Question: Case Study For NUR 2110 Cancer Diagnosis /Surgery: Harold Is A 54 Year Old Male With Complaints Of Constipation, Abdominal Cramping And Ribbon Like Stools X 2 Months. His Primary Care Physician Referred Him To A Gastro-enterologist Who Ordered A Colonoscopy. Biopsies Were Taken During The Colonoscopy Which Showed A 8 Cm Tumor In The Descending Colon, …

Case Study for NUR 2110 Cancer Diagnosis /Surgery: Harold is a 54 year old male with complaints of constipation, abdominal cramping and ribbon like stools x 2 months. His primary care physician referred him to a gastro-enterologist who ordered a colonoscopy. Biopsies were taken during the colonoscopy which showed a 8 cm tumor in the descending colon, with 4/10 lymph nodes positive for malignancy. The pathology report showed an adenocarcinoma of the colon. A CT scan was performed which showed multiple areas of metastasis in the liver and lungs. Harold is scheduled for a partial colectomy to remove the tumor and insertion of a port-a cath for chemotherapy. He may have a temporary colostomy. You are doing his pre-operative teaching 1. Harold says to you “Once they remove the tumor, I should be fine, right?” How do you respond to this statement? Is this surgery curative? 2. How does the presence of distant metastasis change the patient’s prognosis and treatment? 3. How common is colon cancer in the general population? What is the nurse’s role in primary prevention and early detection? 4. How do you address body image/sexuality with this patient? 5. Harold says to you “My uncle had chemotherapy a long time ago and all he did was throw-up. Is the same thing going to happen to me?” How do you respond? encor caregiver will be able to PARENT GAR Nursing Management- Admission: Harold recovered well from the surgery and his temporary colostomy has been reversed. He received his first chemotherapy treatment with IV 5flourouracil and Oxaliplatin 10 days ago and is admitted to your unit again with a diagnosis of t/o sepsis. He is in a semi-private room with a post-op patient that has C diff. His CBC is as follows: WBC: 600/mm3 Hgb: 6.2 g/dL Het: 24% Platelets: 22,000/mm3 6. Why did this patient receive two different chemotherapies? 7. What are important factors to consider when assessing a patient post chemotherapy administration? 8. Identify the following terms: leukopenia, anemia and thrombocytopenia. 9. Does the client have any of these conditions? If so, list which one(s) and identify the lab data that corresponds with it 10. Harold is 10 days post chemo treatment. Why is this significant? 11. What are your priorities of care with this patient based on the results of the CBC?