Colorectal Cancer Survivorship Care Planning

Running head: NURSING ASSIGNMENT
NURSING ASSIGNMENT
Name of the Student
Name of the University
Author note

1NURSING ASSIGNMENT
Introduction
The colorectal cancer is also known as the bowel cancer or the colon cancer, which refers
to the development of cancer in the coon area or in the rectum area. The cancer is the abnormal
growth of the cells which have the capabilities to spread from one part of the body to different
parts of the body. The given case study is about a 62 years old man, John, who is suffering from
colorectal cancer and is receiving the chemotherapy (Guinney et al., 2015). The aim of this
assignment is to critically analyse the individual, social and environmental factors, community
which influences a lot on the health practices and strategies for the promotion of positive
behaviours of health and also to apply the self-management support in the health care whenever
it is needed to apply in the promotion of health.
Discharge planning
In the given case study, John has been admitted to the hospital as he is receiving the last
cycle of his chemotherapy. I am the coordinator of the cancer care and will be providing him
educations regarding the discharge planning and also about self-management. Presently, John is
receiving chemotherapy and before getting the chemotherapy he had already undergone through
a surgery. The operation was done to make sure that the cancer does not come out of the bowel
and move to other parts of the intestinal tract (Arnold et al., 2017). The surgery involved
anaesthetic before commencing for the surgery. After the surgery, the patient should continue
taking care of himself. The recommendations for the follow up care vary from person to person
depending on the stage of the diseases on which the person is at present. In the give case, John
had undergone surgery and after surgery changes are there for the recurrence of the symptoms.
The lymph nodes are the places where the colorectal cancer can spread at first (Jeffery et

2NURSING ASSIGNMENT
al.,2016). The use of CEA are sometimes prescribed to some patients. The quality of life is
another important factor which is needed to be maintained. The patient should maintain a proper
diet, which definitely must not be spicy, the person must also need to maintain the weight and if
it seems to be obese then it needs to be reduced. The patient must also do some physical
exercises daily and should necessarily leave alcohol as alcohol tends to increase the colon cancer
(van de Wetering et al., 2015).
Sometimes the recurrence of the cancer happen in the same place, if this condition
happens then it is called local recurrence but if the symptoms happen in some other area then it is
called metastatic cancer. The symptoms of the recurrence of the colorectal cancer is same as that
happened at the time of onset of cancer. The symptoms are constipation, pain, weight loss and
dairrhoea. The patient will definitely feel more tired than usually the person feels, pelvic pain
may happen. The patient may find troubling in breathing and also the appetite of the patient gets
ruined. If no such symptoms are there then the colorectal cancer will not spread to other parts of
the body (Welch & Robertson, 2016).
Approaches for education and planning for self-management
The factors which effect the health outcomes of the patients suffering from cancer have
gained much attention for doing further research. The patients suffering from the colorectal
cancer suffer from different mental and psychological issues. Even in the given case study, John
also has undergone some psychological issues like the distress related to the cancer, adjustments
to the physical changes after the full treatment is over as the normal life style gets disturbed.
Another important psychological issue gets created after the treatment when the person returns to
the work (Fakih, 2015). The patient most of the time do not able to adjust to the workplace again
as the co-workers would ask continuously about the disease and the treatment procedures