NURSINGnle (",): Colorectal Cancer

RISK FACTORS

increasing age

inflammatory bowel disease

race (jewish)

increase fat and protein (beef fat)

history of colon CA

EARLIEST MANIFESTATION

change in bowel habits

alternating diarrhea and constipation

unusual rectal bleeding

DIAGNOSTIC TEST

FOBT (GUIAC; no red meat 48-72 hours before test)

barium enema (apple core deformity; x ray)

proctosigmoidoscopy/ colonoscopy (confirmatory test)

CEA (tumor marker)

SURGERY

-primary treatment

OSTOMY CARE

ostomy appearance (red/ pink)

skin barrier (karaya paste)

teach "food deodorizer" (parsley, spinach)

increase odor (cabbage, onions, fish)

increase gas (root crops)

OUTPUT (72 hours after the creation of ostomy)

OTHER INTERVENTION

help client maintain a positive concept

irrigate ostomy (to promote regular bowel movement)

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