Nursing Care of Patients with Gallstones Surgery and Co-morbidities : Case study 2 case

Abstract

Objective : To study nursing care for patients with gallstones who have undergone surgery and have comorbidities. Methods : This was a comparative study of gallstone patients who had undergone surgery and had comorbidities. There were 2 cases treated at MahaSarakham Hospital. The tool used Gordon's 11 health care model framework for comparative analysis. covering a holistic dimension. Results : Case 1: Thai female patient, age 66 years. The main symptoms were abdominal pain and distension that had disappeared 3 months before coming to the hospital with a history of Diabetes mellitus, Hypertension, Hyperlipidemia and covid-19  Diagnosis of Gallstone with common bile duct stone 1st surgery Open cholecystectomy with Explore common bile duct (CBD)with Choledochoduodenostomy (CDD) and complications 2nd surgery Re-Explored  common bile duct (CBD) with Choledochoduodenostomy(CDD) Postoperatively, patients were treated both in ICU and inpatient wards until discharge is relieved.

 Case 2: Thai female patient, age 74 years. The main symptoms were abdominal pain and distension that had disappeared 6 months before coming to the hospital with a history of Diabetes mellitus, Hypertension and covid-19 Diagnosis of Symptomatic Gall stone. 1st surgery Laparoscopic cholecystectomy, 2nd surgery Ultrasound guided percutaneous drainage and complications. Patients received treatment in both ICU and inpatient wards until discharge is relieved.

Conclusion: This study was an appointment for patients to undergo surgery. But complications can occur after surgery. Patients must be prepared physically and mentally. The nurse must have the competence to provide care according to standards. will keep the patient safe.