Strangulated Ventral Hernia Case Study Spenser Parker April 2, 2014 Overview O Patient Profile O Disease Background O Research Articles O Application to Patient O Nutrition Care Process O Summary O Personal Impression O Questions Patient Profile O DR is a 46 year single Hispanic women O Was admitted January 25 till February 19 O Was discharged to Kindred Hospital O Was in contact with Bariatric Surgeon O Is not a smoker or tobacco user Medical History O Diabetes Mellitus Type 2 O Hypertension O Bronchial Asthma O Previous SBO with resection 2 years ago O Morbid Obesity Disease Background O Video of Ventral Hernia Video of Ventral Hernia O Two possible causes of hernia are previous surgery and obesity O Obstruction can lead to distention O Severe distention leads to occlusions O Occlusions lead to necrosis, sepsis, fever, and perforation Huether, S. E., 2002 p.1270, Nucleus Medical Group, 2011 (Video) Pus from 5 Day Old Small Bowel Perforation Signs/Symptoms O Abdominal pain O Vomiting/Nausea O Dehydration O Constipation-or-Diarrhea O Minor obstructions have waves of pain O Major obstructions have constant severe pain Huether, S. E., 2002 p.1271 A randomized study on the clinical progress of high-risk elective major gastrointestinal surgery patients treated with olive oil-based parenteral nutrition with or without a fish oil supplement O Sought to find how fish oil compared to olive oil in lipid based parenteral nutrition on infection rates in high risk surgery O Prospective double-blind study in Barcelona Spain O 27 participants Badia-Tahull et. al. 2010 A randomized study on the clinical progress of high-risk elective major gastrointestinal surgery patients treated with olive oil-based parenteral nutrition with or without a fish oil supplement O Inclusion criteria was patients that were having gastro-intestinal surgery that would require at least 5 days of parenteral nutrition O Patients with renal failure, hepatic disease, hemorrhagic disorder, or unstable diabetes were excluded from the study Badia-Tahull et. al. 2010 A randomized study on the clinical progress of high-risk elective major gastrointestinal surgery patients treated with olive oil-based parenteral nutrition with or without a fish oil supplement O Control group received lipids through olive oil O Intervention group received fish oil O Both groups received same type of AA, DEX, and trace elements O Data was collected using t-test O P value set at P