Long Term Management of Client Diagnosed with Colorectal Cancer
Long term management of client diagnosed with Colorectal Cancer
Cancer is a leading cause of death worldwide and one of the four leading threats to human health and development along with cardiovascular diseases, chronic respiratory diseases and diabetes (WHO, 2011). It is estimated that cancer accounted for 13% of all deaths worldwide in 2008, of which colorectal cancer along with lung and breast cancers contributed to 45% of world’s total cancer mortality (Ferlay, et al., 2010). Cancer continues to be a leading cause of mortality and morbidity in New Zealand accounting for one third of all deaths (MOH, 2012). Colorectal cancer affects both Maori and non Maori populations in New Zealand and the incidence rate rank among the highest worldwide (Shah et al, 2011).
The identity of the client in this case study is protected under the Privacy Act (1993). He will, hereafter, be known as Mr. S. The student in this assignment will critique the given case study (Appendix. A) and discuss the pathophysiology of colorectal cancer along with the interpretation of the information given (Appendix. A). An appropriate plan of care for Mr. S diagnosed with colorectal cancer undergoing chemotherapy and the role of nurses in the management of people long term conditions are also discussed in this assignment.
Background:
Mr. S is a 68 year old man diagnosed with colorectal cancer undergoing his second course of chemotherapy in the outpatient clinic. He presented to the hospital with marked changes in his bowel habit with bright red blood per rectum and cramping abdominal pain in November, 2012. After detailed investigation, he has been diagnosed with stage for colon cancer with stomach and liver metastasis. He underwent bowel resection in December, 2012 resulting in colostomy. His present concern includes abdominal discomfort, chronic fatigue, weakness, poor appetite, disturbed sleep and heart burn. His performance status is worsening and he needs assistance
Cancer is a leading cause of death worldwide and one of the four leading threats to human health and development along with cardiovascular diseases, chronic respiratory diseases and diabetes (WHO, 2011). It is estimated that cancer accounted for 13% of all deaths worldwide in 2008, of which colorectal cancer along with lung and breast cancers contributed to 45% of world’s total cancer mortality (Ferlay, et al., 2010). Cancer continues to be a leading cause of mortality and morbidity in New Zealand accounting for one third of all deaths (MOH, 2012). Colorectal cancer affects both Maori and non Maori populations in New Zealand and the incidence rate rank among the highest worldwide (Shah et al, 2011).
The identity of the client in this case study is protected under the Privacy Act (1993). He will, hereafter, be known as Mr. S. The student in this assignment will critique the given case study (Appendix. A) and discuss the pathophysiology of colorectal cancer along with the interpretation of the information given (Appendix. A). An appropriate plan of care for Mr. S diagnosed with colorectal cancer undergoing chemotherapy and the role of nurses in the management of people long term conditions are also discussed in this assignment.
Background:
Mr. S is a 68 year old man diagnosed with colorectal cancer undergoing his second course of chemotherapy in the outpatient clinic. He presented to the hospital with marked changes in his bowel habit with bright red blood per rectum and cramping abdominal pain in November, 2012. After detailed investigation, he has been diagnosed with stage for colon cancer with stomach and liver metastasis. He underwent bowel resection in December, 2012 resulting in colostomy. His present concern includes abdominal discomfort, chronic fatigue, weakness, poor appetite, disturbed sleep and heart burn. His performance status is worsening and he needs assistance
References: American society of clinical Oncology (2011). Advanced Directives. Black. J. M., & Jacob. E. M. (1993). Luckmann and sorensen’s Medical- Surgical Nursing: A psychological Approach Cancer Resource centre (2013). Coping with chemotherapy University of California, San Francisco Medical Center Cronin. E. (2005). Best practice in discharging patients with a stoma Nursing times.Net, 101(47), 67 Delsigne. J. (2013). Managing sleep disorders in Cancer Patients. Fernyl. J., Shin. H. R., & Bray.F. (2010). Estimates of worldwide burden Of cancer in 2008 – GLOBOCAN 2008 King I, (1997). Imogen King’s Interacting theory. Retrieved 10th May, 2013 from http://www.nurses.info/nursing theory Ministry of Health.(2011).Advance Care Planning: A guide for the New Zealand health care workforce Ministry of Health. (2012).The Health of New Zealand Adults 2011/12: Key findings of the New Zealand Health Survey. National Health Committee. (2007).Meeting the needs of people with chronic conditions: Hapai te whanau mo ake ake tonu Nugent. F. (2012). Colon Cancer. MedicineNet.com, Retrieved from: http://www.medicinenet.com/coloncancer/article.htm