I.

INTRODUCTION

Cholecystolithiasis is a condition where you have gallstones in the cystic duct. Gallstones are solid particles that form within the gallbladder. Gallstones form from a liquid substance called bile. Bile is mostly made up of water, salts, cholesterol, and lecithin. Bile is important for the digestion of fat. It is first produced by the liver and then secreted through tiny channels that eventually lead into a larger tube called the common bile duct, which leads to the small intestine. If the concentration of bile changes, particles can precipitate out of the liquid bile, forming solids called gallstones within the gallbladder. Gallstones are most often made up of cholesterol particles in 85% of the cases. Primary treatment to such a disease is cholecystectomy.

General Objective This case study will help the students in understanding disease process of the patient. The students were also expected to identify the primary needs of the patient with cholecystolithiasis in order for the students to respond knowledgably. It is also expected from the students to perform all necessary procedures basing on learned concepts.

Specific Objective At the end of 24 total hours nursing interventions, the patient will be: Relieved from underlying signs and symptoms of the disease, Able to improve health status, i.e., early ambulation after operation Verbalized understanding on health teachings

Maintain positive attitude towards the disease process Maintain medication compliance

Scope and Limitations This study includes the collection of information specifically to the patients health condition. The study also includes the assessment of the physiological and psychological status, adequacy of support systems and care given by the family as well as other health care providers. The scope of this study would include data collected via assessment, interview with the patient and family members, clinical records, developing a plan of care that will reduce identified predicaments and complications, coordinating and delegating interventions within the plan of care to assist the client to reach maximum functional health and to further evaluate the effectiveness of nursing interventions that have been rendered to the client. An array of factors influencing the limitations of this study includes the data collected is limited only to assessment and interview to the patient and family members, patients chart and nurse on duty and the interaction, assessment and care were only limited to a total of 16 hours (2 days clinical duty, with 1 day follow-up visit) with actual nursing intervention done.