Problems in the management of a geriatric patient with colorectal cancer based on ICNP® - a case report
DOI:
https://doi.org/10.12775/JEHS.2022.12.11.012Keywords
Colorectal cancer, nursing care, nursing procesAbstract
Colorectal cancer is the third most common malignancy among the population. The average incidence is over 65 years of age. The majority of cases are not hereditary and sporadic infections predominate. The aim of this study was to determine the most important nursing problems of a patient with colorectal cancer , as well as to recognize his bio-psycho-social situation. Using interview technique, physical examination, observation and research tools such as standardized scales and indicators. This allowed to prepare and implement a holistic nursing proces. The most important nursing problems in the analyzed case were: hypoxia of the patient, limitation of independence as a result of weakness of the organism, pain in the bony button, dehydration, occurrence of skin changes in the stoma area, anxiety and lack of acceptance of the disease state. There were also knowledge deficits regarding dietary recommendations, as well as the effects of nicotine on the human body.
References
Główny Urząd Statystyczny Trwanie życia w 2020r. Department of Statistical Publishing, Warsaw, 2021: 8-13
Kening J. Colon cancer in the older population. Journal of Oncology 2021, 71 (2): 119-121.
Berner A., Piekarski J. Colorectal cancer and rectal cancer. [in:] Jassema J., Kordka R. (eds.) Oncology- Handbook for students and physicians. Via Medica Gdansk 2019: 186-191
Agency for Health Technology Assessment and Tarification Opinion No. 2/2021 of 4 January 2021. Agency for Health Technology Assessment and Tarification on the appropriateness of public funding of Stivarga (regorafenib) for the indication of malignant neoplasm of the sigmoid colon (ICD-10: C19.1) within the framework of emergency access to drug technology Ministry of Health, Warsaw 2021
Schwingshackl L., Schwedhelm C., Hoffmann G., et al. Food groups and risk of colorectal cancer. International journal of cancer, 2018, 142 (9): 1748-1758
Didkowska J., Wojciechowska U., Olasek P., et al. Malignant neoplasms in Poland in 2019. Ministry of Health, Warsaw 2021
Podolak-Dawidziak M., Szczeklik A., Gajewski P. Polyps and neoplasms of the large intestine.[in:] Szczeklik A. (ed.) Interna Szczeklika Medycyna Praktyczna, Kraków 2017 : 1037-1044
Deptała A., Frączek M. Colorectal cancer[in:] Deptała A. (ed.) Oncology in practice. PZWL, Warsaw, 2015: 217-224
Wełna M.J., Kaźmierczak B. Nursing care in the diagnosis of oncological conditions. [in:] Koper K.J., Koper A. Pielęgniarstwo onkologiczne PZWL, Warszawa , 2021: 89-103
Yoshino T., Arnold D., Taniguchi H. Pan-Asian adapted ESMO consensus guidelines for the management of patients with metastatic colorectal cancer: a JSMO-ESMO initiative endorsed by CSCO, KACO, MOS, SSO and TOS. Annals of Oncology 2018 ; 29: 44-70
Kóźka M. Care of patients with bowel disorders [in:] Ścisło L. (ed.) Pielęgniarstwo chirurgiczne PZWL Wydawnictwo Lekarskie, Warsaw, 2020 : 375-377
Adzimah J.N., Fazilah S. N., Colorectal Cancer Immunotherapy: Options and Strategies. Frontiers in Immunology, 2020 ; 11
Jeziorski A. Rak jelita grubego [in:] Jeziorski A., (ed.) Onkologia Podręcznik dla pielęgniarek. PZWL Wydawnictwo Lekarskie, Warsaw, 2021: 119-128
Łuczyk M., Szadłowska-Szlachetka Z., Ślusarska B. Standards and procedures in oncology nursing Wydawnictwo Lekarskie PZWL Warsaw 2017 :180-194.
Ackley B.J, Ladwig G. B, Flynn Makic M. B Nursing diagnosis handbook: an evidence-based guide to planning care. Elsevier St. Louis, Missouri 2017
Kanikowska A., Swora-Cwynar E., Kargulewicz A. et al. Malnutrition in the elderly - an underestimated clinical problem GERIATRIA 2015; 9: 31-38
Van Den Broeke C., De Burghgraeve T., Ummels M. et al. Occurrence of malnutrition and associated factors in communi-ty-dwelling older adults: those with a recent diagnosis of cancer are at higher risk. J Nutr Health Aging 2018; (22): 191-198.
Badian M., Dzierżanowski T. Malnutrition in palliative care Palliative Medicine 2018; 10(1): 12-18.
Kaptacz I., Wiśniewski M.: Ból w chorobie nowotworowej [in:] Kaptacz A., Walden- Gałuszko K. Pielęgniarstwo opieki paliatywnej. Wydawnictwo Lekarskie PZWL. Warsaw 2016: 29-31
Ozimek E., Mess E. Man in old age - The role of water in the body [in:] Sobieszczańska M, Pirogowicz I (eds) Współczesna Geriatria-Nowe Perspektywy dla Pacjentów. Wrocław Scientific Publishing House Atla 2, Wrocław 2017: 161-170
Pachocka L.M., Urbanik A. Principles of nutrition for patients with an emergent stoma. Wiadomości Lekarskie 2016, 69/1: 33-36
Krawczyk A. Fatigue and strategies for coping with cancer at different stages of treatment Sztuka Leczenia 2013, 1-2: 21-30
Rogowska J., Krajewska-Kulak J., Kondzior D. Adapting to life in patients after stoma removal. Pielęg Chir Angiol 2013 2/2013: 44-54.
Kolodziejczak M., Ciesielski. P., Kosim A. Therapeutic management of skin complications and hard-to-heal wounds around stomas Nowa Medycyna 2013, 2/2013: 52-55
Irwin M. R. Depression and insomnia in cancer: prevalence, risk factors, and effects on cancer outcomes. Curr Psychiatry Rep. 2013 ;15(11): 404-409
Dembe K., Chłosta P.L The role of the family in the treatment of the oncological patient [in:,] Dembe K, Chłosta P.L Czech A.K. Oblicza choroby nowotworowej Poradnik dla pacjentów z nowotworami układu uczowo-płciowego oraz dla ich rodzin lub opiekunów. Publisher Polskie Towarzystwo Urologiczne Warsaw 2019: 52-54
Grando S. Connections of nicotine to cancer. Nature Reviews Cancer 2014; 14: 419-429
Pawlak N., Romanowicz J., Serafin L, et al. Nursing aspects of a patient with cachexia-anorexia syndrome in palliative care - a case study based on the International Classification of Nursing Practice ICNP Published by the State Vocational University in Włocławek Włocławek 2018
Rosen A.W., Degett T.H., Gögenur I.. Individualized treatment of colon cancer. Ugeskr Laeger. 2016 1;178(31)
Davila D., Antoniou A., Chaudhry M.A.. Evaluation of Osseous Metastasis in Bone Scintigraphy. Semin. Nucl. Med. 2015;45: 3-15
Zajączkowska R., Kocot-Kępska M., Leppert W. et al. Bone Pain in Cancer Patients: Mechanisms and Current Treatment. Int J Mol Sci. 2019; 20(23)
Stefanowicz A.,. KulikT.B., Skórzyńska H., et al. Knowledge of a colorectal cancer prevention programme among people aged 50-65 years GERIATRIA 2017; 11: 259-264
Jurczak A, Kaczmarek G, Wieder-Huszla S, et al. Importance of colonoscopy screening in public opinion. Fam Med Prim Care Rev. 2012; 14(3): 231-234
Rotha. A. D., Delorenzi M., Tejpar S. et.al. Integrated Analysis of Molecular and Clinical Prognostic Factors in Stage II/III Colon Cancer. Journal of the National Cancer Institute, 2013; 105/ 2, (16) 151-152,
Smith H.R. Depression in cancer patients: Pathogenesis, implications and treatment (Review). Oncol Lett 2015, 9: 1509-1514
Rhondali W., Freyer G., Adam V., et. al. Agreement for depression diagnosis between DSM-IV-TR criteria, three validated scales, oncologist assessment, and psychiatric clinical interview in elderly patients with advanced ovarian cancer.
Clin Intervent Aging. 2015; 10: 1155-1162.
Ocalewski J., Izdebski P. Experiencing cancer among people in late adulthood. A review of research. Gerontologia Polska 2016, 24, 251-258.
Ruszkiewicz M., Kreft K. Correlates of disease acceptance in a group of oncological patients Psychoonkologia 2017, 21 (2): 37-44
Mziraj M., Żuralska M., Książek R., et al. Malnutrition in the elderly , methods of its assessment , prevention and treatment. Ann. Acad. Med. Gedan. 2016, 46, 95-105
Janion K., Walkiewicz K., Copija A., et al. Practical dietary recommendations during chemotherapy in patients with gastrointestinal cancer. Pielęgniarstwo Polskie 2018 Vol 69/3
Marx W., Ried K., McCarthy A.L., et al. Ginger - Mechanism of action in chemotherapy-induced nausea and vomiting: A review. Crit Rev Food Sci Nutr. 2017; 57(1): 141-146.
Krzymińska-Siemaszko R., Wieczorowska-Tobis K.: Evolution of malnutrition assessment in elderly patients using the MNA questionnaire. GERIATRICS 2012; 6: 139-143
Ulatowska A., Bączyk G.: Assessment of the nutritional status of elderly patients placed in a geriatric ward , made using a scale. Pielęgniarstwo Polskie 2016 Nr 1(59) 3/2016
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Daria Gierosz, Eleonora Mess
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 461
Number of citations: 0
