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This Concept Map, created with IHMC CmapTools, has information related to: Crohn Disease, Key Problem 5: Altered Body Image Nursing Diagnosis: Body Image, Altered Data: -young age -IV access scars -feelings of difference Interventions: -teach acceptance of change -encourage expression -suggest outreach groups for personal/ family support Outcome: -pt will show improvement in confidence level and self esteem Franciscan St. Anthony Health Crown Point Care Plan(2009). Body Image, Altered. leads to increased, Health Care Need: Support with treatment with Remicade infusions every eight weeks for a 17 year old white male newly diagnosed with Crohn's Disease within the past year. Medical Diagnosis: Crohn's Disease Regional Enteritis, Irritable bowel disease (IBD) Key Assessments: Pain, bowel patterns, weight loss, anxiety, Altered body image related to, Health Care Need: Support with treatment with Remicade infusions every eight weeks for a 17 year old white male newly diagnosed with Crohn's Disease within the past year. Medical Diagnosis: Crohn's Disease Regional Enteritis, Irritable bowel disease (IBD) Key Assessments: Pain, bowel patterns, weight loss, anxiety, Altered body image related to, Health Care Need: Support with treatment with Remicade infusions every eight weeks for a 17 year old white male newly diagnosed with Crohn's Disease within the past year. Medical Diagnosis: Crohn's Disease Regional Enteritis, Irritable bowel disease (IBD) Key Assessments: Pain, bowel patterns, weight loss, anxiety, Altered body image related to, Key Problem 1: Pain Nursing Diagnosis: Pain Data: -c/o abdominal discomfort after eating -pain from constipation -pain from diarrhea -emotional pain; from weight loss, inability to eat, -body image disturbance Interventions: -Premedicate with Benedryl and Tylenol -Remicade infusions every 8 weeks -teach pain management strategies -use of analgesics to relieve pain Outcome: -pt will be able to reduce and relieve the pain from the effects of Crohns Franciscan St. Anthony Health Crown Point Care Plan(2009). Pain Pediatrics. From, Key Problem 1: Pain Nursing Diagnosis: Pain Data: -c/o abdominal discomfort after eating -pain from constipation -pain from diarrhea -emotional pain; from weight loss, inability to eat, -body image disturbance Interventions: -Premedicate with Benedryl and Tylenol -Remicade infusions every 8 weeks -teach pain management strategies -use of analgesics to relieve pain Outcome: -pt will be able to reduce and relieve the pain from the effects of Crohns Franciscan St. Anthony Health Crown Point Care Plan(2009). Pain Pediatrics. caused by, Health Care Need: Support with treatment with Remicade infusions every eight weeks for a 17 year old white male newly diagnosed with Crohn's Disease within the past year. Medical Diagnosis: Crohn's Disease Regional Enteritis, Irritable bowel disease (IBD) Key Assessments: Pain, bowel patterns, weight loss, anxiety, Altered body image related to, Health Care Need: Support with treatment with Remicade infusions every eight weeks for a 17 year old white male newly diagnosed with Crohn's Disease within the past year. Medical Diagnosis: Crohn's Disease Regional Enteritis, Irritable bowel disease (IBD) Key Assessments: Pain, bowel patterns, weight loss, anxiety, Altered body image related to, Key Problem 2: Weight loss Nursing Diagnosis: Nutrition, Alteration in: Less than body requirements Data: -within 5 months patient lost 45lbs -loss of appetite -nausea/vomiting/diarrhea Interventions: - initiate and keep a diet diary (trigger foods) - collaborate with a dietitian Outcomes: -pt to maintain a healthy weight -able to have an improved nutritional status Franciscan St. Anthony Health Crown Point Care Plan(2009). Nutrition, Alteration in: Less than body requirements will lead to, Key Problem 3: Bowel Pattern Nursing Diagnosis: Bowel Incontinence Data: -three to four loose bowel movements per day with a constant urge to deficate. Interventions: - assess skin for breakdown -assess stool for blood - Outcome: -pt will have decreased episodes of elimination with the absence of constipation Franciscan St. Anthony Health Crown Point Care Plan(2009). Bowel Incontinence connected both ways; one leads to the other and vise versa Key Problem 2: Weight loss Nursing Diagnosis: Nutrition, Alteration in: Less than body requirements Data: -within 5 months patient lost 45lbs -loss of appetite -nausea/vomiting/diarrhea Interventions: - initiate and keep a diet diary (trigger foods) - collaborate with a dietitian Outcomes: -pt to maintain a healthy weight -able to have an improved nutritional status Franciscan St. Anthony Health Crown Point Care Plan(2009). Nutrition, Alteration in: Less than body requirements, Key Problem 4: Anxiety Nursing Diagnosis: Anxiety Data: -nervousness -irritability -big diagnosis for young age Interventions: - encourage family centered care - detailed and open communication - teach relaxation techniques Outcome: -pt will feel less anxious about disease process and infusions Franciscan St. Anthony Health Crown Point Care Plan(2009). Anxiety. From