Solution
Soumi answered on
May 28 2021
Running Head: CONSUMER CASE STUDY ESSAY
COLORECTAL CANCER SURVIVORSHIP CARE PLAN
NSB303 PARTNERSHIPS IN HEALTH AND ILLNESS
BACHELOR OF NURSING
ASSESSMENT TASK 2—
CONSUMER CASE STUDY ESSAY
Table of Contents
Introduction 3
Discharge Planning 3
Colorectal cancer diagnosis 3
Colorectal cancer treatment 4
Recommended follow-up after active treatment 4
Sign and symptoms of colorectal cancer recu
ence 5
Collaborative approaches to education and planning for self-management 5
Physical survivorship issue 5
Psychological survivorship issue 6
Social survivorship issue 6
Spiritual domain of health 7
Communication principle and evidence-based strategies to educate patient’s health 8
Conclusion 8
References 10
Introduction
Cancer is one of the most critical diseases until death. Apart from the pain of disease, treatment of the diseases is equally painful. Once the treatment is done, person is constantly vulnerable to the recu
ence of the disease. It is necessary for the cancer patients to take necessary precautions after discharge and completion of the treatment. The following case study is of John who was suffering from colorectal cancer and has completed its last chemotherapy session. After the last active treatment, it is necessary to educate the patient about the recu
ence of the disease and to teach them self-management of its condition. This essay deal with all the survivorship issues, patient can face after treatment and provide proper survivorship care plan.
Discharge Planning
Discharge planning is a process, in which smooth discharge of the patient from the hospital setting is done after critically analysing the condition of the patient and to educate them about their situation and necessary preventions they need to take after discharge.
Colorectal cancer diagnosis
As suggested by Van Blarigan and Meyerhardt (2015), apart from the basic physical examination, there are many methods of examination of colorectal cancer diagnosis. The most common are colonoscopy, biopsy, and molecular testing of tumour. As noted by Rex et al. (2015), colonoscopy is a method, in which rectum and colon are screened to identify the tumour. In case of John, colonoscopy had been done. The report of colonoscopy shows the existence of the tumour lying in the colon region. Then biopsy is done on the tissue of the tumour for the confirmation of the disease.
As suggested by Speeg, Monson, Hibner, Nock and Parihar (2016), a biopsy is removal of small amount of tissue from the infected part to analyse under microscope. This is the most accurate test to diagnose cancer. Another method is molecular testing of the tumour. Molecular tests are run on tumour sample to determine the type of treatment required to cure the disease.
Colorectal cancer treatment
Treatment of the colorectal cancer depends upon the stage of the cancer. In early stage, minimal invasive approach to surgery is given. As suggested by Miller et al. (2016), if cancer is very small and localised, it can be removed by colonoscopy. Large polyps can be removed by endoscopic mucosal resection where special tools are used to remove inner lining of the colon. For advanced stage, partial colectomy is done, in which part of the colon that contains cancer along with the margin of normal tissue from all side of the cancer is removed and remaining colon is connected to each other.
Once the surgery is done, then person undergo chemotherapy. As suggested by Gustavsson et al. (2015), chemotherapy is a procedure, in which drugs are used to kill cancer cells. In colorectal cancer, chemotherapy is always done after surgery. Chemotherapy helps to kill the cancer cells that remain in the body and reduces the risk of cancer recu
ence. It shrinks the large cancer for easy removal through surgery. It also helps in relieving the symptoms, which cannot be treated with surgery.
In case of John, surgery has been conducted on him to remove the active tumour from his body. After surgery, he had undergone the procedure of chemotherapy to destroy the remaining cancer cells of the body. It also helps in spreading of the disease and emerging of tumour at new place.
Recommended follow-up after active treatment
After the treatment of the cancer, recommended follow-up is necessary for healthy life and managing the side effect of the diseases. There is regular physical examination after two to three months. Apart from regular physical examination, there is conduction of the tests to check colorectal cancer recu
ence. CEA test, computed tomography (CT) scan and colonoscopy.
As suggested by Shinkins et al. (2017), CEA test is conducted; in which blood test is done, that detects the level of CEA protein. High level of CEA level shows that there is spread of cancer in other parts of the body. This test is recommended to every three to six months for five years. A CT scan creates a 3D image of the inside of the body with X-ray machine. It is recommended for every year for three years. Colonoscopy is conducted for every five years.
In case of John, he needs to undergo...