Highlights
Presentation Scenario.
A 38 year old male patient is admitted to your ward directly from home following a visit to his general practitioner. He is breathless and pale with a history of weight loss, night sweats, melaena and irregular bowel habits.
On admission to the ward his observations included; T 36, R 30, P 104, BP 90/60 and SAO2 90% on RA. You note he is dyspnoeic and pale.
He is concerned about where he will be able to smoke in the health care facility and is anxious to be discharged as soon as possible as he is playing with his basketball team tomorrow. He is accompanied by his heavily pregnant wife who is anxious and their two year old son. A carcinoma of the bowel is suspected.
• Explain his observations.
• Describe the pathophysiology of the diagnosis above.
• What diagnostic tests would be carried out and what results would you expect to confirm bowelcancer?
• Outline your immediate nursing care of this patient.
• Outline your ongoing care for this patient and discharge plan.
• What medication therapy may be included in his treatment?
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