-
Basic info about colon cancer
- Third most common form of cancer
- Second leading cause of cancer-related deaths
- 85% of colorectal cancers arise from adenomatous polyps.
-
Etiology of colon cancer
- More common in men
- Risk factors
- Family or personal history of colorectal cancer
- Increased age (>50 years old)
- Colorectal polyps
- Inflammatory Bowel Disease
- Lifestyle factors
- Obesity
- Smoking
- Alcohol
- Large amounts of red meat
-
Pathophys of colon cancer
-
Clinical manifestations of colon cancer
-
Colon cancer diagnostics
- History/Family History
- Physical Exam
- Digital Rectal Exam
- Colonoscopy (Gold Standard)
- Fecal Occult Blood Studies
- Stool DNA Tests
- Labs: CBC, Coag studies, LFT’s
- Carcioembryonic Angigen (CEA)
- CT, MRI, PET
-
Collaborative care of pt w/colon cancer
- Surgical Therapy: Pre-op bowel cleanse, antibiotics
- Laparoscopic Colectomy
- Site of Cancer dictates site of resection
- Local excision
- Low anterior resection (LAR)=colonic J pouch/coloplasty
- Abdominal perineal resection (APR)=colostomy
- Chemotherapy
- Biologic and targeted therapy
- Radiation
- Palliative
-
Nursing management of pt w/colon cancer
- Pre-op Care
- Bowel Prep
- Pre-op Teaching
- Ostomy issues
- Body Image (emotional)
- Fluid volume deficit
- Dietary
- Ostomy Care, pt ed on care.
- Teaching: Wound/Ostomy Nurse consult
- Phantom sensations vs. perineal abscess
- End-of-life/Hospice
|
|
