Download - Care Conference Cancer Colon
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At the end of this session, you will be able to :
State the definition of cancer colon.
List the etiology of cancer colon. Identify the pathophysiology of
cancer colon. State the sign & symptom of cancer
colon.
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LEARNING OBJECTIVES cont.
Identify the complication of cancer colon.
Understand regarding treatment of cancer colon.
Identify the nursing intervention & appreciate the nursing care for cancer colon patient.
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PATIENT’S PROFILE
MRS. T
FEMALE
54 YEARS OLD
HOUSEWIFE
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PATIENT’S PROFILE
WHEEL CHAIR
ANXIOUS
ALLERGICS - NIL
D.O.A 18/6/13 @ 1000 Hrs
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Mrs T was admitted to 5XX-1 with complaint of
intermittent constipation and loose stool with
abdominal bloating and discomfort X 1/12.
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Doctor = Dr DB
Diagnosis - CANCER COLON
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PATIENT’S PROFILE MEDICAL HISTORY Nil
SURGICAL HISTORY Right hemicolectomy (1/2007) at GH Kangar Colonoscopy (10/7/12) at KMC OGDS & Colonoscopy (21/6/11) at KMC
FAMILY MED HISTORY Unknown
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CURRENT MEDICATION
Nil
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VITAL SIGN TEMPERATURE : 36.2˚C BLOOD PRESSURE : 130/80mmHg PULSE : 66 bpm RESPIRATION : 20 bpm PAIN SCORE : 2 Weight : 50kg
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ACTIVITY DAILY LIVING Loss of appetite X 1/12 and fullness.
Anxious and asking many questions.
Pass motion 2 – 3 times per day
Having intermittent constipation and loose stool X 1/12
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PHYSICAL EXAMINATION
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S/B Dr DB in clinic :
18KS, CEA & HIV CT Abdomen CXR Tab Dulcolax 11/11 STAT Fleet 45cc at 5am 19/6/13 Colonoscopy CM
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UnknownHereditaryAgingDietarySmoking AlcoholRadiation
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• Aging
• History of colorectal cancer
• Inflammatory bowel disease
• Family history
• Low fiber & high fat diet
RISK FACTORS
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• African-American race• Sedentary lifestyle• Diabetes• Obesity• Alcohol• Radiation
RISK FACTORS
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• Intestinal obstruction
• Gastrointestinal haemorrhage
• Cancer cell metastasis to other organ
COMPLICATION
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• Biochemistry
- Glucose 6.4mmol/L (3.9 – 6.1 mmol/L)
• Liver Function Test
- SGPT / ALT 55U/L (7 – 48)
• Microscopic Examination, Urine
- Bacteria Occasional (Nil)
18KS
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• 1cm right posterior-based pleural reaction
• No malignancy seen
CT ABDOMEN
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• 5mm small nodular opacity right lower zone with well circumscribed border.
CHEST X-RAY
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• Both CXR and CT abdomen findings were noted since 2012.
Dr DB wrote :
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DRUGSIN WARD
DATEORDERED
DATE OFF
Tab Dulcolax 11/11 STAT 18/6/13 18/6/13
Fleet 45cc at 5am (19/6/13)
18/6/13 19/6/13
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DRUGSTO TAKE AWAY
DATEORDERED
Co-Motion 1/1 OM X 5/7 19/6/13
Tab i-1-Zyme 1/1 Daily X 1/12 19/6/13
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Alteration in comfort : pain related to abdominal bloating.
NURSING DIAGNOSIS
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Potential fall related to sedation.
NURSING DIAGNOSIS
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Alteration in emotional status anxiety related to symptoms and treatment.
NURSING DIAGNOSIS
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Alteration in nutritional status less than body requirement related to poor appetite, minimal consumption & abdominal fulness / discomfort.
NURSING DIAGNOSIS
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Potential infection related to intravenous cannulation.
NURSING DIAGNOSIS
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• Follow up
• High fiber diet
• Stop smoking
• Avoid alcohol and junk food
• Exercise more
• Watch your weight
• Relaxation and stress management
• Diabetes management
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