GASTRO INTESTINAL TRAC (GIT)

GASTRO INTESTINAL TRAC ( GIT )

A.   GIT Assesment

1. History

-          Demografy data

·         Age, sex, race, religion, and accupation

-          Personal and farm history è clients over all health static ( GIT dissorders or abdomen surgery )

·         Familys health status

·         Medication are being taken

·         Clients travel histiry

2. Diet History

Eating habits, appetile, dysphagia. Food are avoided, alkohol caffein consumtin, cultur, dan religius pattern,

3. Odinofagia : Sakit Menelan :

-          Sosioeconomic status

-          Current helath problem

·         a dhange in bowel habits

·         weight gain / loss

·         smoking history

·         pain

·         change in take skin

4. Physical Assesment

-          Nutrional Assesment

·         height dan weigth

·         antropometric arm meas

-          Triceps skin fold thinkness

·         Laki – laki 12,5 cm

·         Perempuan  16,5 cm

-          Mid arm circumference

·         Laki – laki 29,3 cm

·         Perempuan 28, 5 cm

-          Mid arm muscle circumference

·         è b – ( a/cm x 3,1413 )

·         Laki – laki 25,3 cm

·         Perempuan 23, 2 cm

5. Mount and Pharings

-          Inseption and palpation

-          Need dan penlight and 4 tongue deppressor

B.   ABDOMEN

1. Inception
2. Auskultation
3. Pecussion
4. Palpation

Inspention :

·         Skin

·         Controun

·         Abdomen maument

Auskultation

·         Bowel Sound

-          the diaphragma of the steth

-          N. freq . 5 – 34 x / menit  è every 5” – 15”

·         Bruit

-          The bell of the stelth

·         Friction rub

-          A splenich infarct / hep tumor

Contoh :

·         Venous dan  Hep. Chirrosis

         

Percussi

·         Tympany

·         Dull :

-          Liver span ( 6 – 12 cm )

-          Splen

·         Pekak ks 7 -à hepar

Palpasi

·         Light palpation

·         Deep palpation

·         Hooking technique ( mengkaji Mc. Bruney )

      

PHYSICOSOSIAL ASSESMENT

·         Client’s life style

·         Stress level

·         Financial status 

DIAGNOSTIC ASSESMENT

·         Laboratorium tes

-          Blood

-          Urine

-           Stoll

·         Radiographic

-          Barrium swallow

-          Barrium enema

-          Percucataneus transhepatic colangiography

-          Oral cholecystography

-          IV cholangiography

-          CT

·         Other

-          Endoscopy

-          Colonoscopy

-          Sigmoidoscopy and proctoscopy

-          Gastrik analisis

-          USG

-          Liver scan