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Showing posts with label Rectal Cancer. Show all posts
Showing posts with label Rectal Cancer. Show all posts

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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5 Nursing Diagnosis for Colon Cancer and Rectal Cancer - Care Plan

Nursing Diagnosis for Colon Cancer and Rectal Cancer

1. Diarrhea related to inflammation, irritation, intestinal malabsorption or partial narrowing of the intestinal lumen, secondary to the process of intestinal malignancy.

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

2. Imbalanced Nutrition Less Than Body Requirements related to impaired absorption of nutrients, hypermetabolic state, secondary to the process of intestinal malignancy.

Characterized by:
  • Weight loss, decreased subcutaneous fat / muscle mass, poor muscle tone
  • Increased bowel sounds
  • Pale conjunctiva and mucous membranes
  • Nausea, vomiting, diarrhea

3. Anxiety (describe level) related to psychological factors (the threat of changes in health status, socio-economic status, functions, roles, interaction patterns) and sympathetic stimulation (neoplastic process)

Characterized by:
  • Acute phase of disease exacerbation
  • Increased tension, distress, fear
  • iritabel
  • Narrows the focus of attention

4. Ineffective individual coping related to the intensity and repetition stesor adaptive threshold exceeded (chronic illness, death threats, the vulnerability of individuals, severe pain, no adequate support system)

Characterized by:
  • Declare an inability to face problems, hopelessness, anxiety
  • Declared worthless
  • Depression and dependence

5. Knowledge Deficit: about condition, prognosis and treatment needs related to less exposure and or misinterpretation of information.

Characterized by:
  • Ask questions, request information or a statement of the concept of fault
  • Does not accurately follow the instructions
  • Complications / exacerbations can be prevented.
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