication of appendicitis is perforation. Perforation of the appendix can leadto a periappendiceal abscess (a collection of infected pus) or diffuse peritonitis (infectionof the entire lining of the abdomen and the pelvis). The major reason for appendicealperforation is delay in diagnosis and treatment. In general, the longer the delay betweendiagnosis and surgery, the more likely is perforation. The risk of perforation 36 hoursafter the onset of symptoms is at least 15%. Therefore, once appendicitis is

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