Abstract:

Choledocholithiasis refers to the presence of gallstones in the common bile duct. Choledocholithiasis is more common in the elderly due to physiological dilatation of the common bile duct with age. Choledocholithiasis usually causes abdominal pain defined as biliary colic. It is accompanied by nausea and vomiting. Many complications such as acute cholangitis and acute biliary pancreatitis may develop in patients with choledocholithiasis. The aims of nursing care in patients with choledocholithiasis with complications are to detect signs and symptoms early, to provide self-care, to improve quality of life and well-being, to plan appropriate nursing interventions before, during and after the Endoscopic Retrograde Cholangio Pancreatography (ERCP) procedure, to follow the complications that may develop during and after the ERCP procedure and to implement the necessary nursing interventions, and to educate the patient and his family. A 56-year-old patient with a known diagnosis of ulcerative colitis (27 years), arrhythmia and DM presented to the emergency department because of fullness and pain in the epigastric region for 12 days and was admitted to the ward with a diagnosis of choledocholithiasis. The case was evaluated with Marjory Gordon's Functional Health Patterns Nursing Care Model and nursing care was provided. The necessary permission was obtained from the patient and her family for the study and publication. The nursing diagnoses of acute pain, nausea, hyperthermia, nutrition less than the body requirement due to anorexia, activity intolerance due to fatigue, deterioration in skin integrity due to jaundice and itching, fluid electrolyte imbalance, inadequacy in individual coping, and lack of information were determined.

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