Nursing Care for Colorectal Cancer Patients with Colostomy

Abstract

Purposes : To study and develop nursing guidelines for colorectal cancer patients  with Colostomy : case stud

Study design : The one colorectal cancer patient with colostomy by analysis with academic principles and applied the result of study to care of patients.

Materials and Methods : Selection of colorectal cancer patient with colostomy in the male surgical ward. Data was collected from medical record, interviewing patients and families, Physical examination of the patient. The nursing diagnosis, nursing assessment were followed nursing theory, textbooks for planning of nursing implementation, conclusion, evaluation of nursing outcome by covering physical, mental, social, as well as environmental and spiritual aspects.

Main findings : Thai male patient, 22 years old, weight 113 kg, BMI 34.50 kg./m.², underling Hypertension, abdominal pain, coffee ground, one day before coming to the hospital. The diagnosis is cancer descending sigmoid performed Exploratory Laparotomy with Hartmann's procedure with Colostomy. After surgery founded Hypertension used drug control for stable and two days can off endotracheal tube. Then the patient was discharged from hospital later after satisfactory improvements including 11 days.

Conclusion and recommendations : The results of this research that the importance of nursing care for colorectal cancer patients receiving treatment by surgically opening the artificial anus, therefore, the practitioner must lead nursing process from the first admission until discharge, to cover the physical, mental, social, environmental and spiritual aspects.