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Related Concept Videos

Venous Thrombosis IV: Nursing Management01:30

Venous Thrombosis IV: Nursing Management

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Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
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Assessment of the Rectum and Anus01:25

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
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Esophageal Varices-II: Clinical Features and Management01:28

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Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
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Pulmonary Embolism III: Nursing Management01:27

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A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
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Peripheral Artery Disease IV: Nursing Management01:26

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 The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
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Irritable Bowel Syndrome III: Medical and Nursing Management01:30

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Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
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Updated: Sep 26, 2025

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Hemorrhoidal disease: What nurses need to know.

Richard L Pullen1

  • 1Richard L. Pullen, Jr. , is a professor at Texas Tech University Health Sciences Center School of Nursing. He is also a member of the Nursing2022 editorial board.

Nursing
|April 22, 2022
PubMed
Summary

Hemorrhoidal disease (HD) is a common condition affecting millions, particularly those aged 45-65. This review covers HD signs, symptoms, risk factors, classification, and treatments.

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Area of Science:

  • Gastroenterology
  • Anorectal Disorders

Background:

  • Hemorrhoidal disease (HD) is a prevalent anorectal condition impacting over 10 million individuals in the US.
  • Peak incidence occurs in the 45-65 age group, highlighting a significant demographic affected by this disorder.

Purpose of the Study:

  • To provide a comprehensive overview of hemorrhoidal disease.
  • To discuss key aspects including signs, symptoms, risk factors, classification, and treatment options.

Main Methods:

  • Literature review of hemorrhoidal disease.
  • Synthesis of information on clinical presentation and management.

Main Results:

  • HD presents with various signs and symptoms.
  • Multiple risk factors contribute to the development of HD.
  • A range of treatments and nursing interventions are available.

Conclusions:

  • Understanding HD's multifaceted nature is crucial for effective patient care.
  • Comprehensive management strategies are essential for addressing hemorrhoidal disease.