A patient with chronic pancreatitis had a pancreaticojejunostomy created 3 months ago for relief of pain and to restore drainage of pancreatic secretions. The patient has come to the office for a routine postsurgical appointment. The patient is frustrated that the pain has not decreased. What is the most appropriate initial response by the nurse?
A) "The majority of patients who have a pancreaticojejunostomy have their normal digestion restored but do not achieve pain relief."
B) "Pain relief occurs by 6 months in most patients who undergo this procedure, but some people experience a recurrence of their pain."
C) "Your physician will likely want to discuss the removal of your gallbladder to achieve pain relief."
D) "You are probably not appropriately taking the medications for your pancreatitis and pain, so we will need to discuss your medication regimen in detail."
Ans: B
Feedback:
Pain relief from a pancreaticojejunostomy often occurs by 6 months in more than 85% of the patients who undergo this procedure, but pain returns in a substantial number of patients as the disease progresses. This patient had surgery 3 months ago; the patient has 3 months before optimal benefits of the procedure may be experienced. There is no obvious indication for gallbladder removal and nonadherence is not the most likely factor underlying the pain.
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