Case Study Nursing Zata 2022

Running head: CASE STUDY-NURSING 1
Case Study-Nursing
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CASE STUDY-NURSING
Case Study-Nursing
Sigmoid adenocarcinoma is a type of colon cancer arising from the epithelium
layers of the large intestine. The cancerous cells develop from the inner lining as they
spread outwards throughout the sigmoid area. The colon consists of lymph nodes and blood
vessels networked to enhance an efficient absorption of water from the stool. Zata’s case
highlights the clinical issues associated with a late diagnosis of sigmoid adenocarcinoma.
First, Zata has already undergone a sigmoid colectomy but still exhibits undifferentiated
adenocarcinoma from the obtained biopsy results. Secondly, she encounters difficulty in
bowel movements even after undergoing surgery. Lastly, the current medication Zata
receives is unresponsive. Therefore, this research paper will seek to discuss the clinical
issues presented in Zata’s case and devise the best clinical approach.
Patient Data
To begin with, Zata is forty-six years old, and her medical history aligns with the
leading causes of colon cancer. First, she has a medical history of hyperlipidemia and
hypertension. Secondly, her father was diagnosed with cancer, and she also had
appendectomy at the age of twenty-five years. Thirdly, her current marital status highlights
the psychosocial challenges she might be facing. Besides her medical history, Zata
underwent a laparoscopic sigmoid colectomy but still exhibits difficulty in passing stool.
Also, the biopsy results suggest the presence of a poorly differentiated adenocarcinoma.
Despite the medication she has been subjected to, Zata still harbors advanced signs and
symptoms of colon cancer.
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CASE STUDY-NURSING
Discussion of The Patient’s relevant Data
Colorectal cancer is hereditary, especially for first degree relatives. Usually,
chromosomes contain vital information that can be conveyed down the generation line
(Munteanu & Mastalier, 2014). Parents pass damaged chromosomes to their children, which
consequently makes them develop colon polyps. It is through the acquired polyps that an
individual’s chances of contracting colorectal cancer are enhanced. As indicated in the case
study, Zata’s father was diagnosed with cancer, which implies that she may have obtained it
genetically.
Age is a significant risk factor in the acquisition of cancer. Usually, aging is
associated with the weakening of the immune system (Dulskas, Bagurskas, Sinkevicius &
Samalavicius, 2015). At forty-six, Zata’s genes designed to suppress illnesses may have
failed hence promoting the spread of cancer. Therefore, the poorly undifferentiated
adenocarcinoma tendencies witnessed by the patient could be as a result of her immune
system failing to contain the spread of cancer cells.
Moreover, Zata’s condition could be worsened by her dire mental status. As a
separated mother, the associated psychosocial factors could be altering her immune system
hence promoting cancer growth. According to Li, Gan, Liang, Li, and Cai (2015),
separation is associated with intense stress among couples. In the process, high amounts of
cortisol are secreted which consequently undermines the ability of white blood cells to
contain inflammatory processes (Li, Gan, Liang, Li & Cai, 2015). Therefore, Zata’s
inability to pass stool could be aggravated by her prolonged levels of stress.
Furthermore, Zata is unresponsive to medication due to her weakened immune
system. Despite being subjected to PRN medications, she still struggles with a high pain
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