Clinical Integration Specialty Practice for Colon Cancer Patients

RUNNING HEAD: CLINICAL INTEGRATION SPECIALITY PRACTICE 1
Unit Title: NRSG370 – Clinical Integration - Speciality Practice
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CLINICAL INTEGRATION SPECIALITY PRACTICE 2
Clinical integration specialty practice
INTRODUCTION
Colon cancer is one of the most common types of cancers that affect both women and
men. According to statistics, 10% of the new cancers in the United States of America are colon
cancer while 12% of the cases appear in women (Kyu et al., 2016). In terms of mortality rates
among different types of cancer, colon cancer is ranked at position three (De Sousa e Melo et al.,
2017). The burden of colon cancer is immense and there is the urgent need to come up with
better nursing interventions to improve on the condition.
The essay will capture the related health information, the nursing issues or problems that
relate to the case study, the goals for priority, the nursing care for the patient as well as the
evaluation of the nursing strategies used .Finally, there will be a reflection on the patient’s
outcome.
THE CASE STUDY IN QUESTION
The situation that I came across was a patient by the name Melody King who was 36
years old and was suffering from colon cancer. She presented at the Emergency Department with
severe right lower quadrant abdominal pain and the situation required an urgent laparoscopic
surgery so that the raptured appendix could be removed. Her past medical history include asthma
as well as depression. Ventolin, sere tide and finally sertraline were the current medications for
the patient. Melody later developed peritonitis post-operative which was treated with different
antibiotics as well analgesia successfully. The presence of adenocarcinoma was confirmed day
three after the surgery on the biopsy of the appendix. Melody is supposed to return to the hospital
few days later so that a number of diagnostic tests could be done such as the CT scan of the

CLINICAL INTEGRATION SPECIALITY PRACTICE 3
chest, the abdomen and the pelvis. MRI of the abdomen and the pelvis are also other tests that
would be performed on Melody. Finally, there would be blood tests to establish the presence of
tumor markers that include CEA, CA-125, and then CA19-9.
COLLECTION AND PROCESSING OF INFORMATION.
The information that was collected in the case study was the history or previous health
conditions such as if the patient has ever suffered from the colon cancer. The aim of this
information is to find out the probable stage of the condition. Another important information
collected is the current medication of the patient. The type of treatment being subjected to the
patient assist in determining the efficacy of the drug of choice in treating the health issue.
RELATED HEALTH INFORMATION AND NURSING ISSUES RELATED TO
THE PATIENT
In the case study, there were several health issues that were identified and they include
colon cancer, chances of side effects are also common and they were as well taken into
consideration. Other health issues in the case study include bowel dysfunction .It is these health
issues that need necessary nursing interventions which are explained in the sections below.
GOALS FOR PRIORITY
The goals for priority in this particular case study were quite many. The most significant
of all however included the treatment for colon cancer. After the treatment, there are chances of
anterior resection syndrome and that is another goal to prioritize. Besides the two, bowel
dysfunction is also likely to be a health issue that needs priority.