NUM2409 Adult Health 2 - Medical Sciences Assignment Help

Assignment Task

Case Study 

Colorectal cancer (CRC) and anaemia Presenting complaint. Jill Smith, a 56-year-old lady, has presented to her general practitioner (GP) complaining of lethargy, reduced exercise tolerance, and altered bowel habits. Jill states she has a diet that is high in red meat and processed foods, and drinks approx. 8 standard drinks per week. Jill used to smoke but gave up prior to the birth of her first child 26 years ago. She had blood taken for full blood picture where it was found she was anaemic. Jill has been booked into the day procedure unit (DPU) for a colonoscopy due to her anaemia and family history of colorectal cancer.

The following is to be addressed in your presentation.

1. Pathophysiology

Discuss the pathophysiology and diagnosis Colorectal cancer. Include in your answer the pathophysiological changes that may have contributed to Jill’s anaemia. Discuss Jill’s blood results. What other probable causes of anaemia specific to Jill’s comorbidities need to be considered? Support your answer with rationale and references.

2. Pharmacology

Discuss the medications Jill is currently prescribed and takes to help manage her Rheumatoid Arthritis symptoms. Include in your answer mechanisms of action, normal dosage, ADR’s and any specific nursing and poly pharmacy considerations.

3. Specific Nursing Care

Discuss and provide Evidence Based Research (EBR) and rationale for any pre-procedure preparation Jill may require. Discuss what discharge education would be appropriate post colonoscopy considering Jill’s comorbidities and associated risk factors.

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