1. With a diagnosis of inflammatory bowel disease, what could be discussed with Mrs. Greenway regarding changes to her diet and lifestyle? How would you present this information to Mrs. Greenway?
Inflammatory bowel disease which includes Crohn’s disease is often associated with poor digestion and malabsorption of dietary protein, fat, carbohydrates, water and a wide variety of vitamins and minerals, therefore what a person eats may never truly get into the body (CCFA, 2017). I would advise Mrs. Greenway to eat a well balanced nutritious diet. I would give Mrs. Greenway adequate information on healthy eating and different food choices to make a balanced diet easier. I would also recommend that she drinks 8-10 glasses of water a day to prevent dehydration, eat more soluble fibre like oat bran, legumes, eat more proteins like lean meats, fish, nuts, eggs and poultry, healthy fats like olive oil and canola oil, deep colored skinless and seedless fruits and cooked vegetables, dairy and calcium or dairy substitute if she is lactose intolerant (CCFA, 2017). Lifestyle changes like getting adequate exercise, quitting any tobacco habit, reducing alcohol intake and dealing with stress by reading, walking , talking to a therapist, taking a long bath are some of the ways to help reduce flare ups of inflammatory bowel disease (Ferring, 2014).
2. Mrs. Greenway
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Greenway that this route are used to help relieve swelling, itching, and discomfort of some other rectal problems, including hemorrhoids and inflammation of the rectum caused by radiation therapy (mayo clinic). I will instruct Mrs. Greenway, to clean her rectum first, put on some gloves, take the suppository from put some lubricant on it and insert it into the rectum pass the internal splinter with the pointy side first, hold on for ten seconds to make sure it has been absorbed in. Insert laying down in a lateral position and remain in the same position for 5-10 minutes after the suppository is