Patient Education Protocol
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| id | Code | Topic | Subtopic | Outcome | Standards |
|---|---|---|---|---|---|
| 1 | ABD-AP | ABDOMINAL PAIN | ANATOMY AND PHYSIOLOGY | The patient/family will understand anatomy and physiology as they relate to abdominal pain. | 1.Explain the normal anatomy and physiology of the pertinent abdominal organs. Generally, they can be categorized as the hollow digestive organs (stomach, intestines, appendix, gallbladder), solid digestive organs (liver, pancreas), reproductive organs (uterus/ovaries, prostate), urologic organs (kidneys, bladder), spleen, peritoneum, muscles of the abdominal wall (hernias), blood vessels (aorta). 2. Discuss the changes to anatomy and physiology as a result of abdominal pain. 3. Discuss the impact of these changes on the patient's health or well-being. |
| 1 | ABD-C | ABDOMINAL PAIN | COMPLICATIONS | The patient/family will understand the complications of abdominal pain. | 1.Explain that some possible complications are acute hemorrhage, sustained hypotension and shock, perforation of an organ, and infections. 2.Advise the patient/family that complications may be prevented with prompt treatment. Increasing-pain, persistent fever, bleeding, or altered level of consciousness should prompt immediate follow-up. |
| 1 | ABD-DP | ABDOMINAL PAIN | DISEASE PROCESS | The patient/family will understand some possible etiologies of abdominal pain. | 1. Discuss various etiologies for abdominal pain, e.g., gastritis or peptic ulcer, constipation, appendicitis, diverticulitis, pancreatitis, peritonitis, gastroenteritis, bowel obstruction, ruptured aneurysm, ectopic pregnancy, and inflammatory bowel disease, as appropriate. 2.Discuss the causes, course, and expected outcome as it pertains to the patient's particular abdominal pain. |
| 1 | ABD-FU | ABDOMINAL PAIN | FOLLOW-UP | The patient/family will understand the importance of follow-up in the treatment of abdominal pain. | 1.Emphasize the importance of follow-up care. 2.Discuss the procedure and process for obtaining follow-up appointments. 3.Emphasize that full participation in the treatment plan is the responsibility of the patient/family. 4.Discuss the signs/symptoms that should prompt immediate follow-up. 5.Discuss the availability of community resources and support services and refer as appropriate. |
| 1 | ABD-L | ABDOMINAL PAIN | LITERATURE | The patient/family will receive literature about abdominal pain. | 1.Provide the patient/family with literature on abdominal pain. 2.Discuss the content of the literature. |
| 1 | ABD-M | ABDOMINAL PAIN | MEDICATIONS | The patient/family will understand the purpose, proper use, and expected outcomes of the prescribed medication therapy. | 1.Describe the name, strength, purpose, dosing directions, and storage of the medication. 2.Discuss the risks, benefits, and common or important side effects of the medication and follow up as appropriate. 3.Discuss any significant drug/drug, drug/food, and alcohol interactions, as appropriate. 4.Discuss the importance of full participation with the medication plan and that this is the patient's responsibility. Discuss any barriers to full participation. 5.Discuss the importance of keeping a list of all current prescriptions and over-the-counter medicines, vitamins, herbs, traditional remedies, and supplements. Encourage the patient to bring this list, inhalers, and pill bottles to appointments for medication reconciliation. |
| 1 | ABD-MNT | ABDOMINAL PAIN | MEDICAL NUTRITION THERAPY | The patient/family will understand the specific nutritional intervention(s) needed for the treatment or management of abdominal pain. | 1. Explain that Medical Nutrition Therapy (MNT) is a systematic nutrition care process provided by a Registered Dietitian (RD). 2. Review the basic nutrition recommendations for the treatment plan. 3. Discuss the benefits of nutrition and exercise to health and well-being. 4. Assist the patient/family in developing an appropriate nutrition care plan. 5. Refer to other providers or community resources as needed. |
| 1 | ABD-N | ABDOMINAL PAIN | NUTRITION | The patient/family will understand nutrition in abdominal pain. | 1.Emphasize that nutritional management includes meal planning, careful shopping, appropriate food preparation, and eating. 2.Describe healthy food preparation methods. Emphasize the importance of appropriate serving sizes and reading food labels. 3.Discuss the importance of regular meals and adequate fluid intake. 4.Explain that oral supplements are beneficial to boost calories if oral intake is less than optimal. 5.Discuss as appropriate: a.Avoid possible foods that may exacerbate abdominal pain. b.Omit possible offenders such as alcohol, caffeine, and aspirin. c.Explain the benefits of keeping a food diary to identify foods that may be associated with pain. 6.Refer to a registered dietitian for MNT. |
| 1 | ABD-PM | ABDOMINAL PAIN | PAIN MANAGEMENT | The patient/family will understand pain management in abdominal pain. | 1.Explain the pain scale and how it is used to assess the degree of pain individuals are experiencing. Discuss its use in developing a plan to manage pain. 2.Explain that pain management is specific to the disease process and the patient, and it may be multifaceted. Refer to PM. 3.Explain that fluids, non-pharmacologic measures, and medications may be helpful to control pain and the symptoms associated with pain, such as nausea and vomiting. 4.Explain non-pharmacologic measures that may be helpful with pain control. 5.Discuss, as appropriate, that some foods might exacerbate abdominal pain. Refer to ABD-N. 6.Explain that administration of fluids, narcotics, other medications and non-pharmacologic measures may be helpful in managing pain and associated symptoms. |
| 1 | ABD-SM | ABDOMINAL PAIN | STRESS MANAGEMENT | The patient/family will understand the role of stress management in the treatment of abdominal pain. | 1. Discuss that uncontrolled stress may increase alcohol and other drug use and interfere with the treatment. 2. Emphasize the importance of seeking professional help as needed to reduce stress. 3. Discuss various stress management strategies such as maintaining a healthy lifestyle. Some examples may include: a. becoming aware of your own reactions to stress b. recognizing and accepting your limits c. talking with people you trust about your worries or problems d. setting realistic goals e. getting enough sleep f. maintaining a healthy diet g. exercising regularly h. taking breaks or vacations from everyday routine i. practicing meditation, self-hypnosis, and positive imagery j. practicing physical relaxation methods such as deep breathing or progressive muscular relaxation k. participating in spiritual or cultural activities 4. Provide referrals as appropriate. |
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