Long Term Management of Client Diagnosed with Colorectal Cancer

Topics: Cancer, Colorectal cancer, Oncology Pages: 13 (3716 words) Published: August 23, 2013
Long term management of client diagnosed with Colorectal Cancer

Cancer is a leading cause of death worldwide and one of the four leading threats to human health and development along with cardiovascular diseases, chronic respiratory diseases and diabetes (WHO, 2011). It is estimated that cancer accounted for 13% of all deaths worldwide in 2008, of which colorectal cancer along with lung and breast cancers contributed to 45% of world’s total cancer mortality (Ferlay, et al., 2010). Cancer continues to be a leading cause of mortality and morbidity in New Zealand accounting for one third of all deaths (MOH, 2012). Colorectal cancer affects both Maori and non Maori populations in New Zealand and the incidence rate rank among the highest worldwide (Shah et al, 2011).

The identity of the client in this case study is protected under the Privacy Act (1993). He will, hereafter, be known as Mr. S. The student in this assignment will critique the given case study (Appendix. A) and discuss the pathophysiology of colorectal cancer along with the interpretation of the information given (Appendix. A). An appropriate plan of care for Mr. S diagnosed with colorectal cancer undergoing chemotherapy and the role of nurses in the management of people long term conditions are also discussed in this assignment.


Mr. S is a 68 year old man diagnosed with colorectal cancer undergoing his second course of chemotherapy in the outpatient clinic. He presented to the hospital with marked changes in his bowel habit with bright red blood per rectum and cramping abdominal pain in November, 2012. After detailed investigation, he has been diagnosed with stage for colon cancer with stomach and liver metastasis. He underwent bowel resection in December, 2012 resulting in colostomy. His present concern includes abdominal discomfort, chronic fatigue, weakness, poor appetite, disturbed sleep and heart burn. His performance status is worsening and he needs assistance with his activities of daily living. He is a known hypertensive with family history of cancer and myocardial infarction. He is a non smoker and a non alcohol drinker with a very supportive family (Appendix. A).

The author (Appendix. A) presented the case study with sufficient facts for planning a collaborative care plan for Mr. S. Adequate information has been given regarding the presenting problems of the client along with recent investigations and current medications. The author also included the relevant family history as well as the past medical history of the client necessary to plan an appropriate care for Mr. S.

However, the author hasn’t provided any information regarding the spiritual health of Mr. S. Spirituality and religion can be important to the well being of people with cancer, which enable them to cope with the

disease in a better way (National Comprehensive Cancer Network, 2013). Knowledge regarding the sexual life of Mr. S would have been relevant because research shows that, continuing sexual relationship is one of the major concerns for clients with colostomies and significant others ( Black, 1993).

It is clear from the information given (Appendix. A) that, Mr. S has got an advanced stage of colorectal cancer. Therefore, Information on advanced directive of Mr. S would have been beneficial because advanced directive is a process of discussion and shared planning for future health care. It is focused on the individual and involves the person, family/whanau and the health care professionals responsible for their care as per the persons’ wish (MOH, 2011).

In order to develop a collaborative plan of care, an understanding of the pathophysiology of the presenting case is required.

Colorectal Cancer.

Cancer is a growing health concern in New Zealand and colorectal cancer is the second most common cancer registered for both men and women in New Zealand (MOH, 2012). Colorectal cancer (CRC), commonly known as colon cancer or bowel...

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