We have learned about everything we need to know when you and/or your buddy, rectum become cancerous. This week, I would like to learn about what a nurse would think I need when you have cancer.
Nursing Diagnosis #1- Constipation related to obstructive lesions. This usually happens when my bowels are obstructed in you.
Nursing Diagnosis #2- Acute pain related to tissue compression secondary to obstruction. I may experience excruciating pain because of feeling bloated. I might later on experience post-surgical pain.
Nursing Diagnosis #3- Fatigue related to anemia or anorexia. Feeling tired because you are bleeding in my bowel and I lost my appetite.
Nursing Diagnosis #4- Disturbed image related to colostomy. Possible self-loathing because of stoma and colostomy. Feeling disgusted by managing my bowel movement on my abdomen.
Nursing Diagnosis #5- Knowledge deficit about diagnosis, surgical procedures, and self care. Feeling really lost and not knowing anything about your condition. This would freak me out!
Nursing Diagnosis: Knowledge deficit about diagnosis, surgical procedures, and self care.
Actual Problems: Unaware about the onset, course, pathophysiology of colorectal cancer. Not knowing what to expect from the surgical procedures.
Potential Problems: At risk of improper self care.
Plan: Patient will be able to use teach back technique to demonstrate knowledge of colorectal caner, his/her surgical procedures, and ways of proper self care after surgery or when discharge home.
Outcome: Patient and family will be knowledgeable about the diagnosis of colorectal cancer, surgical procedures (knowing what to expect and consequences), and will be able to provide proper self care after the surgery.
Nursing Intervention: RN will provide verbal and written education for patient and family about colorectal cancer, the surgical procedures of it, and ways of proper self care after the surgery.
Yours sincerely,
Jumbo
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