Abdominal Case Study

 

J.P. is a 50-year-old man who presents to the gastroenterologist with cramping and diarrhea.
Subjective Data
Pain level is a 6/10 location = right and left lower abdomen
Works as a union construction worker, has missed 1 day of work
States he has been going to the bathroom about 8 to 10 times a day for past 2 days
Appetite is decreased
PMH: Crohn’s disease, depression, anxiety
Objective Data
Vital signs: T 37 P 80 R 14 BP 120/68
Bowel sounds hyperactive in all four quadrants
Medications: Infliximab (Remicade) infusions every 6 weeks, fluoxetine (Prozac) 25 mg per day
Weight = 145, last visit weight = 152
Questions
1. What other assessments should be included for this patient?
2. What questions should the nurse ask with regard to the abdominal pain?
3. From the readings, subjective data, and objective data, what is the most probable cause of the abdominal pain?
4. Develop a problems list from the subjective and objective findings.
5. What should be included in the plan of care?
6. What interventions should be included in the plan of care for this patient?

Sample Solution

 

 

Immanuel Kant is in charge of presenting the expression “supernatural” to the philosophical exchange. By doing this it was his objective to dismiss everything that Hume needed to state. His contention demonstrated that subjects like science and theory really existed. One of his primary contentions was the possibility that picking up learning was conceivable. Without this thought of information there would be no explanation behind a dialog.

Since we realize that learning is conceivable we should ask how it arrived in such a state. As per Kant, one of the states of information is the Transcendental Esthetic, which is the brain putting sense understanding into a reality succession. From this we comprehend that the supernatural contention is a plenitude of substances arranged in existence, with a relationship to each other. We can’t pick up this learning from sense-understanding (Hume) or from sane reasoning alone (Leibniz), yet demonstrating how information exist and how it is conceivable.

Kant makes the case in the Transcendental Esthetics that reality are ‘unadulterated from the earlier instincts.’ To completely comprehend what this implies we should characterize what an instinct is. As indicated by Kant an instinct is crude information of tactile experience. So essentially instincts are delivered in the brain. Kant is stating that reality are things that are created in the psyche and given before involvement.

Space is an important from the earlier portrayal, which underlies every single external instinct. It doesn’t speak to something in itself or some other relationship. Space is just a type of appearance spoke to outside of the brain. Time, then again, is an essential portrayal that underlies all instincts and accordingly is from the earlier. Since time is just a single dimensional it is extremely unlikely that we could get to it rapidly. We realize that existence are both from the earlier on account of the majority of our encounters.

Kant likewise guarantees that existence are ‘observationally genuine however supernaturally perfect’. At the point when Kant says that space is ‘observationally’ genuine he isn’t surmising outside articles. There is no chance to get for space to be an experimental idea. We can’t simply think of room; a portrayal of room must be surmised. When we encounters things outside ourselves it is just conceivable through portrayal. For existence to be ‘supernaturally’ perfect Kant is fundamentally saying that “they are not to be related to anything past – or anything that rises above – the limits of conceivable experience or the from the earlier emotional conditions that make such experience conceivable in any case.”

Before Kant starts to clarify the supernatural stylish he guarantees in the presentation that scientific learning is manufactured from the earlier. This announcement depends on Kant’s Copernican Revelation. As indicated by Kant, existence taken together are the unadulterated types of every single sensible instinct. This is our method for making from the earlier manufactured recommendations. These recommendations are restricted by they way they appear to us yet not present inside themselves. We have from the earlier information of engineered decisions.

As per Kant our decisions/explanations can either be scientific or manufactured. A logical judgment would be the place the idea of the predicate is a piece of the idea of the subject. On the off chance that it is denied, there would be a logical inconsistency. An engineered judgment, then again, is the place the idea of the predicate isn’t contained in the idea of the subject. In this way, on the off chance that we denied it, there would be no logical inconsistency included.

An expository judgment would be “all lone rangers are unmarried”. The idea of lone ranger is characterized as being unmarried. In dissecting this word we would state that it is an unmarried male grown-up. When we examine ideas the parts turn out. Consequently, when separated our predicate idea of “unmarried” is appeared. The brain is fit for discovering this idea without going outside and encountering it.

In the event that we attempted to deny this announcement there would need to be a logical inconsistency, accordingly making it false. A case of an engineered judgment would be “the sun will rise tomorrow”. When we state this it is our method for taking two discrete and unmistakable thoughts and assembling them. There could be no logical inconsistency in this announcement since we can picture that something like this could happen.

In Section I of the Transcendental Esthetic, Kant gives four contentions for the end that space is observationally genuine yet supernaturally perfect. As we probably am aware space isn’t an exact idea. We can’t physically infer space. The main way that we can get these external encounters is through our portrayal. With regards to space we can’t speak to the nonappearance of room yet we can envision space as being vacant.

So as to be given any substance as far as we can tell we should assume space. Realizing that space is definitely not a general idea we can possibly talk about one space at any given moment and in the event that we discuss various spaces we just mean parts of a similar space. The parts can’t interpret the greater space yet just what is contained in it. Since space is viewed as just a single, the idea of spaces relies upon a limit. Ideas containing a boundless measure of portrayals can’t be contained inside itself. All parts of room are given to us immediately. Along these lines it is a from the earlier instinct not an idea.

The majority of the past data is Kant’s method for demonstrating that the engineered from the earlier learning of science is conceivable. As we probably am aware science is a result of reason yet is as yet engineered. Be that as it may, in what capacity can this information be from the earlier? The ideas of math are seen from the earlier in unadulterated instincts. This fair implies the instinct isn’t experimental. On the off chance that you don’t have instincts, science would not be an idea.

Logic, then again, advances just through ideas. Theory utilizes instincts to demonstrate essential facts yet those certainties can’t be a result of instincts. The likelihood of math happens in light of the fact that it depends on unadulterated instincts which possibly happen when ideas are built. Like unadulterated instinct, observational instinct, enables us to expand our idea of a question by giving us new predicates. With unadulterated instincts we get important from the earlier certainties.

Manufactured from the earlier information in arithmetic is conceivable just on the off chance that it alludes to objects of the faculties. The type of appearances originates from reality which is expected by unadulterated instincts. Questioning that reality don’t have a place with the protest in themselves would make us not have a clarification about from the earlier instincts of items. We need to arrive at the resolution that in existence objects are just appearances involving that it is the type of appearances that we can speak to from the earlier. Reasoning that a manufactured from the earlier information of science would be conceivable.

What is the Transcendental Deduction?

This is the manner in which ideas can relate from the earlier to objects. Kant says, “If every portrayal were totally unfamiliar to each other, standing separated in detachment, no such thing as learning could ever emerge. For learning is [essentially] an entire in which portrayals stand looked at and associated.” Kant spreads out a triple amalgamation about experience: a blend of fear in instinct, a combination of generation in creative energy, and a union of acknowledgment in an idea. We ought not isolate these means into one but rather they should all be interlaced as one. So what we see must happen sequentially.

Thusly our concept of the Synthetic Unity of Apperception becomes possibly the most important factor. This is the place each conceivable substance of experience must be joined by “I think”. Everything in your psychological state ought to have the capacity to be joined by “I think” on the off chance that not, it won’t make any difference by any stretch of the imagination. “I believe” isn’t something that comprises in sensibility. It is a demonstration of immediacy. It goes before all conceivable experience. The solidarity of this specific complex isn’t given in experience however before it. Figuring substances can just see what is happening inside as discernment goes on consistently. This is the place our familiarity with a complex becomes possibly the most important factor. We know about one thing after another. Every impression is not quite the same as one other. We should state that these impressions are mine. Fundamentally going with them with the expression “I think”.

With respect to the Transcendental Unity of Apperception we are never mindful of ourselves as the mastermind however simply the instincts. The majority of our encounters must be emotional to this blend of things. I should effectively pull them all together as them being a piece of my experience. The main way that I can know about this “I” is on the off chance that I am ready to pull together these portrayals. In this we can see the possibility of target unification. There is an association between supernatural solidarity of apperception and target unification. When we discuss target unification we trust that there is a correct method to assemble things. This idea fundamentally originates from our straight out amalgamation which includes from the earlier ideas.

With the downright blend it is our method for assembling instincts in a class. We should have the capacity to make a judgment. For instance we should have the capacity to state this is the way things appear to me in view of pass encounters. By saying this it would be a close judgment. While a judgment would be us trying to say this is the manner by which things are. To make a judgment is to state this is the means by which things are out there; how they unbiasedly are as opposed to how they show up abstractly.

For a complex to be finished the sensible instincts must be liable to the classification. This is the means by which we can have a straight out blend. We can’t have sense impression except if I can unite them under a bound together complex by realizing they are objective as opposed to abstract. Any instinct that we have must be liable to the classification. We couldn’t have a familiarity with one occasion preceding alternate except if there is a complex of “my”

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