Question

Patient B is a 60-year-old female survivor of colon cancer treated with a colon resection and sigmoid colostomy, chemotherapy, and radiation therapy.

For your assigned patient:

• Identify 2 interventions the nurse will include on the survivorship plan of care that will address health promotion and management of comorbid conditions. Provide a rationale for each intervention.
• Identify another member of the interprofessional team that could play a role in the cancer survivorship care for this patient. Explain the role of this interprofessional team member.

Answer 1

Intervention

1.Colostomy bag care post surgery

• to prvent infection
• Enables to assess the bowel movement and any sign of complications like paralytic illeus
• keep the skin area dry (skin barrier paste) around the site to prevent skin peeling or ulcer which can act as a source of infection
• Keep it door free by regular cleaning and using deodarant
• Providing psychological support as there are high chances for mental disturbances due to this surgery

2.Providing diet plan for the patient

• A light and low residual diet is provided to ease the functions of intestines
• Can take liquids without any great restriction because its filtration can take pkace through kidney
• Eating in smaller portions avoid gas formation and enables to process the food consumed
• Eat at regular interval to make bowel movement in a pattern
• Avoid Foods which can cause problem like nuts,dried fruits, mushroom, popcorn

Then other inter professional team members here are

• Dietician or Nutritionist : plays a major role in planning what has to been taken in food to avoid future problem and improving the quality of life
• Colostomy care nurse:they play a vital role on daily basis to ensure proper emptying and assessing for any complications
• Physiotherapist:a minimal levelnof exercise is proved to be beneficent for these types of survivors