การดูแลผู้ป่วยที่ได้รับการผ่าตัดมะเร็งลำไส้ใหญ่ร่วมกับมีภาวะลำไส้กลืนกัน และได้รับยาเคมีบำบัดในโรงพยาบาลสิงห์บุรี : กรณีศึกษา

Abstract

A case study of a 57-year-old was admitted at 4th of October 2017 in a man-surgery department, Singburi hospital. Thai patient with abdominal pain and diarrhea clinical is presented approximately 7 days.  As previous 4 days, he was investigated by using ultrasound and clinical evidence that found RIO CA sigmoid from the physician. Then the physician has referred to Singburi hospital for continuing treatment, including the CT whole abdomen scan that found Cancer sigmoid colon with  Intussusception.  Afterward,  the  physician  has  treated  him by  using  the  explore laparotomy at 7th  of October 2017. After surgery, he received post-operative care comprises: pain management, wound care, rehabilitation for recovery, the preparation of reality approach when getting the result of surgical biopsy, and discharge planned. He was hospitalization approximate 11 days, while the physician has follow-up one week in order for treats chemotherapy within 6 courses (6 months).   

The purpose of this study is to learn after action review of nursing care with the patient’s after surgery and received chemotherapy includes physical and psychological approaches comprising the preparation of pre-post operation, how to reality approach with the approach when getting the result of surgical biopsy, and discharge planning. Therefore the nurses should improve the knowledge of holistic based on research and evidence in order to help their patient to reduce complication and suffering of physical and psychological aspects.