INTEGRATED NURSING PRACTICE

Running head: INTEGRATED NURSING PRACTICE
Question and Answer
Name of the student
Name of the university
Author’s name
Name – Student number – Unit code –

Nursing1
Answer to Question 1a:
One of the strategies that could be implemented for the early detection of colon cancer is
Magnetic Resonance Colonography (MRC) (Schreuders et al., 2015, pp. 1641). In this method, a
critical and virtual analysis of the colon of the individual is carried out to understand the stage
and detect the presence of lesions. Another strategy that could help medical professionals detect
the presence of colon cancer early is the Faecal Immunochemical Test (FIT) (Katsoula et al.,
2017, pp. 1115). The blood vessels in the colon area tend to become weak and release blood.
These could be detected during the excretion of faecal matter.
Answer to Question 1b:
The two possible barriers that could prevent the efficient usage of these strategies are the
economic condition of the individual and the lack of effective awareness programs in the vicinity
of the residence of the individual (Yong et al., 2016, pp. 210). The depriving economic condition
of the individual may result in the inability to access the diagnostic tests and understand their
medical condition. Besides, the lack of awareness programs may result in the people not being
aware of the existence of such a check for the detection of cancer.
Answer to Question 2a:
As per the case study that is provided, the pre-operative topics that are crucial to be delivered
to Mr Dwight are –
1. Pain management in the patient is critical as the surgery may inflict a certain amount of
pain in the body of the patient.
Name – Student number – Unit code –

Nursing2
2. The enema of the procedure to clear out the bowels should be made clear to the patient
before the surgery (Saltzman et al., 2015, pp. 788).
3. Importance of sterilisation of the medical instruments should be discussed with the
patient such that sustaining infection is avoided.
4. The white blood count of the individual must be shared with them.
Answer to Question 2b:
To avoid the pain in the patient before the surgery, making them do exercises in the legs
and hips are beneficial strategies to educate the patient about the surgical procedure (Hsueh et
al., 2016, pp. 183). Moreover, it is also crucial for the nurse to teach the patient with the help of
audios and visuals of the importance of sterilisation of the medical instruments to avoid
contamination while sharing the reason why this surgery is critical for the patient.
Answer to Question 2c:
It has been observed after thorough research that when the patients are provided with
education regarding their surgeries, the recovery is enhanced and significantly reducing the
chances of sustaining complications after the surgery (Poland et al., 2017, pp. e013498). Besides,
the vital signs of the patient after the operation have been conducted to improve, which act as a
sign to prove the effectiveness of patient education.
Answer to Question 3a:
After the examination has been carried out on the patient, it is likely to be contracting
skin problems surrounding the stoma like redness, pus discharge, swollen and skin itching
Name – Student number – Unit code –

Nursing3
(Urostomy, 2018). These are all observations that a nurse should be made to ascertain themselves
from understanding that a post-operative problem is being experienced by the individual. It is
likely for the patient to experience redness and itching on the surrounding skin, which may result
in discolouration and it becoming swollen and discharging pus at the end-stage.
Answer to Question 3b:
For the appropriate treatment of the skin around stoma of the patient, the nursing
professional must moisturise regularly with a mild medical moisturiser such that the redness is
relieved (Urostomy, 2018). Besides, it should be cleaned with a mild soap such that the pus that
is discharged is cleaned off and further infections are avoided.
Answer to Question 4a:
In patients who have gastrointestinal cancer, it is likely to experience, bowel malignancy
and bowel malignancy. The lumen in the small and large intestine narrows, which plays a crucial
role in obstructing the bowel functionality of the individual (Currow et al., 2015, pp. 819). The
lumen gets blocked in the intestine of the individual and loses the ability to function
appropriately.
Answer to Question 4b:
In patients who are experiencing cramping abdominal pain, they are likely suffering from
a bowel obstruction. The bowel obstruction refers to the inability to pass the stool appropriately
and thus causing difficulties for the patient. The swallowing of air and the proximal dilation
observed in the intestine lead to obstruction (Cousins, Tempest & Feuer, 2016, pp. 23). There is
Name – Student number – Unit code –