Nursing care for colorectal carcinoma and lower anterior resection patients with laparoscopy: Case study

Abstract

Regard to the case study related to the hall for colorectal carcinoma patient with laparoscopy, Thai female patient age 78 years admitted with alternating constipation and diarrhea mixed with fresh blood, and the biopsy results showed colorectal cancer. Doctor made an appointment for colorectal surgery by laparoscopic - low anterior resection.Nursing problems found in this patient was preoperative. The patient worried about the disease, afraid of surgery and conduct when returning home. While the surgery was complicated. The surgical area was in the pelvis. There were special laparoscopies – low anterior resection cutting tissue for ridding of colorectal cancer with automatic anastomosis stapler, at risk of tissue injury from using an electric cauterization, the occurrence of shock from waste blood and fluid, high carbon dioxide in the blood, subcutaneous emphysema. It may change to open surgery. Postoperative may risk of hemorrhage after surgery. There was discomfort from the pain and surgical wounds. After using the nursing processes as a tool to assess the patient's health care, it took to the nursing’s diagnosing, planning, doing, and evaluating in preoperative, and postoperative period. The patient recovered from illness, was safe from crises and was ready to receive chemotherapy. Length of stay in hospital 13 days.