Management of IBS

Irritable Bowel Syndrome (IBS) disorder affects the functions of gastrointestinal symptoms and displays chronic abdominal symptoms and can be diagnosed clinically (Ford et al., 2018). IBS has a prevalence of about 10%-20% and an incidence rate of approximately 1%-2% per year. IBS affects around 11 percent of the global population. Internationally, there is a female predominance in the prevalence of IBS. The treatment goals for IBS are to relieve the patient from symptoms such as diarrhea, discomfort, bloating, and constipation and consequently improve the quality of life. Individuals with IBS can suffer many disease processes that result in pain and diarrhea or pain and constipation, and therefore, its treatment is often done differently among individual patients with priority given to the most serious symptom that is felt by the patient instead of modifying the disease.

The first-line drug therapy for IBS include Antispasmodics such as dicyclomine, hyoscyamine although they don’t have many benefits for IBS treatment although they may relieve abdominal pains or discomforts, especially for those symptoms that happen after eating. Anti-diarrheal agents such as loperamide, diphenoxylate can effectively prevent and relieve symptoms of diarrhea but may not help in pain. Laxatives that are helpful in treating symptoms of constipation but doesn’t work in controlling pain. Anti-anxiety drugs help IBS patients fight psychological distress. Incorporating stress management through counseling and apply dietary modification such as a low FODMAP diet when applying the first-line drugs is more helpful (Moayyedi et al., 2019). The second line of drug therapy implies the use of Amitriptyline, which can help in relieving pain and adjust the bowel activity even though it affects the mood of IBS patients (Moayyedi et al., 2019). However, Amitriptyline should only be introduced when the first line of drugs fails to treat the patient.

References

Ford, A. C., Moayyedi, P., Chey, W. D., Harris, L. A., Lacy, B. E., Saito, Y. A., & Quigley, E. M. (2018). American College of Gastroenterology monograph on the management of irritable bowel syndrome. American Journal of Gastroenterology, 113, 1-18.

Moayyedi, P., Andrews, C. N., MacQueen, G., Korownyk, C., Marsiglio, M., Graff, L., … & Sidani, S. (2019). Canadian Association of Gastroenterology clinical practice guidelines for the management of irritable bowel syndrome (IBS). Journal of the Canadian Association of Gastroenterology, 2(1), 6-29.

For the middle-aged adult, exercise can reduce the risk of various health problems. Choose three health issues that regular physical exercise and activity can help prevent and manage. Discuss the prevalence of each of these health problems in society today. Describe measures that you would take as a nurse to assist clients with health promotion measures to incorporate exercise and physical activity into their lives. Include the kind of activities you would recommend, the amount of exercise, and the approach you would use to gain cooperation from the client. Support your response with evidence-based literature.

 

 hi dear,

 can help me to finish this assignment with good quality and be on time please?

 

Healthy People 2020 Objectives: Physical Activity

Visit the Healthy People 2020 Physical Activity Objectives Webpage: https://www.healthypeople.gov/2020/topics-objectives/topic/physical-activity

  

Review the “Overview” section

Click on the “Objectives” tab

Select TWO objectives of the most interest to you.  Try to select objectives where you can view population data or disparities by race and ethnicity.

Tell the group what objectives you selected and why.

Share the baseline and target percentages for each objective.

Share 3 data points (percentages) for the most recent year for each objective (e.g. % Caucasian 2013; % Pacific Islander 2013; %Hispanic or Latino 2013).

Thanks,

 

1) **********minimum 3 full pages (1 pages each document) ( not words)**************************** (cover or reference page not included)

2)¨**********APA norms  (All paragraphs must be narrative and cited in the text- each paragraphs)

3)********** It will be verified by Turnitin and SafeAssign 

4) References not older than 5 years

5) Each answer must be identified according to the question number. Check the list of questions. Your answer should start objectively answering the question

Question:

1)…………

2)…………

3)…………

Answer:

1)…………

2)…………

3)…………

_______________________________________________________

You must answer (2) question2 times. 

You must submit 2 documents (each one 1 page).

Copy and paste will not be admitted. 

You should address the questions with different wording, different references, but always, objectively answering the questions.

____________________________________________________________

Question:

1) Choose and explain one of the eye diseases in related with aging:

choose one for each answer

Cataracts.

Glaucoma.

Diabetic retinopathy

2)Discuss its possible treatments. 

In order to effectively manage their own health, individuals need to have competencies in two areas—basic literacy and basic health literacy. What is the difference? Basic literacy refers to the ability to read, even simple language. Health literacy is defined as, “the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions” (National Coalition for Literacy, 2009). Unfortunately, according to a Department of Education report on health literacy, only 12% of adults aged 16 and older are considered to have a proficient level of health literacy (U.S. Department of Education, 2006). Acquiring health literacy skills has become more complicated with the explosion of online health information, some credible and some misleading.

In this Discussion, you focus on how to help individuals find credible information on the Internet and develop strategies nurses can use to increase the health literacy of their patients.

To prepare:

• Think about the nurse’s role in improving the health literacy of patients.
• Consider the many ways patients access health information, including blogs, social media, patient portals, websites, etc.
• Reflect on experiences you have had with patients who self-diagnose using online medical sources.
• Using the Internet, the Walden Library, or other trustworthy sources, identify a resource that you could introduce to patients to help them evaluate the credibility of health information found online.
• What are some strategies you could employ to improve the health literacy of patients?

Post your assessment of the nurse’s role in improving the health literacy of patients. Then, identify the resource you would recommend to patients for evaluating online health information and why it would be beneficial. Describe additional strategies for assisting patients in becoming informed consumers of online health information.