Why is surgery the only option

Assignment Help Science

Reference no: EM133870660

Assignment:

Case history: EGbowel For posting!

Edgar Graham is 66 years old and has inflammatory bowel disease and hemorrhoids, both which were diagnosed 12 years ago. Several months ago he noticed blood in the toilet but was not concerned thinking it was hemorrhoids. Today, he noticed more blood, but was not associated with hemorrhoids, pain or a bowel movement. Because of continued gastrointestinal bleeding, he makes an appointment with his healthcare provider to be assessed for colon cancer.

Edgar Graham reveals to his practitioner a significant family history of colorectal cancer. This, in combination with an inflammatory bowel disorder place him at high risk.

He is given a colonoscopy and genetic testing which are both positive. Unfortunately, removal of the colon is the only method that can prevent further growth of the tumor. He is scheduled for colon removal with subsequent ileostomy. Before surgery, a significant amount of teaching and counseling is necessary to prepare Mr Graham for the dietary changes he will need to make and how he can maintain the stoma site.

1. What role may Mr Graham's inflammatory bowel disease play in the development of cancer?

2. Besides bleeding, what other CAUTION signs and symptoms should Mr Graham report?

3. On the basis of Mr Graham's family history of colon cancer, would he be more likely to have a germ line mutation or a somatic mutation?

4. Why is surgery the only option?

Reference no: EM133870660

Questions Cloud

Create a compliance checklist for formative evaluation : Create a compliance checklist for formative evaluation for DNP project focused on improving medication adherence in hypertensive patients.

What is insulin resistance : What is insulin? Which organ produces it? What does it do? What is insulin resistance? How does one develop insulin resistance?

Describe the pathophysiology : Describe the pathophysiology, clinical manifestations, evaluation, and treatment(s) for psoriasis, lichen planus, pemphigus, seborrheickeratosis.

Which action should the nurse prioritize in the management : Despite multiple treatments with antifungal agents, her symptoms persist. Which action should the nurse prioritize in the management of this client's condition?

Why is surgery the only option : On the basis of Mr Graham's family history of colon cancer, would he be more likely to have a germ line mutation or a somatic mutation?

Discuss how this experience enhanced your empathy : Discuss how this experience enhanced your empathy and compassion and how these qualities will contribute to your effectiveness as a nurse.

Determines how treatment would differ for the two patients : Determines how treatment would differ for the two patients and provides a rationale for your explanation supported by literature in vivid detail.

Which background question best assist nurse in ebp process : Nurses working at a large children's hospital care for children who present. Which background question can best assist the nurse in the EBP process?

Is vitamin b12 absorbed passively from the jejunum : Is vitamin B12 absorbed passively from the jejunum? What role does 'R' binder play in the absorption of vitamin B12?

User Account

All Pages