Health Teaching on appendectomy in Niagara


Acute appendicitis, a commonly found condition affects approximately 8.6% of the US population annually, which are about 250,000 citizens. This advocates that appendectomy is the most common pediatric surgical emergency in the U.S, with Welland County General Hospital in the Niagara region reporting about 35,000 patients annually. The approximated life risk is 6.7% in women and 8.7% in men, with a high rate of the complication registered in teens and ages of the twenties but hardly reported at prenatal and neonatal stages. Scientists suggest the increase in appendicitis in Canada is because of lifestyle and eating habits, with high consumption of processed foods, which contain low fiber content (Edelman & Mandle, 2010). Among the population, doctors claim that larger population in Niagara report into hospitals at life-threatening conditions as a due to lack of information on the symptoms of the condition, with majority confusing it with food poisoning and normal stomachache. Patients take laxatives, antacids, pain remedies, and heating pads only to cause the inflamed appendix to rupture. This paper will provide a health education concerning appendectomy as sensitization of the citizens of the Niagara region of Ontario, Canada.


The purpose of this pamphlet is to identify and incorporate research, critical thinking skill, health teaching, and nursing knowledge with the aim of forming a health-teaching document focused on detailed serious health challenges on appendectomy. It develops a teaching plan as a tool for the delivery of that teaching organized to a pamphlet, documented from evidence-based resources.


Student _____________________________________________

Date _______________________________________________

Instructor ___________________________________________

OBJECTIVES Content Teaching Learning Activities Time Allotment Evaluation Methods
By the end of the lesson the learner should be able to:

Recognize the symptoms of appendicitis (Cognitive)



Perform an abdominal test to examine appendicitis (Psychomotor)



Agree to eat foods with high fiber content (Affective)




Benefits of early detection

Reduced risk

Reduced healthcare cost

Low pain

Symptoms and diagnosis 

Belly bottom pain

Rapidly worsening pain

Low-grade fever and chills

Vomiting, nausea, low appetite

Constipation or diarrhea

Gas and bloat

Causes of appendicitis




Intestinal Worms



Side effects




Discussing questions;

What do you know about appendicitis, appendectomy? Discuss the benefits of early detection. Discuss the symptoms of appendicitis. Give the patient the pamphlet.


Discuss the localization of abdominal pain. Demonstrate how to confirm appendicitis abdominal pain. Discuss the different symptoms of appendicitis


Demonstrate using a model of the human gut the blocking of the appendix.


Discuss fear and mixed feeling. Who else in your family has undergone appendectomy? What did they do? What were the results

20 min session










20 min session








10 min session




20 min session





Appendectomy is an emergency surgical procedure that involves the removal of an inflamed or infected appendix. The appendix, a finger-like part of the large intestine, is considered to rupture and spill infectious material, which can be life-threatening the abdominal bloodstream if surgery is delayed. Surgery is the only alternative for the treatment of appendicitis, but in the case in the absence of facilities, intravenous antibiotics can be used to delay sepsis onset. Appendectomy procedures may be laparoscopic or open operation. The laparoscopic is a minimally invasive surgery, where the surgeon makes a small cutting in the lower right of the belly and using a video camera to inspect the abdomen through the surgical cut to remove the appendix (Black & Hawks, 2009). The benefit of the technique is that it leaves a small scar with less postoperative pain, allow the surgeon to make the diagnosis, and takes shorter to recover, but it is more expensive than an open operation. For a broken appendix, the abdomen must be washed during surgery to avoid infection. On arrival to the hospital, the patient is diagnosed and if there are signs of sepsis, immediately is given antibiotics. The general procedure involves the induction of anesthesia to prepare the patient, and an incision made in the abdominal wall through various layers of the wall. Once in the peritoneum, the surgeon identifies the appendix, mobilize, ligates it and separate it at the base then close the abdominal layers each in turns. The skin is closed with stitches and the wound dressed than the patient brought to recover (Potter & Perry, 2013).

Surgical procedures require thorough scrutiny of because they become necessary if there is no other measure a doctor finds applicable. Therefore, before appendectomy (pre-op) assess the patient information data in allergies, food taken or fluids, activities before the occurrence of complication, respiration, circulation, and the pain or discomfort. Essential instructions are worth to consider and some psychological support to encourage patient to ventilate feelings. The patient and his or her family must sign a consent form authorizing the doctor to undertake the procedure on the patient. The surgeon administers intravenous therapy or the drip in the patient and prepares the skin by shaving the mid-thigh to the nipple line. Diagnostic tests of the blood test, abdominal x-ray and an electrocardiogram (ECG) determined to diagnose abnormal heart rhythms or Ultrasound to view possible pathology (Pagana & Pagana, 2012).

When recovering from an appendectomy, follow doctor’s order carefully. First, inspect your incision often to and pay attention to possible signs of infection like swelling, bright redness, and drainage from the incision. High fever is another thing to watch for following appendectomy, fever above 99.4 degrees F accompanied by vomiting and severe pain, it is advisable to call your doctor. Avoid heavy lifting usually any weights over 15 pounds strain the lower abdominal muscles and rapture the healing inner muscles and tissues your surgeon accomplished during surgery. For the first 3 weeks after an appendectomy, doctors restrict repetitive activities up and down movements when getting items from kitchen cabinets, pressing foot pedals when driving, and other strenuous activities. A post-op measure to the patient requires using a pillow to split their abdomen when coughing or sneezing (Lewis, Heitkemper, Dirksen, & al, 2010). The pillow helps to prevent stitches from popping and minimize pain from strain of coughing or sneezing especially for the first days after the operation.



Black, J., & Hawks, J. (2009). Medical-Surgical Nursing: Clinical Management for Positive Outcomes. 8th ed. St. Louis: MO: Saunders.

Edelman, C. L., & Mandle, C. L. (2010). Health Promotion Throughout the Life Span, 7th Ed. Toronto: Mosby/Elsevier.

Lewis, S. M., Heitkemper, M. M., Dirksen, S. R., & al, e. (2010). Medical-surgical nursing in Canada: Assessment and management of clinical problems,2nd Canadian ed. Toronto: Elsevier Canada.

Pagana, K. D., & Pagana, T. J. (2012). Mosby’s Diagnostic and Laboratory Test Reference, 11th Edition. St. Louis: Elsevier Health Sciences.

Potter, P. A., & Perry, A. G. (2013). Canadian Fundamentals of Nursing, 5th Edition. Seneca-York: Mosby/Elsevier Canada.




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