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In: Nursing

A 92-year-old woman in a long-term care facility is a patient assigned to your care. With...

  1. A 92-year-old woman in a long-term care facility is a patient assigned to your care. With visible discomfort, she tells you that she has noticed blood in the toilet bowl with her last several bowel movements and she has had blood on her underwear. What other questions should you ask this woman to clarify potential causes of this problem? Ex-plain how the patient’s age might affect your focused assessment.
  2. 2. Over 50 studies have been conducted on the connection betweenexerciseand the risk ofcolon cancer. Research shows that adults who increase theirphysical activity in intensity, duration or frequency can reduce their risk of developingcolon cancerby 30 to 40 percent, compared to adults who are sedentary.Download a research article on studies relating to the effect of exercise on colorectal cancer prevention and treatment

Solutions

Expert Solution

Answer : Colorectal cancer is a type of cancer that begins in the large intestine (colon) ,which is the final part of the digestive system or rectum . Correction   cancer typically affects older adults ,though it can affect at any age. Causes : 1) older age ,2)inflammatory intestinal conditions 3) inherited syndromes that increases colon cancer risk 4) family history of colon cancer 5) Low fiber, high fat diet .6) A sedentary life style 6) diabetes 7)obesity 8) consumption of alcohol and smoking .   Signs and symptoms : 1) blood in the stool, 2) a change in bowel movements 3) weight loss and fatigue.    Prevention : 1) EXERCISE   : One of the risk factors for colorectal cancer is a sedentary life style ,so you are actively preventing colorectal cancer when you do exercise. Over 50 studies have been conducted on the connection between exercise and the risk of colorectal cancer. Research shows that adults who increase their physical activity in intensity, duration of frequency can reduce the risk of developing colorectal cancer by 30 to 40 % compared to adults who are sedentary . How does exercise prevent colorectal cancer :- 1) Creating a more efficient gastrointestinal system by increasing blood flow and circulation. 2)Reducing insulin levels ,which are responsible for tumour cell division and growth . 3)playing a role in energy balance and hormone metabolism. 4) reducing the time that the colon is exposed to carcinogens. 5) Altering inflammatory and immune factors that influence colon cancer risk . The recommended amount of exercise to protect against cancer is estimated to be between 30 to 60 minutes of moderate physical activity such as walking ,jogging , yogga water aerobics ,jumping rope and others .The type ,duration and level of intensity vary from person to person so people should discuss with their doctor before beginning a new excerise regimen. Research shows that colon cancer survivors can reduce the risk of their cancer recurring by as much as 50% by exercise.   Exercise prevent some risk factors of colon cancer by preventing obesity and controlling body weight ,reducing the risk of diabetes, hypertension and promoting psychological well being .  


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