Nursing Assignment: Bowel Cancer Diagnosis and Treatment

Nursing assignment

Table of Contents
1 Patient background and signs and symptoms of bowel cancer along with the diagnosis.......2
2 Anatomy, physiology, and necessity of Hartman's process....................................................2
3 Risk factors that may contribute to Dwight's diagnosis of bowel cancer...............................3
4 Four signs of bowel obstruction..............................................................................................4
5 Normal BGL level for adults and the intervention process for the development of BGL......4
6a. Clinical use of blood and blood products for the patients of bowel cancer.........................5
6b. 7 standard of NSQHS. Four required actions to ensure safety and administrate blood
products......................................................................................................................................5
7a. Why does Mr. Dwight require a nasogastric tube? 5
7b. requirement and implementation of routine check...............................................................6
8 Identification and discussion on clinical priority for Mr. Dwight..........................................6
9 SMART framework for one short-term goal of the clinical priority......................................6
10 Two interventions to achieve a short-term goal....................................................................7
11Two methods to evaluate and justify outcomes.....................................................................7
12Two risk factors associated with chemotherapy with evidence.............................................8
Reference List............................................................................................................................9
1 | P a g e

1 Patient background and signs and symptoms of bowel
cancer along with the diagnosis
Mr. Dwight has been diagnosing with bowel cancer over the last few months. As per the
opinion of the Ambulance officer, Mr. Dwight was vomiting frequently. Moreover, he had
symptoms of kenotic breathing and type2 diabetes. He has also left eating and drinking over
the past few days and was found weak before he was taken to the local healthcare
organization. The bowl cancer treatment of Mr. Dwight was going through Hartman's
procedure with colostomy formation. The symptoms of heart problem were also identified
with the blood glucose level of 22mmol/L.
The signs and symptoms of bowel cancer include the change in normal bowel motion; for
example frequent diarrhea and constipation problem (Rutter, Nickerson, Rees, Patnick, &
Blanks, 2014). Moreover, a feeling of unemptied after a full motion, stomach fullness,
unusual weightless and breathlessness are also the diagnosis symptoms for bowel cancer.
Apart from that, rectal bleeding and bleeding stools are significant symptoms of bowel cancer
(Rutter, Nickerson, Rees, Patnick, & Blanks, 2014).
The symptom of rectal bleeding can be diagnosed through the rectal exam, anemia, and stool
sample testing. CT scan and MRI scan can also be prescribed for the diagnosis process of
bowel cancer (Rutter, Nickerson, Rees, Patnick, & Blanks, 2014). The application of
Hartman's procedure is a useful technique to promote the diagnosis process of rectosigmoid
Colon. As per the case study, Mr. Dwight's bowel cancer has been diagnosed with Hartman’s
process.
2 Anatomy, physiology, and necessity of Hartman's
process
Anatomy: Anatomy defines the structure of Hartman's procedure. The proctosigmoidectomy
includes the Hartman's procedure. A midline incision is made with the number 10 blade and
turns the blade into umbilicus. This umbilicus results in cosmetically incision. The
cosmetically incision qualifies the rectosigmoid colon through anorectal stamp to mitigate the
colostomy. Hence, this helps in nullifying the symptoms of bowel cancer (Llosa et al., 2015).
However, skin irritation is the most notable side effect of Hartman's surgery (Sinha et al.,
2014).
2 | P a g e

physiology; The physiological areas that are concerned about Hartman's process are uterus to
avoid complication, excessive bleeding from pelvic plexus, splenic issues and traction on the
liver (Garcia-Allende et al., 2014). The traction of the liver results in unusual venous
bleeding. The Hartman’s treatment process has been followed while diagnosing Mr. Dwight
to avoid the complication of the splenic injury.
Necessity; The Hartman’s operational process is generally used to eliminate the colorectal
mucosa that promotes the growth of bowel cancer (Llosa et al., 2015). Additionally, this
process is helpful in preserving the postoperative bowel to nullify the complications in the
anal route.
3 Risk factors that may contribute to Dwight's diagnosis
of bowel cancer.
Mr. Dwight has been diagnosing with the Hartman’s operational surgery for his bowel cancer
(Llosa et al., 2015). The Hartman’s surgical process is easy and most effective to reduce the
colon and rectum complications (Garcia-Allende et al., 2014). However, the risk factors that
contribute to the diagnosis of bowel cancer anastomotic leak and risk of a hernia.
Anastomotic leak; The anastomotic leak is the resultant of the stoma reversal surgery. It is
one of the most dreaded complications of the Hartman’s surgery (Garcia-Allende et al.,
2014). It generally reduces the mortality rate. The after surgery may increase the morbidity
and mortality rate of Mr. Dwight up to 34%. It develops high stomach pain, unusual fever,
frequent vomiting, and nausea. Mr. Dwight has experienced frequent vomiting before his
admission to the local hospital. It decreases the blood pressure and reduces the urinary free
flow. Additionally, it creates complication as it requires two surgical operations and takes
around 6 to 8 weeks for complete healing (Schuette et al., 2017).
Risk of a hernia; The Hartman's surgical process can reduce generally increases the
abdominal pressure (Garcia-Allende et al., 2014). The increased abdominal pressure can
develop the risk of a hernia for Mr. Dwight. The complications of a hernia can result in
urinary complications, heavy lifting, and fluid transportation in the abdomen (Nam et al.,
2014). It is capable to decrease the tissue strength and reduces the tissue elasticity.
3 | P a g e