Hemorrhoids in older adults

  1. Definition
    a. Disease or condition

b. Pathophysiology

c. Incidence and prevalence

  1. Assessment
    a. Symptoms

b. Physical Exam

  1. Diagnostic tests
    a. Testing

b. Expected results

  1. Management
    a. First-line medications

b. Second-line medications

c. Other treatments

d. Follow-up

e. Referral

References

The topic is about Hemorrhoids in older adults

  1. INSTRUCTIONS- condition
    a. Identify the selected condition.
    b. Provide a basic description of the pathophysiology of the selected disorder or condition.
    c. Provide a summary of the incidence and prevalence of the selected disorder or condition in the United States.
    d. Provide a scholarly source.
  2. Assessment
    a. Identify common subjective findings (symptoms) consistent with the selected diagnosis.
    b. Identify pertinent physical examination components and the expected exam findings consistent with the selected disorder or condition.
    c. Identify your intended state of practice and whether physician collaboration is required in California. If collaboration is required, describe the circumstances that would require physician consultation.
    d. Provide a scholarly source.
  3. Diagnostic tests
    a. List diagnostic tests appropriate for the selected condition.
    b. List expected abnormal results consistent with the selected condition.
    c. Provide a scholarly source.
  4. Management: Present an evidence-based management plan for the selected disorder or condition.
    a. Describe in detail first-line prescribed medications recommended for the selected condition.
    b. Describe in detail second-line medication that should be prescribed IF the client had an allergy to first-line line treatment for the selected condition.
    c. Identify medication details including
    i. Trade and generic names for each medication
    ii. Typical dose for each medication
    iii.  Major contraindications for use
    iv. Major drug-drug interactions
    d. Identify other recommended treatments, if any, for the selected disorder or condition.
    e. Discuss expected client follow-up. If the client called in with persistent or recurrent symptoms after initial treatment, describe the appropriate next action.
    f. Describe indications for referral.

Full Answer Section

       

c. Incidence and Prevalence Hemorrhoids are a very common condition. In the United States, it is estimated that over half of adults will experience hemorrhoids at some point in their lives. However, the exact incidence and prevalence in older adults is difficult to determine, as many people may not seek medical attention for mild symptoms.

2. Assessment

a. Symptoms Symptoms of hemorrhoids can vary depending on the severity of the condition. Common symptoms include:

  • Bright red blood on toilet paper or in the stool
  • Pain or discomfort in the anal area
  • Itching in the anal area
  • A feeling of fullness or pressure in the rectum
  • A lump or bulge near the anus (external hemorrhoid)

b. Physical Exam A physical exam of the anal area can help diagnose hemorrhoids. The healthcare provider may visually inspect the area and perform a digital rectal exam to check for internal hemorrhoids.

[Note: To provide a more comprehensive response, it would be helpful to know the specific guidelines and recommendations of the country or region you are targeting. However, I can provide general information based on common practices.]

Sample Answer

       

Hemorrhoids in Older Adults

1. Definition

a. Disease or Condition Hemorrhoids are swollen veins in the lower rectum and anus. They can be internal or external.

b. Pathophysiology The exact cause of hemorrhoids is unknown, but they are thought to be caused by increased pressure in the veins of the lower rectum. This increased pressure can be caused by:

  • Straining during bowel movements
  • Sitting for long periods of time
  • Pregnancy
  • Aging