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Writing Task 11

Ms. Paula Anderson, a 63-year-old retired school teacher, has been diagnosed with colon cancer and is scheduled for a colostomy on February 5th at Holy Heart Hospital. She lives with her supportive husband and has family support from her sisters. Her medical history includes various surgeries and health issues. Her pre-op care plan involves restricting her diet, administering rectal washes, and addressing her concerns about managing her stoma and lifestyle post-surgery.

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vidya jith
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193 views3 pages

Writing Task 11

Ms. Paula Anderson, a 63-year-old retired school teacher, has been diagnosed with colon cancer and is scheduled for a colostomy on February 5th at Holy Heart Hospital. She lives with her supportive husband and has family support from her sisters. Her medical history includes various surgeries and health issues. Her pre-op care plan involves restricting her diet, administering rectal washes, and addressing her concerns about managing her stoma and lifestyle post-surgery.

Uploaded by

vidya jith
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Writing Task 11

You are a Registered Nurse at Pullman Medical Centre. Ms. Paula Anderson is
a patient in your care who is being transferred to Holy Heart Hospital today
for a colostomy scheduled on 05/02/2018.

Patient name: Ms. Paula Anderson

Today’s date: 02/02/2018

DOB: 19/05/1954

Marital status: Married

Social background: Lives with husband – very supportive


1 daughter-lives interstate
Two sisters- live nearby
Retired school teacher (English)
Hobbies: playing badminton, watching movies
Likes socialising, playing chess
Sedentary lifestyle – Overweight since 30’s

Medical background: appendectomy – 2003


# left leg – 2007
pneumonia – 2015
arthritis in hands – uses Voltaren

Diet: Red meat, processed meat


Fast food
Alcohol (Vodka, wine) – 4-5 days/wk.
Ex-smoker – quit 15 years ago

Nursing notes

28/12/2017 Visit to GP, 2- 3 bleeding from rectum rectal


exam- definitely palpable mass
Fast track referral for suspected colorectal
cancer.

11/01/2018 8 cm mass on left lateral wall of rectum likely to


be carcinoma – referred for colonoscopy
14/01/2018 colonoscopy- biopsies large bowel mucosa
taken

18/01/2018 CT & Local staging of primary tumour with


MRI

23/01/2018 Review of histology – colonoscopy report


Diagnosis – Colon cancer
R/v by colorectal and general surgery consultant
CT – no evidence of metastatic cancer
Recommended colostomy
Pt. advised of diagnosis and surgery
02/02/2018

Identified Prepare for colostomy


needs/problems: Eating and drinking: Potential problems of
dehydration due to above
Anxious about probs of stoma on home and
social life. Involve family members in care

Objectives minimise risk of post-op., wound infection from


bowel contents
Allow surgeons clear access to operation site
i.e. free from faeces
Complete pre-op. Care schedule
Encourage patient to voice concerns

Plan Rectal wash-out before bedtime for three days


(daily)
Purgatives as desired
Low-residue light diet 02/02
Fluids only including soup and ice cream 02/03
Clear fluid 02/04
Charge Nurse to see the pt. to discuss practical
problems at home
Nil by mouth from 00.00 hours 02/05
Standard pre-op procedure
Ensure variety of acceptable drinks
Writing Task
Using the information given in the case notes, write a letter to Ms. Meredith
Stevens, Charge Nurse, Holy Heart Hospital, 119 Red Sparrow Road,
Docklands, Melbourne outlining relevant findings and patient care plan to
prepare Ms. Anderson for the surgery
 In your answer

 Do not use note form

Expand the relevant case notes to explain his background and medical
history and the assistance requested.

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