Question

scenario 1

You are caring for a 78-year-old patient after the creation of an ileal conduit. What is the best description of the ileal conduit? Describe the complications that may follow the placement of an ileal conduit. What assessments do you commonly perform in the immediate post-operative period?

Enumerate the Risk Factors for Cervical Cancers.

sceniro 2

A 55-year-old patient has been diagnosed with cervical cancer. She reports that she has a strong family history of cancer; two sisters have breast cancer. Her mother died of cancer when the patient was a child, and she is not certain of the type of cancer. Because of her strong family history, she is concerned about the health status of her twin daughters who are in their early 30s. She has asked you to discuss the risks for cancer with them. Explain what counseling and education you will provide to the patient and her daughters. Identify the evidence base for the counseling and education and the strength of that evidence. How will you approach your counseling and education?

Answer 1

Ileal conduct procedure, it isa system of urinery drianage, which a surgeon creats opening by using the small intestine ofter removing the bladder, for this surgeon takes a short segment of small intestine and places it at an opening, and surface of the abdomen to create a mouth or stroma. Complications- commonly reported complications stroma infection wound dehiseence , bacterial colonization followed by peristromal skin complications. Metabolic complications- malabsorption of vitamin b12and bile acids due to resection of illial segment. Hyperchlormic metabolic acidosis fue to loss of electrolytes. Colozenic diarrhoea due to loss ofbile acids. Stoma related complications -- stenosis, and stoma retractions. Assessment- vital monitor, . assess level of consciousness assess pain, check for any leakage assess the electrolytes imbalance risk factors cervical cancer - hpv , herpes infection, low immunity status, smoking, age, oral contraceptives, exposure to radiation, socio economic factors, having multiple parteners of sex, sts. Scenario 2 risk factors of cancer- age, obesity, chemical exposure, smoking, oral contraceptives, socio economic factors. Counseling process - educate the woman about hpv infections and cervical cancer • review and explain the screening results and follow up care, counseling about smoking , avoid un necessary use of contraceptives, counseling about eating habits pattrens, •counseling given about fear and anxiety of cancer, changing healthy life style modifications, counseling about mammograms, pap smear, counseling about breast feeding.