Question

1. You are caring for a 78-year-old patient after the creation of an ileal conduit. What is the best description of the ileal conduit? Describe the complications that may follow the placement of an ileal conduit. What assessments do you commonly perform in the immediate post-operative period?

2. Enumerate the Risk Factors for Cervical Cancers.

3. A 55-year-old patient has been diagnosed with cervical cancer. She reports that she has a strong family history of cancer; two sisters have breast cancer. Her mother died of cancer when the patient was a child, and she is not certain of the type of cancer. Because of her strong family history, she is concerned about the health status of her twin daughters who are in their early 30s. She has asked you to discuss the risks for cancer with them. Explain what counseling and education you will provide to the patient and her daughters. Identify the evidence base for the counseling and education and the strength of that evidence. How will you approach your counseling and education?

Answer 1

1. ileal conduit

1.An ileal conduit is a urinary diversion where a segment of intestine is used to direct urine through a stoma into an external collection bag.

2.complications

• Prolonged ileus
• Stoma infection
• Wound dehiscence
• Bacterial colonization
• Stenosis
• Stoma retraction
• Prolapse of illeostoma
• illeointestinal stenosis

3.Immediate postoperative assessment

• Urine flow and out put
• Stoma condition
• Stoma bleeding
• Colour and amount of urine

2.Risk factors of cervical cancer

• Human papilloma virus infection
• Several sexual partners
• Lack of hygiene
• Long term use of birth control pills
• Infection like HIV or any immunodeficiency