Wednesday, May 2, 2012

Diarrhea related to Rectal Cancer / Colon Cancer

Nursing Diagnosis for Rectal Cancer / Colon Cancer : Diarrhea related to inflammation, Irritation, intestinal malabsorption or partial narrowing of the intestinal lumen, secondary to the process of intestinal malignancy.

Definition:
Diarrhea is a bowel movement (defecation) by the number of stools more than normal (normal 100-200 cc / hr feces). With the stool is liquid / solid half, may be accompanied by an Increased frequency.

According to WHO (1980), diarrhea is watery bowel movements more than 3 times a day.

Characterized by:
  • Increased bowel sounds / peristaltic
  • Improved liquid defecation
  • Stool color changes
  • Pain / cramping abdominal

Rectal Cancer - Colon CancerNursing Interventions for Diarrhea related to Rectal Cancer / Colon Cancer:

1. Assist clients in meeting the needs of defecation (if bed rest to prepare the necessary tools near the bed, put the curtains and immediately dispose of faeces after defecation).
Rational: defecation can occur suddenly without any signs, so it needs to anticipate client needs to prepare.

2. Increase / maintain oral fluid intake.
Rationale: Prevents dehydration.

3. Teach about food and drink that may exacerbate / trigger the diarrhea.
Rational: To help clients avoid the agent trigger diarrhea.

4. Observation and record the frequency of defecation, stool volume and characteristics.
Rational: Assessing the development of an issue.

5. Observation of fever, tachycardia, lethargy, leukocytosis, decreased serum protein, anxiety and lethargy.
Rational: Anticipating the danger signs of perforation and peritonitis requiring emergency action.

6. Collaboration of appropriate medication therapy program (antibiotics, anticholinergics, corticosteroids).
Rational: Antibiotics to kill / inhibit the growth of pathogenic biological agents, anticholinergic to reduce bowel peristalsis and decrease the secretion of digestive disorders, corticosteroids to reduce inflammation.

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