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Bowel Resection (Colostomy/Ileostomoy)

explanatory Essay
1450 words
1450 words
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Bowel resection (Colostomy/Ileostomy)

Cancer is a disease that affects everyone everywhere, rich and poor, black and white, brown and yellow, Mexican, American, Russian, and Singaporean, unbiased without preference. Cancer is a much studied and researched topic and although great advances in medicinal treatments through research have been discovered and developed, a cure has yet to be discovered. Cancer can affect any organ in the body and thus can present itself at anytime anywhere in our bodies. There are known substances (carcinogens) that place the general population at risk to develop cancer, however exposure to carcinogens and cancerous agents are not the only reason for cancer and tumor development.

Nearly all colorectal cancers that begin as adenomatous polyps are adenocarcinomas. Most tumors develop in the rectum and sigmoid colon, although any portion of the colon may be affected. The tumor typically grows undetected, producing few manifestations. By the time manifestations occur, the disease may have spread into deeper layers of the bowel tissue and adjacent organs. Colorectal cancer spreads by direct extension to involve the entire bowel circumference, the sub-mucosa, and outer bowel wall layers. Neighboring structures such as the liver, greater curvature of the stomach, duodenum, small intestine, pancreas, spleen genitourinary tract, and abdominal wall also may be involved in the direct extension. Metastasis to regional lymph nodes is the most common form of tumor spread. This is not always an orderly process; distal nodes may contain cancer cells while regional nodes remain normal. Cancerous cells from the primary tumor may spread by way of the lymphatic system or circulatory system to secondary sites such as t...

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...ile colitis) following ileostomy closures is uncommon, but should be suspected when patients do not follow the usual postoperative clinical course following this elective surgery. Although most CDC patients will not die from the infection, the infections associated with an escalating frequency of complications

and this correlates with the age and comorbidity of the patient”.

In conclusion, the patient undergoing a bowel resection procedure is not only at risk for possible complications intraoperative, but also postoperative may be at risk for contracting other infections that may increase length of stay, added medical bills, increase anxiety and predispose the patient to other infections and diseases while he/she remains in the hospital.

References:

LeMone. P., Burke. K., & Bauldoff. G. (2011). Medical surgical nursing: Critical thinking in patient care.

In this essay, the author

  • Explains that cancer affects everyone, rich and poor, black and white, brown and yellow, mexican, american, russian, and singaporean, unbiased without preference.
  • Explains that most colorectal cancers begin as adenomatous polyps, and that tumors develop in the rectum and sigmoid colon, although any portion of the colon may be affected.
  • Explains that they were assigned to write a case analysis of the 64-year-old male who had cholecystectomy and laparoscopic converted to open sigmoidectomy. the colostomy site became infected and necrotic.
  • Describes the patient's collaborative patient care consisting of nursing staff, respiratory therapy, physical therapy and wound care team.
  • Explains that the patient was monitored for strict input and output (i/o) and was given medication daily as prophylactic for prevention of gastric ulcers.
  • States that hhs and the national guideline clearing house reviewed cases to formulate recommendations for wound, ostomy, and continence nurses.
  • Explains that a nurse must care for the new procedure and prevent the patient from acquiring other infections while in the hospital. clostridium difficile is an infection of great scrutiny with patients undergoing bowel surgery
  • Explains that antibiotics interfere with the normal protective bacteria of the colon, leading to colonization by oral-fecal route, and subsequent release of toxins by the bacteria causes mucous damage and inflammation.
  • Opines that evidence-based practice is of high importance in nursing care to prevent hospital infections such as c. difficile.
  • Concludes that the patient undergoing a bowel resection procedure is not only at risk for complications intraoperative, but also postoperative.
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