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Findings from a systematic review indicate that computed tomography (CT) scanning with Gastrografin may have the best specificity and sensitivity for differentiating between postoperative ileus and other conditions, whereas clinical findings and x-ray studies were of limited value in the differential diagnosis.Multidetector CT (MDCT) scanning has the potential to be an effective and reliable tool in the early identification of chronic gallstone perforation and ileus.We conclude that the clinical utilization of the Nursing process at the clinical setting is influenced by lack of understanding of Nurses on the Nursing process and care plan as well as lack of adequate nurses and time.We recommend that the care-plan form be made officially a part of the admission documents.The nursing process is a tool that is recommended for use by all professional nurses working in Ghana, in order to provide nursing care.

However, there is currently a limited use of this tool by nurses in Ghana.The Journal of Continuing Education in Nursing 6(6): 22-29.Kubat J (1976) Correlates of professional obsolescence Part 2.With enteroclysis, the contrast medium in patients with paralytic ileus should reach the cecum within 4 hours; if the contrast medium remains stationary for longer than 4 hours, mechanical obstruction is suggested.Burt Cagir, MD, FACS Clinical Professor of Surgery, The Commonwealth Medical College; Director, General Surgery Residency Program, Robert Packer Hospital; Attending Surgeon, Robert Packer Hospital and Corning Hospital Burt Cagir, MD, FACS is a member of the following medical societies: American College of Surgeons, American Medical Association, Society for Surgery of the Alimentary Tract Disclosure: Nothing to disclose.Barriball KL, While AE, Norman IJ (1992) Continuing professional education for qualified nurses: a review of the literature. Boshier R (1977) Motivational orientations revised. Lifespace motives and the Education Participation Scale. Brennan B (1992) Policy options in continuing professional education Australian Journal of Adult and Community Education 32(3): 138-145. Kubat J (1975) Correlates of professional obsolescence Part 1.