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NSB303 Health Promotion and Chronic Disease Case Study

   

Added on  2019-12-28

13 Pages4833 Words251 Views
NSB303 Case StudyTABLE OF CONTENTSINTRODUCTION..........................................................................................................................................................3DISCHARGE PLAN......................................................................................................................................................3SELF MANAGEMENT PLAN......................................................................................................................................5CONCLUSION.............................................................................................................................................................10REFERENCES..............................................................................................................................................................111

INTRODUCTIONThis case study is on John Carroll, who is diagnosed with Colorectal cancer. John is anelectrician and of 62 years of age. He has undergone with a bar test, which is done to identifyabout the colorectal cancer. His wife insisted him a lot to consult a doctor regarding this report.After the check up from doctor, the report was sent back to the cancer care coordinator. John andhis wife went there. The coordinator told them that the doctor found out a cancer on the Lebel.The purpose of this essay is to find out different sign and symptoms, which are related to the2

cancer recurrence (Eline, Tor and Geir, 2017. pp. 215).This case study also deals with the followup regimen after the treatment has been completed. The major areas which are covered in thisessay are the issues which are experienced by John in his survivor-ship. Those issues can berelated to physical, social and psychological (The Medical and Psychological Concerns ofCancer Survivors After Treatment, 2017.). The follow up process generally having outpatientsvisit, the evaluation of clinic, radiological and haematological evaluation of patientscommunication techniques are being used so that people should get enough knowledge abouthow to take care of the cancer patients and how to support them. This study will help the patientsin reducing the risk of having cancer, and also it will help them in finding out the condition earlyjust by looking at the symptoms. This essay also tells about the support the patient need to havebefore, in between and after the treatment has been done (Joanne and et.al., 2015. pp.132). DISCHARGE PLANThe care of colorectal cancer in the phase of post treatment have many risks such as therisk of recurrence, risk of developing some late effects and mostly the psychological issues. It ismust that the follow up process should be based on the evidence and with consistent guidelines(Jane and et.al., 2010. pp. 59.). For a colorectal cancer patient like John, the best therapy toremove that cancer is chemotherapy. The main responsibility of the care coordinator is to findout about what kind of follow-up is required to John , like; surveillance for the spread of cancer,secondary cancer or recurrence and psychological effects. The care coordinator must discuss hisplans with other health professionals so that he can manager the consequences of that cancer.The secondary goal of this follow up is to identify the other disease at an asymptomatic stage,where the cure is very much possible (Nenna and et.al., 2012 pp.79). Although there is no suchevidence present which suggests that by the intensive follow up, it will improve the personalsurvival of John (Scholefield and Steele,2017). But as John's age is below 70, it is recommendedthat he should undergo a regular tumor check up closely. The follow up process generally havingoutpatients visit, the evaluation of clinic, radiological and haematological evaluation of patients.The follow up process is the detection of recurrent disease. 80% of the recurrences occurs incolorectal cancer in the first few years after the treatment has been done. John must have anintensive follow up process (Beverley, 2016). Even after having such kind of intensive follow upprocess, it still fails to detect 50% of the asymptomatic recurrences. But the end result to over3

come the recurrences is to have re-operation (Nicola and et.al,2013. pp.508). Only 30% of thepatients will go with the process of re-operation. This is because the diagnosis of the recurrencediseases are very poor, so all the patients will take this very lightly (Diagnosed with pancreaticcancer, 2011). John should undergo this follow up process, as in the case of asymptomaticcolorectal cancer, it is showing some improvement in the survival of the patient. As a carecoordinator, I have to make sure that John should have such kind of follow up process, so that hewill not suffer from the recurrence of the cancer. I have advised to John that he must avoiddrinking and smoking. At the same time he should do regular exercise, so that he will be healthyand it will give less chance for the disease to recurrence. The symptoms of colorectal cancer are generally not visible to the patient, until andunless it has reached in its early stages. This cancer can be treated very successfully if it isdetected very early. But only 40% or less than that colorectal cancers are detected early (Chyke,2017). The symptoms of colorectal cancer recurrence may include; the bleeding from the rectumagain, which is either mixed with the faeces (An Overview of Colorectal Cancer: Signs,Symptoms, and Stages, 2013). Some anaemia symptoms may also occur. The abdominal painwill increase again and fast weight loss will be there. Some of the symptoms other than this are;bloating, mucus on the faeces and malaise (Melissa, 2017). The main technique to find out thecolorectal cancer is to undergo a FOBT process, which is faecal occult blood test (Tests to DetectColorectal Cancer and Polyps, 2017). John must undergo this process again, if he is feeling anysign of recurrence of the disease. There is a chance that the problem will be detected again if thescreening is done by using FOBT process (Faecal Occult Blood Test, 2017). The governmentguideline suggest that while having intensive follow up, the patient must have at least one FOBTcheck up in two years after the age of 50 (American Cancer Society Recommendations forColorectal Cancer Early Detection, 2017). Since John's age is 62, then he must undergo thischeck up in every 18 months. Apart from FOBT, if any further information is needed regardingthe identification of this disease, then there are some more methods like rectal examination, somerigid or flexible sigmoidoscopy and the full blood examination can be done. This is done by aprofessional and perfectly trained surgeon, this test will also include the studies of iron. Incolorectal cancer if the recurrence happens, then it will be having some symptoms likeAbdominal pain, reducing the weight, change in the frequency of stool, blood in stool etc (What4

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