Question

Patient B is a 60-year-old male survivor of colon cancer treated with a colon resection and sigmoid colostomy, chemotherapy, and radiation therapy.

For your assigned patient:

Identify 2 interventions the nurse will include on the survivorship plan of care that will address health promotion and management of comorbid conditions. Provide a rationale for each intervention.

Identify another member of the interprofessional team that could play a role in the cancer survivorship care for this patient. Explain the role of this interprofessional team member.

Answer 1

1Colostomy is usually performed for lesions in the large intestine.The procedure is done in case of lesions becoming cancerous,forming diverticulitis or obstruction of the large intestine.

2Inspect stoma and peristomal skin area during the changing of pouch.check for irritation ,bruises and rashes.Rationale-Helps in monitoring healing process and effectiveness of appliances and identifies areas of concern,need for further evaluation and intervention.Early identification of stomal necrosis or fungal infection which helps in timely prevention.

IInvestigate timely reporting of burning ,itching or blistering around stoma

Rationale-Indicative of effluent leakage with peristomal irritation or possibly candida infection,requiring intervention.

3 Enterostomal therapist teaches the patient how to care for the colostomy.if any problems occurs with an ostomy.he will provide necessary assistance