Introduction
This essay discusses the case of John, a 65-year-old male who has been diagnosed with colorectal cancer (CRC) and is receiving his last cycle of chemotherapy post-surgery. The essay critically discusses the recommended follow-up regimen after curative treatment for CRC and signs and symptoms associated with CRC recurrences. Additionally, survivorship issues that are experienced by cancer survivors with strategies to prevent the issues are discussed. Moreover, relevant health education for optimum self-management and communication strategies that facilitate effective education is discussed.
Recommended follow up regimen after curative treatment for colorectal cancer and signs and symptoms associated with colorectal cancer recurrence.
Following curative treatment for CRC, patients are at greater risk for CRC recurrence (Godhi, Godhi, Bhat, & Saluja, 2017, p.234). Therefore, follow-up is imperative as early detection of recurrence allows timely interventions to occur (Fahy, 2014, p.738). Majority of
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Symptoms of CRC recurrence include recent alterations in bowel habits, abdomen pain, bleeding per rectum, and perineal pain in rectal cancers (Nurgali & Wildbore, 2015, p.768). Change in bowel habits includes an increase or decrease in frequency of defecation (Thompson et al., 2017, p.1394). Signs and symptoms of CRC recurrence depend on the shape, size and location of the lesion (Nurgali & Wildbore, 2015, p.768). Primary lesion located in the ascending colon will result in John having liquid faeces and experiencing pain in that region (Nurgali & Wildbore, 2015, p.768). Whereas, lesion in the transverse colon would result in semisolid faeces and also pain in that area (Nurgali & Wildbore, 2015, p.768). Lesions in descending colon result in narrow solid faeces due to the tumour growing circumferentially (Nurgali & Wildbore, 2015,
“The colon cancer vs. Crohn’s disease debate is generating a lot of interest in the medical community. Every year in the U.S., approximately 57,000 people die from colorectal cancer and 147,000 new cases are diagnosed”states Dr. Victor Marchione. Crohn's disease is a new disease that was introduced into today's society in 2015. 1.4 million Americans have Crohn’s disease or ulcerative colitis. Of those, about 700,000 have Crohn’s has been diagnosed in the years between 1992 and 2004 just from a doctor's visit. People have came up with different ways that we can help and prevent the disease such as Surgery, Conferences and “ KEY TO PROCESS “.
Nearly 14.5 million Americans have had a history stint with some type of cancer and were still alive on January 1, 2014(American Cancer Society, 2016). There will be an estimated 1,685,210 new cancer cases and 595, 590 deaths in 2016 attibuted to caner in the U.S. (American Cancer Society,2016 ) Those astonishing numbers do not even account for the cancer patients family and friends whose lives are also affected this horrific disease. In order to get a glimpse of what a cancer patient has to go though, I decided to read Stuart Scott’s memoir, Every Day I Fight, by Larry Platt. He is an ESPN anchor that was diagnosed with a rare form of Appendiceal Cancer. It was a great book, and wanted to discuss the merits this book had on showing what
Central Texas College (CTC) is currently among the top of two year colleges with numerous awards and acknowledgements. For 50 years it has served students, employees, and community members alike with its exceptional educational programs and events. With CTC’s rapid expansion, it has achieved a monumental student population of nearly 81,000 worldwide. Roughly 16,400 of these students attend the central Killeen campus. With such a large student body and accompanying staff, CTC certainly has a full workload in terms of providing service. Part of its service requirement is providing safety and security to the CTC community. While CTC provides outstanding service in many departments, there is room for improvement in the safety and security of the
Symptoms such as sudden or rapid weight loss, bloody stool, thin stools and abdominal cramping may point to colon cancer. You need to go to your physician and get tested if you have these symptoms.
The signs and symptoms of colon cancer include blood in the stool, weight loss, change in movements in the bowel and fatigue. Most colon cancers are adenocarcinomas because they begin in the cells responsible for making and releasing mucus and other fluids. Colon cancer usually begins as a type of growth known as a polyp which forms in colon or rectum’s inner wall. Some polyps may develop to become cancer after some time. Diagnosing and removing polyps is used to prevent cancer. In the United Kingdom, colon cancer is 3rd most common type of cancer for women and men. However, deaths associated with the cancer have been decreasing after the use of colonoscopies as well as fecal occult blood tests which are used to check for the presence of blood in people’s
While I was finishing up my freshman year in college, my father went through a major surgery in which he had to remove almost a third of his internal organs due to the visceral metastasis. His attending physician thoroughly but carefully explained to my family about his condition which equipped us with a greater understanding of cancer pathology. Although my father’s condition did not seem promising at that time, my family was touched by the empathetic physician who made my father’s condition sound very manageable and hopeful. I believe that my father’s quick recovery after a total of eight chemotherapy treatments was a miracle. Through his recovery, I became more appreciative of what the medicine could offer to the patients and their families that help them alleviate both physical and emotional
Understand the symptoms of some types of cancer, like colon cancer, if you hope to catch it. Sudden weight loss, cramping, thin stools and stools that contain blood are all symptoms of colon cancer. If you start to see these symptoms, schedule an appointment with your doctor
John Doe is a 57-year-old male who was diagnosed with Esophageal Cancer in January of 2017. He attended the St. Bernards Cancer Center located in Jonesboro, AR for consultation and treatments. His initial consultation was February 9, 2017 with one of the oncologists. At the first appointment, John met with the registrar personnel to complete all required paperwork, met with a nurse, nurse practitioner, cancer navigator, and oncologist. After his initial visit, the treatment plan was completed by staff members and he would begin treatments in the following weeks. John received both radiation and chemotherapy to treat his diagnosis. He began radiation and chemotherapy treatments on February 27, 2017 and finished on April 6, 2017. His radiation treatment was scheduled daily and his chemotherapy treatments were scheduled twice weekly for six weeks. He has a two-week follow-up appointment scheduled for April 21, 2017. At this follow-up visit, John will meet with a nurse, cancer navigator, and oncologist. This visit is solely
The patients were selected according to the type of surgery, open colectomy for left-sided colon and rectal cancer, patients that required "postoperative ventilation or planned intensive care therapy due to co-morbid conditions were excluded from the study," the eligible subjects were randomly selected to either the control or treatment group, and peri-operative treatment was standardized (Quah et al, 2006, p. 65). Outcome measures were time to first flatus and feces, and length of hospital stay, and a blinded "independent specialist colorectal nurse practitioner" evaluated the progress (Quah et al, 2006, p. 65). Researchers utilized the Mann-Whitney U-test and the X2 test to analyze the data entered into statistical software, and measured statistical significance using a two-sided p value of 0.05. The two groups were homogeneous "in terms of age, gender co-morbid disease, history of previous abdominal surgery, site of tumor and tumor stage" (Quah et al, 2006, p. 65). The researchers findings were not significant enough to support the intervention; the mean time to first flatus was 2.7 days for the control group and 2.4 days for the experimental group a p value of 0.56, the mean time to first feces was 3.9 days for the control group and 3.2 for the experimental group a p value of 0.38, and length of hospital stay was 11.2 days for the control group and 9.4 days for the experimental group a p value of 0.75. Patients in the experimental group had
Colorectal cancer is cancer of the colon. It is also referred to as colon cancer. It is mostly found in people over the age of fifty. In the United States alone, it is the second leading cancer killer in the US. Colon cancer has four stages of cancer. The cancer can either be malignant or benign. The anatomy, signs and symptoms and treatments are all very important things to consider when encountering colon cancer.
Zhu conducted a study to compare the survival rate of patients with colorectal cancer and were treated with a systemic drug, which was oxaliplatin, and those who were treated with CRS-HIPEC. The study showed that those patients who received systemic chemotherapy had an average survival of 24 months, while those who received CRS-HIPEC had a survival of 63 months.16 Randomised studies and other cohort studies have provided encouraging information on the overall survival in patients who have undergone CRS-HIPEC treatment with or without early postoperative intraperitoneal chemotherapy (EPIC), as compared to those who obtained systemic
Treatment options for recurrent rectal cancer depend on whether the cancer recurs locally or in a distant site.
Colorectal cancer affects colon and rectum. Also it occurs in the large intestine. When the cancer is in the last six inches of the rectum, it is known as a rectal cancer. Additionally, colon is in the lower part of the digestive system that processes food and rides the body of waste. Simultaneously, these are referred to as colorectal cancer. Colorectal cancer (CRC) is the most common disease in our society that kills men and women. It is ranked the third most common cause of death among the African American men and women in the United States of America. In addition, colorectal cancer is caused by ulcerative colitis, certain types of diets such as diets that are high in red meat, obesity, smoking, alcohol abuse, and poor exercise. Also, colorectal
Goldwasser (2009) accepted that being diagnosed with cancer comes as a terrible shock for most people and those affected may look back on the experience and remember it as all being 'a bit of a dream. Often they are given information that they are only able to take in part of what they are told. As the news sinks in and they are ready to talk about what is going to happen, the most important thing to remember is that it is their body they are discussing. People must be allowed to make decisions and to ask the doctors or nurses to explain things again if there is anything they do not understand. The effects of the diagnosis of bowel cancer will have a whole new meaning and will be a while before people understand it all. Once the doctor has received the results, they will discuss the diagnosis with the patient Baxter,(2009). This will help them to understand the options available to get involved in putting together individual treatment plan. Each plan is unique depending on personal circumstances, and will depend on a number of factors including the type, size and location of the cancer and general health. The decision making process will be done jointly between the patient and the responsible Multi-disciplinary team. According to Baxter (2009), doctors will help the patient to understand the advantages and disadvantages of what is being proposed so they can be confident in the decisions being taken, and satisfied that their individual needs and
Material and methods: 37 Egyptian patients diagnosed with rectal carcinoma were included in this retrospective study. 28 patients received neoadjuvant chemoradiation therapy while the remaining 9 cases did not. Total mesorectal excision was done by the same colorectal surgeon. The specimens of TME were examined to retrieve the lymph nodes.