213 Nursing Assessment, Management and Treatment of Autoimmune Diseases
● Seasoned snack foods (e.g., potato chips). ● Seitan (a food made from gluten). ● Self-basting poultry. ● Soups. | NURSING CONSIDERATION Although pure oats are not harmful for the majority of patients with celiac dis- ease, oats may be contaminated by wheat during growing and process- ing. Patients and families should con- sult with their healthcare providers re- garding eating small amounts of pure oat products (Mayo Clinic, 2020a). Patients and families may benefit from participating in a support group. Support resources include the following: ● National Celiac Association: 1-888-4-CELIAC https://nationalceliac.org/celiac- disease-support-groups/ ● Gluten Intolerance Group: 1-253-833-6655 https://gluten.org/
● Hospitals, social services organizations, and healthcare providers can make recommendations regarding local support groups. Crohn’s disease Crohn’s disease is a chronic, idiopathic inflammatory bowel disease and is cat - egorized under the spectrum of chronic idiopathic inflammatory bowel disease (IBD; Feuerstein & Cheifetz, 2017). The other most common type IBD is colitis ulcerose, which will be discussed later in this education program (Mayo Clinic, 2021d). The differences between Crohn’s disease and colitis ulcerosa are shown in Figure 3. Crohn’s disease typically affects the distal ileum and colon but may occur in any part of the gastrointestinal (GI) tract. Effects of Crohn’s disease can extend through all layers of the intestinal wall and may also involve regional lymph nodes and the mesentery (Gersch et al., 2017; Merck Manual, 2020a).
Figure 3. Crohn’s Disease vs Colitis Ulcerosa
Note . The red areas indicate the portions of the colon that are typically inflamed. (Wikipedia Commons, 2021).
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