Executive Summary: Education for Recovery Room Nurses on the Topic of Diverticular Disease Dina Gibson
Grand Canyon University: NRS-415V
November 10, 2013
Executive Summary: Education for Recovery Room Nurses on the Topic of Diverticular Disease We as nurses have a common goal of educating the people that we care for and teaching them in detail about disease management and prevention. Diverticular disease is characterized by small pouches in the colon. Most people do not exhibit symptoms, but some will have mild symptoms such as cramps, bloating or constipation.
If the pouches become inflamed or infected, they develop into a condition known as diverticulitis. The most common symptom is abdominal pain usually left sided, accompanied by fever, chills, nausea, cramping and constipation. In very serious cases, this may lead to bleeding, tears and intestinal blockages which may require hospitalization. It is believed that the cause of Diverticulosis is many years of a diet that was not adequate in fiber intake. Since patients do not always exhibit signs and symptoms, it is often diagnosed during a routine colonoscopy. The purpose of this paper is to devise a plan of education for the recovery room staff to teach patients how to manage Diverticular Disease, and the basics of a high fiber diet. (www.ucsfhealth.org)
Target Population and Audience
The target audience that Diverticulosis education is intended for is the patients that have procedures in the Endoscopy suite, and the recovery room nurses that are responsible for their care. Education is a valuable resource. Recovery room nurses have the unique opportunity to be able to provide patient education and answer questions that the patient may have. Many times people are unaware that they have this condition which is diagnosed during their endoscopy procedure. If the nurse is knowledgeable in the subject matter, they will be able to provide this basic information which may help to prevent future complications. The Benefits of the Program
Proper education, can help to prevent serious complications. Constipation and straining, can make this condition worse so it is very imperative that the patient be instructed on the importance of a high fiber diet. A high fiber diet keeps the stool soft and adds bulk allowing it to pass easily. Since many people may not know what foods are high in fiber, the recovery room nurse should be aware and be able to educate them on how to make good choices, and foods to add increased fiber to their diet. This also can benefit the physician by nursing staff providing this valuable education. Some fiber rich foods include fruits such as berries, apples and bananas, vegetables such as broccoli, carrots and squash.
Beans and legumes are also fiber rich foods. Bread choices should consist of whole grain bread, brown rice, and whole grain cereals. The goal of a high fiber diet is to be eating 25-35 grams of fiber per day. If the diet is not currently high in fiber, it should be increased gradually. Too much fiber too fast can cause uncomfortable symptoms such as gas, abdominal pain and bloating. Fluid is also important to keep things moving, at least 64 ounces of liquids per day, and a regular exercise routine. Diverticulosis can lead to severe complications such as infection, bleeding and intestinal blockage.
Another complication that may arise from Diverticular Disease, is Diverticulitis. This condition occurs when the pouches become inflamed and infected. During these flare ups patients treated with antibiotics and will be kept on a clear liquid diet, progress to a low fiber diet, and gradually return to normal diet after symptoms improve. (www.ucsfhealth.org). When complications do not respond to diet or medication, surgery to remove the infected area may be required. (www.nlm.nlh.gov).
Cost of Program
The cost of this educational program is minimal. Written educational materials and in-service should be provided for the staff. A face to face in-service will allow for questions and detailed clarification of the information presented. Written materials can be provided for the patient, which defines the basics of a high fiber diet and explains in detail ways to manage their Divercular Disease and prevent further complications. The recovery nurse should be available to answer questions and give explanation of the material. This minimal cost of education, can help to prevent complications of the disease and give the patient increased
awareness. The educational process starts at the bedside.
We as nurses can make a difference. Evaluation
Evaluation process should consist of input from the recovery room staff. Their perception of how the information was received. Observation of the discharge education process should be monitored to make sure patients are receiving their education and educational materials, and that they understand them . A study can be done to monitor the rate of complications of Diverticular Disease and treatments rendered. Surveys can be given the patients upon discharge so that they can rate the level of education that they received and their understanding.
We as nurses can help to make a difference in the lives of those that we care for. Education should be one of the top priorities. Education to our patients can mean the difference of complications that may arise. Since education starts at the bedside, it is important that we have well educated nursing staff. Educational plans that are used to benefit the care that we give can start the ball rolling, and give the best possible outcomes for our patient population.