1. Nursing Assessment Gastrointestinal System
Chapter 39
Nursing Assessment Gastrointestinal System
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2. Structures and Functions of the Gastrointestinal System

3. Fig. 39-1

4. Fig. 39-2

5. Structures and Functions of the Gastrointestinal System (cont’d)
Ingestion and propulsion of food
Mouth
Pharynx
Esophagus

6. Structures and Functions of the Gastrointestinal System (cont’d)
Digestion and absorption
Mouth
Stomach
Small intestine
Physiology of digestion

7. Structures and Functions of the Gastrointestinal System (cont’d)
Elimination
Large intestine

8. Fig. 39-3

9. Structures and Functions of the Gastrointestinal System (cont’d)
Liver, biliary tract, and pancreas
Liver
Biliary tract
Bilirubin metabolism
Pancreas

10. Fig. 39-4

11. Fig. 39-5

12. Fig. 39-6

13. Gerontologic Considerations Effects of Aging on the Gastrointestinal System

14. Assessment of the Gastrointestinal System
Subjective data
Important health information
Past health history
Medications
Surgery or other treatments

15. Assessment of the Gastrointestinal System (cont’d)
Functional health patterns
Health Perception–Health Management Pattern
Nutritional-Metabolic Pattern
Elimination Pattern
Activity-Exercise Pattern
Sleep-Rest Pattern
Cognitive-Perceptual Pattern
Self-Perception–Self-Concept Pattern
Role-Relationship Pattern
Sexuality-Reproductive Pattern
Coping–Stress Tolerance Pattern
Value-Belief Pattern

16. Assessment of the Gastrointestinal System (cont’d)
Objective data
Physical examination
Mouth
Inspection
Palpation
Abdomen
Auscultation
Percussion
Rectum and anus

17. Fig. 39-7

18. Fig. 39-8

19. Fig. 39-9

20. Diagnostic Studies of the Gastrointestinal System
Radiologic studies
Upper gastrointestinal series
Lower gastrointestinal series
Abdominal ultrasound
Virtual colonoscopy

21. Fig

22. Fig

23. Diagnostic Studies of the Gastrointestinal System (cont’d)
Endoscopy
Liver biopsy
Liver function studies

24. Fig

25. Fig