Beskrivning

Comprehensive review of common diseases of the GI tract, covering tumours, benign conditions, and motility disorders Gastrointestinal Nursing is an authoritative exploration of common diseases of the GI tract, offering evidence-based insights into the complexities of digestive health and unraveling the intricate functions of digestion, secretion, and elimination. Each chapter provides in-depth coverage of a specific organ, detailing common diseases and conditions, and offering comprehensive explanations of aetiology, pathogenesis, presentation, diagnosis, investigations, surgical and pharmacological management, and outcomes. Gastrointestinal Nursing includes information on: Motility disorders of the esophagus including webs and pouches, achalasia, and esophageal dysmotilityBenign conditions of the stomach including Helicobacter pylori, gastritis, gastric ulcers, vascular conditions, and gastroparesisTumours of the duodenum including adenocarcinoma, lymphomas, leiomyosarcomas, carcinoid tumors, and stromal tumorsPrinciples of endoscopy, endoscopy investigations, and emergency and therapeutic endoscopySustainable gastroenterology, encompassing practices in endoscopy, hepatology, and gastroenterology, as well as sustainable approaches in inflammatory bowel disease (IBD) and drug treatmentsWhether you are a seasoned practitioner or a student embarking on your nursing journey, Gastrointestinal Nursing is your go-to resource for mastering the intricacies of care and management of digestive disorders. It is an essential read for nurses in gastroenterology, digestive health, and related specialties.

Produktinformation

Utgivningsdatum:2026-05-07
Mått:201 x 246 x 18 mm
Vikt:862 g
Format:Häftad
Språk:Engelska
Antal sidor:336
Förlag:John Wiley & Sons Inc
ISBN:9781394292813

Utforska kategorier

Omvårdnad inom Medicin
Gastroenterologi inom Medicin

Mer om författaren

DR LEIGH DONNELLY, PHD, RGN, BSc (Hons), MA, PG Dip (Ed), Endoscopy Education and Development Lead at Northumbria Healthcare NHS Foundation Trust, UK.DR SHELLIE RADFORD, PHD, RN, BSc (Hons), MSc (research), PGCert (gastroenterology), Assistant Professor of Gastroenterology at the University of Nottingham, UK.

Innehållsförteckning

Table of ContentsDedicationList of ContributorsForewordPrefaceChapter 1: Anatomy and physiology of the digestive systemConor Hamilton1.1 Introduction1.2 Overview of the Digestive system1.3 Basic Cell Structure of the GI tract1.3.1 Mucosa1.3.2 Epithelium1.3.3 Submucosa1.3.4 Muscularis Externa1.3.5 Serosa and Adventitia1.4 Mouth and pharynx.1.4.1 The lips.1.4.2 The cheeks.1.4.3 The palate.1.4.4 The teeth.1.4.5 Salivary Glands.1.4.6 The tongue.1.4.7 Pharynx1.5 The Oesophagus1.5.1 Blood supply of the oesophagus1.5.2 Innervation of the oesophagus1.5.3 Lymph drainage of the oesophagus1.6 The stomach1.6.1 Innervation of the stomach.1.6.2 Blood supply to the stomach.1.7 The Pancreas1.7.1 Physiology of the Pancreas1.7.2 Pancreatic blood supply1.7.3 Pancreatic innervation1.7.4 Pancreatic lymphatic drainage.1.8 The Liver1.8.1 Vascular Supply1.8.2 Metabolism of Nutrients1.8.3 Bile Production and Digestion1.8.4 Immune Function1.9 The Gallbladder1.9.1 Gall bladder blood supply.1.9.2 Gall bladder innervation.1.9.3 Gallbladder lymph drainage.1.10 The Small intestine1.10.1 Duodenum1.10.2 Jejunum1.10.3 Ileum1.10.4 Blood supply and lymphatic drainage.1.10.5 Small intestine innervation1.11 The Large intestine1.11.1 Large intestinal blood supply1.11.2 Innervation of the large intestine.1.12 Reflective questionsBibliographyChapter 2: The OesophagusPaula Brayford2.1 Gastroesophageal Reflux Disease (GERD/GORD)2.1.1 Aetiology and Pathogenesis2.1.2 Presentation (Signs & Symptoms)2.1.3 Diagnosis and investigations2.1.4 Management2.1.5 Outcomes2.1.6 Nursing care2.2 Hiatus Hernia2.2.1 Aetiology and Pathogenesis2.2.2 Presentation2.2.3 Diagnosis and investigations2.2.4 Management2.2.5 Outcomes2.2.6 Nursing2.3 Oesophagitis and Oesophageal ulcers2.3.1 Aetiology and pathogenesis2.3.2 Presentation2.3.3 Diagnosis and Investigation2.3.4 Management2.3.5 Outcomes2.3.6 Nursing care2.4 Barrett’s oesophagus2.4.1 Aetiology and Pathogenesis2.4.2 Presentation (Signs and Symptoms)2.4.3 Diagnosis and Investigations2.4.4 Management of non-dysplastic Barrett’s Oesophagus2.4.5 Management of dysplastic BO2.4.6 Nursing care2.4.7 Outcomes2.5 Tumours of the Oesophagus2.5.1 Aetiology and pathogenesis2.5.2 Presentation2.5.3 Diagnosis and investigations2.5.4 Management2.5.5 Outcomes2.5.6 Nursing Care2.6 Oesophageal webs and rings2.6.1 Aetiology and Pathogenesis2.6.2 Presentation2.6.3 Diagnosis and investigations2.6.4 Management2.6.5 Outcomes2.6.6 Nursing2.7 Oesophageal dysmotility2.7.1 Aetiology and Pathogenesis2.7.2 Presentation2.7.3 Diagnosis and investigations2.7.4 Management2.7.5 Nursing2.8 Achalasia2.8.1 Aetiology and Pathogenesis2.8.2 Presentation2.8.3 Diagnosis and investigations2.8.4 Management2.8.5 Outcomes2.9 Oesophageal Diverticula /Pouch2.9.1 Aetiology and Pathogenesis2.9.2 Presentation2.9.3 Diagnosis and investigations2.9.4 Management2.9.5 Outcomes2.9.6 Nursing2.10 Eosinophilic oesophagitis2.10.1 Aetiology and Pathogenesis2.10.2 Presentation2.10.3 Diagnosis and investigations2.10.4 Management2.10.5 Outcomes2.10.6 Nursing care2.11 Oesophageal Varices2.11.1 Aetiology and Pathogenesis2.11.2 Presentation2.11.3 Diagnosis and investigations2.11.4 Management2.11.5 Outcomes2.11.6 Nursing2.12 Mallory Weiss tear2.12.1 Aetiology and Pathogenesis2.12.2 Presentation2.12.3 Diagnosis and investigations2.12.4 Management2.12.5 Outcomes2.12.6 Nursing2.13 Reflective QuestionsReferencesChapter 3: StomachRegina Raymond, Marta Da Silva Teixeira3.1 Gastritis3.1.1 Classification and Pathogenesis3.1.2 Clinical Presentation3.1.3 Diagnostic Approaches3.1.4 Management Strategies3.1.5 Lifestyle and Patient Education3.1.6 Outcomes and the Nurse’s Role in Long-Term Care3.2 Gastric ulcers3.2.1 Aetiology and pathogenesis3.2.2 Presentation3.2.3 Diagnosis and Investigations3.2.4 Management (NICE, 2019)3.3 Helicobacter Pylori3.3.1 Aetiology and pathogenesis3.3.2 Presentation3.3.3 Diagnosis3.3.4 Management3.3.5 Outcomes3.4 Gastroparesis3.4.1 Aetiology and Pathogenesis3.4.2 Presentation3.4.3 Diagnosis3.4.4 Management3.5 Vascular condition of the stomach3.5.1 Pathophysiology and Clinical Manifestations3.5.2 Presentation3.5.3 Diagnostic and Therapeutic Approaches3.5.4 Outcomes3.6 Gastric cancers3.6.1 Gastric adenocarcinoma3.6.2 Gastrointestinal Lymphoma3.6.3 Gastrointestinal Stromal Tumours (GIST)3.6.4 Gastric leiomyoma3.6.5 Linitis Plastica3.7 Reflective questions.ReferencesChapter 4: Small BowelIsobel Mason, Jennie Burch4.1 Introduction4.2 Small bowel bleeding4.3 Small bowel tumours4.4 Managing iron deficiency anaemia (IDA)4.5 Small bowel Crohn’s disease4.6 Ileostomy4.7 Small bowel bacterial overgrowth (SIBO)4.8 Acute Diarrhoea4.9 Giardiasis4.10 Lactose intolerance4.11 Irritable bowel syndrome (IBS)4.12 Chronic intestinal pseudo-obstruction (CIPO)4.13 Case studies and reflective questionsReferencesChapter 5: Pancreas and Neuroendocrine TumoursStacey Munnelly, Alex Hadall, Scott Oakes, Lynne McCallum, Nikie Jervis5.1 Pancreatitis5.1.1 Acute pancreatitis5.1.2 Chronic pancreatitis5.2 Pancreatic cysts5.2.1 What are pancreatic cysts?5.2.2 Intraductal papillary mucinous neoplasms (IPMN)5.2.3 Mucinous Cystic Neoplasm (MCN)5.2.4 Serous Cystadenoma (SCA)5.2.5 Non-neoplastic cysts5.3 Pancreatic adenocarcinoma5.3.1 Aetiology and Pathogenesis5.3.2 Presentation5.3.3 Staging5.3.4 Management of PDAC5.3.5 Clinical trials5.3.6 Symptom support5.3.7 The Multidisciplinary Team (MDT)5.4 Pancreatic Neuro-Endocrine neoplasms5.4.1 Aetiology and pathogenesis5.4.2 Screening5.4.3 Clinical Presentation5.4.4 Diagnosis and Investigation5.4.5 Functional Imaging5.4.6 Grading of NETs and NECs5.4.7 Staging of Pancreatic Neuroendocrine Neoplasms5.4.8 Management of Pancreatic Neuroendocrine Neoplasms5.4.9 Active treatment options5.4.10 Nutrition in Neuroendocrine Neoplasms (NENs)5.4.11 Multidisciplinary Team (MDT) in Neuroendocrine Neoplasms5.5 Reflective questionsReferencesChapter 6: Liver and Biliary systemSarah Hogg, Nicola Holmes-Long, Kate Jack, Kathryn Houghton,6.1 The liver6.1.1 Liver damage6.1.2 Metabolic dysfunction associated steatotic liver disease (MASLD) and metabolic dysfunction associated steatohepatitis (MASH)6.1.3 Viral Hepatitis6.1.4 Liver failure6.1.5 Cirrhosis6.1.6 Jaundice6.1.7 Portal hypertension6.1.8 Oesophageal Varices6.1.9 Alcohol related liver disease6.1.10 Ascites6.1.11 Hepatic encephalopathy6.1.12 Hepatocellular carcinoma6.1.13 Liver transplant6.2 Genetic disorders of the Liver6.2.1 Alpha 1 antitrypsin deficiency6.2.2 Haemochromatosis6.2.3 Wilson Disease 6.3 Autoimmune liver disorders6.3.1 Autoimmune Hepatitis6.3.2 Primary biliary cholangitis6.3.3 Primary sclerosing cholangitis6.3.4 Other Auto immune associated liver conditions6.4 Biliary System6.4.1 Gallstones and Cholecystitis6.4.2 Acute cholangitis 6.4.3 Gallbladder polyps6.4.4 Biliary Tract Cancer6.4.5 Gall bladder cancer6.4.6 Cholangiacarcinoma6.4.7 Periampullary cancer6.5 Reflective questionsReferencesChapter 7: Colon, rectum and anusJennie Burch7.1 Polyps7.1.1 Aetiology7.1.2 Presentation7.1.3 Diagnosis7.1.4 Management7.1.5 Learning points7.2 Colorectal cancer7.2.1 Aetiology7.2.2 Bowel cancer screening7.3 Primary colorectal lymphoma7.3.1 Aetiology7.3.2 Pathogenesis7.3.3 Presentation7.3.4 Diagnosis7.3.5 Management7.3.6 Support groups7.4 Gastrointestinal stromal tumours (GIST)7.4.1 Pathogenesis7.4.2 Presentation7.4.3 Management7.4.4 Outcomes7.4.5 Learning points7.5 Neuroendocrine Tumours (NETs)7.5.1 Presentation7.5.2 Management7.5.3 Outcomes7.5.4 Learning points7.6 Lynch Syndrome7.6.1 Aetiology7.6.2 Pathogenesis7.6.3 Management7.7 Familial adenomatous polyposis7.7.1 Aetiology7.7.2 Presentation7.7.3 Diagnosis7.7.4 Management7.8 Anal cancer7.8.1 Aetiology7.8.2 Pathogenesis7.8.3 Presentation7.8.4 Diagnosis7.8.5 Management7.8.6 Outcomes7.9 Diverticular disease7.9.1 Aetiology7.9.2 Presentation7.9.3 Diagnosis7.9.4 Management7.10 Appendicitis7.10.1 Diagnosis7.10.2 Presentation7.10.3 Management7.11 Haemorrhoids7.11.1 Aetiology7.11.2 Presentation7.11.3 Diagnosis7.11.4 Management7.12 Anal fissure7.12.1 Aetiology7.12.2 Presentation7.12.3 Diagnosis7.12.4 Management7.13 Irritable bowel syndrome (IBS)7.13.1 Aetiology7.13.2 Presentation7.13.3 Diagnosis7.13.4 Management7.14 Pilonidal abscess7.15 Perianal abscess7.15.1 Aetiology7.15.2 Management7.16 Anal Fistula7.16.1 Aetiology7.16.2 Pathogenesis7.16.3 Presentation7.16.4 Diagnosis7.16.5 Management7.16.6 Outcomes7.16.7 Learning points7.17 Constipation7.17.1 Aetiology7.17.2 Diagnosis7.17.3 Management7.18 Diarrhoea7.18.1 Aetiology7.18.2 Pathogenesis7.18.3 Presentation7.18.4 Diagnosis7.18.5 Management7.18.6 Learning points7.19 Anal incontinence7.19.1 Aetiology7.19.2 Diagnosis7.19.3 Management7.20 Lower anterior resection syndrome (LARS)7.20.1 Aetiology7.20.2 Presentation7.20.3 Diagnosis7.20.4 Management7.20.5 Outcomes7.21 Haematochezia7.21.1 Aetiology7.21.2 Pathogenesis7.21.3 Diagnosis7.21.4 Management7.22 Melaena7.23 Colostomy7.23.1 Aetiology7.23.2 Management7.24 Reflective questions7.24.1 Case study and reflective questions7.24.2 Case study and reflective questionsReferencesChapter 8: Inflammatory Bowel DiseaseStephanie Bourne, Shellie Radford8.1 Introduction8.1.1 Ulcerative Colitis8.1.2 Crohn’s Disease8.1.3 Incidence and Prevalence8.2 Extra intestinal manifestations8.3 Classification of disease8.3.1 UC8.3.2 CD8.4 Treatments8.4.1 Medical8.4.2 Surgical8.5 Psychological impact and quality of life8.6 The IBD MDT8.7 Reflective questionsReferencesChapter 9: Nursing in the Endoscopy settingLindsey Scarisbrick, Leigh Donnelley9.1 Introduction9.2 The Endoscopy service9.3 Governance9.4 Joint Advisory Group for GI Endoscopy (JAG)9.5 Endoscopy workforce9.5.1 Pre-assessment9.5.2 Admission9.5.3 Intra-procedure9.5.4 Recovery and discharge9.6 Training9.7 Unit leadership team9.8 Innovation of roles9.8.1 Practice educator – Endoscopy specific9.8.2 Inpatient liaison9.9 Sustainable Endoscopy Services9.9.1 Climate change and the NHS9.9.2 Triple Bottom Line9.9.3 Nursing impact on sustainable practices9.9.4 Greener Endoscopy9.10 Reflective questionsReferencesChapter 10: Nutrition in Gastrointestinal DiseaseAnnelie Shaw10.1 Introduction10.2 The Importance of nutrition in GI disease10.3 The GI Tract: A Nutritional and Immunological Organ10.4 Clinical Consequences of Nutritional Deficits10.5 Nutrition in Specific GI Conditions10.5.1 Inflammatory Bowel Disease (IBD)10.5.2 Coeliac Disease10.5.3 Pancreatitis10.5.4 Short Bowel Syndrome (SBS) and Malabsorptive Disorders10.5.5 Gastrointestinal Cancers10.5.6 Chronic Liver Disease10.5.7 Functional GI Disorders and Dysmotility10.6 Malnutrition in Gastrointestinal Disease10.6.1 Definition and Types of Malnutrition10.6.2 Causes of Malnutrition in GI Disease10.6.3 Identification and Screening10.6.4 The Role of Nurses in Early Identification and Intervention10.6.5 Clinical Consequences of Malnutrition10.7 Oral Nutritional Support10.7.1 An introduction to Oral Nutritional Support10.7.2 Roles and responsibilities in Oral Nutrition Support10.7.3 Supporting Food-First Strategies and Monitoring Intake10.7.4 Supporting Oral Nutritional Supplements (ONS)10.7.5 Interdisciplinary Collaboration and Continuity of Care10.7.6 Addressing Workforce Challenges10.8 Oral Nutritional Support Strategies10.8.1 Dietary Counselling10.8.2 Food Fortification10.8.3 Snack-Based Approaches10.8.4 Oral Nutritional Supplements (ONS)10.8.5 Types of Oral Nutritional Supplements by Composition10.9 Individualisation and Monitoring10.10 Enteral Nutrition10.10.1 Introduction to and indications for enteral feeding10.11 Benefits of Enteral Nutrition Compared to Parenteral Nutrition10.11.1 Maintains Gut Integrity and Function10.11.2 Reduces Infectious Complications10.11.3 Improved Glycaemic Control10.11.4 Immunological Benefits10.11.5 Cost-Effectiveness10.11.6 Fewer Metabolic Complications10.12 Enteral Feed Delivery10.12.1 Bolus Feeding10.12.2 Continuous Feeding10.12.3 Types of formulae10.13 Parenteral Nutrition10.13.1 Indications for Parenteral Nutrition10.13.2 Routes of Administration10.13.3 Monitoring and Nursing Responsibilities10.14 Home Parenteral Nutrition (HPN)10.15 Types of Feeding Tubes10.15.1 Nasogastric (NG) Tubes10.15.2 Nasojejunal (NJ) Tubes10.15.3 Percutaneous Endoscopic Gastrostomy (PEG)10.15.4 Radiologically Inserted Gastrostomy (RIG)10.15.5 Jejunostomies and Gastrojejunostomies (GJ)10.16 The Nursing Role in Nutritional Care10.17 SummaryReferencesChapter 11: Psycho-Social Impact of Gastrointestinal DiseaseWladyslawa Czuber-Dochan11.1 Introduction11.2 Pain11.2.1 Aetiology of Pain in Gastrointestinal Conditions11.2.2 Signs and Symptoms of Pain in Gastrointestinal Conditions11.2.3 Assessing Pain in Gastrointestinal Conditions11.2.4 Management of Pain in Gastrointestinal Conditions11.2.5 Impact of Pain in Gastrointestinal Conditions11.3 Fatigue11.3.1 Aetiology and Pathogenesis of Fatigue in Gastrointestinal Conditions11.3.2 Signs and Symptoms of Fatigue in Gastrointestinal Conditions11.3.3 Assessing Fatigue in Gastrointestinal Conditions11.3.4 Management of Fatigue in Gastrointestinal Conditions11.3.5 Impact of Fatigue in Gastrointestinal Conditions11.4 Urgency and faecal incontinence11.4.1 Aetiology and Pathogenesis11.4.2 Signs and Symptoms11.4.3 Assessment11.4.4 Management of Urgency and Faecal Incontinence in Gastrointestinal Conditions11.4.5 Psychosocial Impact11.5 Anxiety, depression and distress11.5.1 Signs and symptoms11.5.2 Assessment of anxiety, depression and distress in Gastrointestinal Conditions11.5.3 Approaches to management of anxiety, depression and distress in GI conditions11.5.4 Integrated and Multidisciplinary Care11.5.5 Patient Education and Self-Management11.5.6 Impact of anxiety, depression and distress in GI conditions11.6 Body image11.6.1 Biological Dimensions11.6.2 Psychological Dimensions11.6.3 Social Dimensions11.6.4 Towards Holistic Gastrointestinal Care11.6.5 Assessment of Body Image in GI Conditions11.7 Relationship, intimacy, sexuality and Family planning11.7.1 Impact on relationships and intimacy11.7.2 Sexual dysfunction and psychosocial contributors11.7.3 Family planning considerations11.7.4 Assessment of intimacy and sexuality in gastrointestinal conditions11.7.5 Barriers to assessment11.7.6 Interventions to support sexuality and intimacy11.8 Work and education11.9 The role of Nurses in the care of individuals with Gastrointestinal conditions11.9.1 Clinical and Multidisciplinary Role11.9.2 GI Oncology and Procedural Care11.9.3 Psychosocial Support11.9.4 Education and Patient Empowerment11.9.5 Leadership, Research, and Service Development11.9.6 Conclusion11.10 Reflective questionsReferences