Assessment of Digestive and Gastrointestinal Function

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Assessment of Digestive and

Gastrointestinal Function

Marichelle Delos Santos RM, RN, MAN


Palawan State University
Functions of the Digestive Tract
• Breakdown of food for digestion
• Absorption of nutrients produced by
digestion into the bloodstream
• Elimination of undigested foodstuffs and
other waste products
Terms
• Digestion: phase of the digestive process
that occurs when enzymes mix with
ingested food and when proteins, fats, and
sugars are broken down into their
component molecules.
• Absorption: phase of the digestive process
that occurs when small molecules,
vitamins, and minerals pass through the
walls of the small and large intestine and
into the bloodstream.
• Elimination: phase of the digestive process
that occurs after digestion and absorption,
when waste products are eliminated from
the body.
Organs of the Digestive System
Major Enzymes and Secretions
• Mouth: saliva, salivary amylase
• Stomach: hydrochloric acid, pepsin,
intrinsic factor
• Small intestine: amylase, lipase, trypsin,
bile
Assessment- History
• Include all information related to GI
function
– Abdominal pain
– dyspepsia
– Gas
– nausea and vomiting
– Constipation
– Diarrhea
– fecal continence
– change in bowel patterns
– characteristics of stool
– Jaundice
– history of GI surgery or problems
– appetite and eating patterns
– Teeth
– and nutritional assessment including weight
patterns
• Psychosocial, spiritual, and cultural factors
• Assess knowledge; need for patient
education
Common Sites of Referred
Abdominal Pain
Quadrants of the Abdomen
Question
Which is the correct order to complete an
abdominal assessment?
A. Inspection, auscultation, percussion,
palpation
B. Auscultation, inspection palpation,
percussion
C. Percussion, palpation, inspection,
auscultation
D. Palpation, percussion, auscultation,
inspection
Answer
A

The correct order for an abdominal


assessment is inspection, auscultation,
percussion, and palpation.
Diagnostic Tests
• Stool specimens
• Breath tests
• Abdominal ultrasound
• Imaging studies: CT, PET, MRI
• Upper GI tract study
• Lower GI tract study
• GI motility studies
• Endoscopic procedures
• Other
Patient undergoing gastroscopy
Colonoscopy
Question
Is the following statement True or False?

When a colonoscopy is done, the flexible


scope is passed through the rectum and
sigmoid colon into the descending,
transverse, and ascending colon.
Answer
True

When a colonoscopy is done, the flexible


scope is passed through the rectum and
sigmoid colon into the descending,
transverse, and ascending colon.
Thank you!

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