J.T. (pronouns: he/him/his) a 34-year-old, arrives at the emergency department with stabbing abdominal pain that is 9 out of 10 on the 0-10 pain scale, with episodic rectal bleeding and seve

J.T. (pronouns: he/him/his) a 34-year-old, arrives at the emergency department with stabbing abdominal pain that is 9 out of 10 on the 0-10 pain scale, with episodic rectal bleeding and severe diarrhea for the last two days. The client was recently treated and released from the hospital for a salmonella infection. Vitals are T – 98.7 F (37 deg * C) BP 90/64, P 124, R 18, oxygen saturation 96% RA J.T. states, “I try to eat healthy ” but a busy work schedule has him eating fast food most days during the work week. Delta*T was diagnosed with ulcerative colitis and needed a temporary ileostomy. The new shift nurse enters his room 24 hours after the post-surgical ileostomy to perform a shift assessment. The nurse observes him tearful in bed and approaches to change the ostomy dressing per prescribed orders . J.T. becomes visibly upset, crying, and verbalizing “Don’t touch that! It’s so awful to look at and it smells terrible. I’m never leaving my house again.”

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