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Diverticulitis and Diverticulosis Nursing Management

  • Diverticulitis – is a term involving inflammation of diverticula, mean saccular herniations int the colonic glacis.
  • Diverticulosis – exists when multiple diverticula are give extraneously inflammation or symptoms.

Risk Factors

  • Increased intraluminal constraining
  • Low-fiber sustenance
  • Chronic constipation
  • Obesity


  • Bacteria / buttress trapped in the diverticula
  • Inflammation and contagion
  • Sigmoid colon is the most dishonorable footing for diverticulitis consequently of fecal masses that provoke and growth constraining in the colon.


Diverticula shape as the colonic mucosa pushes through the brawny dupe at inefficient points. Increased intraluminal constraining is the probable precipitating element. The diverticula partially store delay incoherent buttress substance and bacteria. As they stretch, they behove over impressible to impatience and inflammation. Potential complications:
  • Bacterial or fecal dirt of pericolic tissues
  • Fistula
  • Colonic glacis broaden, narrowing the lumen causing clever obstruction
  • Peritonitis
  • Hemorrhage

Assessment/Clinical Manifestations/Signs and Symptoms

  • Asymptomatic, multiple diverticula are give extraneously inflammation


  • Change in bowel habits
  • Dull, uniform, or episodic aversion in the abdominal left inferior quadrant or the epigstrium (depending on refrainnce of the diverticulitis)
  • Rectal bleeding
  • Anorexia
  • Low-grade fever

Laboratory and symptom consider findings:

  • Complete race estimate evaluation may expose an amending snowy race cell estimate and amending sedimentation rate
  • Colonoscopy can visualize diverticula and except other mitigated object
  • Barium enema shows narrowing of the colon and broadened muscle masses, this standard is contraindicated in cases of clever inflammation consequently of the possibility of shady-recess bunghole.

Diverticulosis Nursing Management|Nursing Management

Provide measures to tranquillity the colon during an clever exacerbation, which results when buttress or bacteria in the diverticula object inflammation.
  • Administer nonentity by mouth
  • Administer IV fluids
  • Institute nasogastric suctioning
  • Keep the client on bed tranquillity

Help tranquillityore the client’s recognized bowel exportation shape by administering one or over of the following:

  • Bulk laxatives
  • Stimulant laxatives
  • Stool softeners (typically used for antiquated clients consequently they are docile and less mitigated to object laxative dependence)
  • Saline laxatives
  • At smallest 8 oz of impart delay any agent

Help neutralize constipation.

  • Encourage daily exercise such as walking, which growths bowel peristalsis.

Teach the client environing nursing circumspection.

  • Inshape the client that all nursing interventions for diverticulitis are aimed at melting the stool through the colon as abundantly and delay as trivial impatience as mitigated.
Administer medications, which may conceive antibiotics, opioid analgesics, and antispasmodics.
Provide come-back to recognized bowel exportation shapes as symptoms refrain. Slowly growth spoken intake until the client is drinking six to view glasses of impart daily.
Offer a low-fiber sustenance until signs of contagion decrease; then partially growth fiber until the client is eating a high-fiber sustenance. If a high-fiber sustenance peculiar neutralizes constipation, permit medication delay calculation, in-particular in antiquated clients.


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