Chapter 39 Nursing Assessment Gastrointestinal System Copyright © 2007, 2004, 2000, Mosby, Inc., an affiliate of Elsevier Inc. All Rights Reserved.

Chapter 39Chapter 39

Nursing Assessment Nursing Assessment Gastrointestinal SystemGastrointestinal System

Copyright © 2007, 2004, 2000, Mosby, Inc., an affiliate of Elsevier Inc. All Rights Reserved.


Structures and FunctionsStructures and Functionsof the Gastrointestinal Systemof the Gastrointestinal System


Fig. 39-1


Fig. 39-2


Structures and Functions of the Structures and Functions of the Gastrointestinal System (cont’d)Gastrointestinal System (cont’d)

Ingestion and propulsion of foodIngestion and propulsion of food MouthMouth PharynxPharynx EsophagusEsophagus



Digestion and absorptionDigestion and absorption MouthMouth StomachStomach Small intestineSmall intestine Physiology of digestionPhysiology of digestion



EliminationElimination Large intestineLarge intestine


Fig. 39-3



Liver, biliary tract, and pancreasLiver, biliary tract, and pancreas LiverLiver Biliary tractBiliary tract

• Bilirubin metabolismBilirubin metabolism

PancreasPancreas


Fig. 39-4


Fig. 39-5


Fig. 39-6


Gerontologic ConsiderationsGerontologic ConsiderationsEffects of Aging on the Effects of Aging on the Gastrointestinal SystemGastrointestinal System


Assessment of the Gastrointestinal Assessment of the Gastrointestinal SystemSystem

Subjective dataSubjective data Important health informationImportant health information

• Past health historyPast health history

• MedicationsMedications

• Surgery or other treatmentsSurgery or other treatments


Assessment of the Assessment of the Gastrointestinal System (cont’d)Gastrointestinal System (cont’d)

Functional health patternsFunctional health patterns

• Health Perception–Health Management PatternHealth Perception–Health Management Pattern

• Nutritional-Metabolic PatternNutritional-Metabolic Pattern

• Elimination PatternElimination Pattern

• Activity-Exercise PatternActivity-Exercise Pattern

• Sleep-Rest PatternSleep-Rest Pattern

• Cognitive-Perceptual PatternCognitive-Perceptual Pattern

• Self-Perception–Self-Concept PatternSelf-Perception–Self-Concept Pattern

• Role-Relationship PatternRole-Relationship Pattern

• Sexuality-Reproductive PatternSexuality-Reproductive Pattern

• Coping–Stress Tolerance PatternCoping–Stress Tolerance Pattern

• Value-Belief PatternValue-Belief Pattern


Assessment of theAssessment of theGastrointestinal System (cont’d)Gastrointestinal System (cont’d)

Objective dataObjective data Physical examinationPhysical examination

• MouthMouth InspectionInspection PalpationPalpation

• AbdomenAbdomen InspectionInspection AuscultationAuscultation PercussionPercussion PalpationPalpation

• Rectum and anusRectum and anus


Fig. 39-7


Fig. 39-8


Fig. 39-9


Diagnostic Studies of the Diagnostic Studies of the Gastrointestinal SystemGastrointestinal System

Radiologic studiesRadiologic studies Upper gastrointestinal seriesUpper gastrointestinal series Lower gastrointestinal seriesLower gastrointestinal series Abdominal ultrasoundAbdominal ultrasound Virtual colonoscopyVirtual colonoscopy


Fig. 39-10


Fig. 39-11


Diagnostic Studies of the Diagnostic Studies of the Gastrointestinal System (cont’d)Gastrointestinal System (cont’d)

EndoscopyEndoscopy Liver biopsyLiver biopsy Liver function studiesLiver function studies


Fig. 39-12


Fig. 39-13

Chapter 39 Nursing Assessment Gastrointestinal System Copyright © 2007, 2004, 2000, Mosby, Inc., an affiliate of Elsevier Inc. All Rights Reserved.

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