Person Centred Care and Nursing Principles for Colorectal Cancer

Running head: Nursing
Topic: NURSING
Name of the Student:
Name of the University:
Author’s Note:

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Introduction
A person centred care of plan is an approach which ensures that the client is the
central concern for the nursing care and treatment given to them. The provision of an
effective plan of care along with a discharge system is pivotal for care and support for
patient. A proper provision of care responsive to the personal preference is important
alongside the values, needs as well as an assurance that all clinical decisions comply by the
values and ethics of their clients providing care, comfort, safety and assurance. The primary
aims of a person centred care is provision of quality, healthcare safety, co-ordination along
with the quality of life which are also the primary principles for nursing effective in
providing an effective care and support for their patients (American Geriatrics Society
Expert Panel on Person Centred Care et al., 2016). Thus, nursing principles encourage the
development of a stable therapeutic relationship by following a holistic approach which helps
in implementing an effective plan of care and support towards a patient considered above all
medical proceedings thus enhancing a person centred plan of care. Discharge co-ordination as
well as planning forms an important plan in making the home to hospital effective
simultaneously enhancing the process of an effective person centred plan of care. Since the
discharge process requires a multidisciplinary collaboration, patients should have the primary
care and support and be active during the process. According to the person centred plan of
care implemented by Gothenburg, the model helps in the provision of a structured approach
where patients are treated as persons first and should be considered with care and not reduced
for consideration only associated with their disease (Ulin et al 2016). The given case study
revolves around the life of Mr Simons who is a retired army officer and has the habit of
excessive smoking. As far as his medical conditions are concerned he has often suffered from
post-traumatic stress disorder (PTSD) along with symptoms pertaining to back pain.
However, he and his family members have not been seen to suffer from bowel movements.

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His results of colonoscopy has revealed a lesion indicating symptoms of cancer and a
provisional diagnosis revealing rectal cancer. His chemotherapy as well as radio therapy
results have specified the symptoms of the cancer. The upcoming paragraphs will encompass
the various sequential process used for nursing and the subsequent nursing diagnoses used.
They will also highlight the logical as well as ethical standards which are required for
providing a rationale for the care and support provided. Further all the medications as well as
the discharge planning, involvement of Multi-Disciplinary teams (MDT) and provision of an
effective plan of care is also discussed.
The nursing process involves the five steps of sequential processes like diagnosing
after assessing the symptoms, then planning the treatment process simultaneously followed
by implementation and evaluation of the whole process. Assessment involves systematic as
well as dynamic ways of collection and analysis of data about the patients. Diagnosis
involves the clinical judgement inclusive of the response regarding potential and actual needs
as well as requirements of the situation. Planning involves post diagnosis and assessment
period where measurable as well as achievable long range or short range goals for the clients.
Implementation includes the changes which are made according to the plan of care
improvised for the patient which involves continuous care for patients which is done during
hospilization as well as preparation for the needs of the discharge plan which needs
assurance. Evaluation is the final step involving the continuous scrutiny as well as
examination of the results and regular improvisation done according to the plan of care (Feo
et al., 2017).
Discussion
The two basic diagnosis processes accentuated by the nurse are provision of care for
colonoscopy and the related surgical processes as well as care formulated for processes post
colorectal surgery. After being reviewed by panel of doctors and related health care

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professionals he shows development of colorectal cancer which has to be diagnosed in order
to be understood for proper treatment procedures.
Plan of care for trauma and stress – Being a senior army personnel Mr Simons has been
suffering from disorders related to trauma and depression. Hence a proper plan of care has to
be implemented for Mr Simons. Nurses have come to the solution through the formulation of
assessment tool including formation of manually created questionnaires. SPAN and SPRINT
has been used as effective assessment tool for their determination of the mental illness
suffered by Mr Simons (Kane, 2015).
Plan of care after Colonoscopy- Simon have been advised to under annual colonoscopies
for the next a span of 5years as a part of the surveillance post diagnosis of colorectal cancer.
He has undergone his colonoscopy under mild sedation and mild dose of anaesthetics.
Colonoscopy studies have revealed he has a lesion which is low in his bowel and according to
the biopsy, colonoscopy studies will assist I the determination of the kind of lesion.
According to the experiences Mr Simon had shown a positive attitude during the whole
colonoscopy, he had apprehended to be worse than the present treatment. He had felt no pain
during the process and a proper plan of care along with treatment has been formulated. A
continuous plan of care should be implemented according to the kind of feedback received
from Mr Simons post-surgery which would be of primary importance for the role of a nurse.
According to screening tests for colorectal cancer, the numbers have declined however there
has been an increase in the screening rates of colorectal cancer thus proving the seriousness
of the disease (Wharam et al.,2016).
Plan of care post Radiology and Chemotherapy- After the studies of colonoscopy, he has
been advised to undergo chemotherapy and radiotherapy to reveal more information about the
kind of cancer he has been suffering from. According to the health care professional assisting
him in the process, he would need chemotherapy for assisting the reduction of the type of