Patient Introduction: Mr. Hayes is a 43-year-old white male who underwent a laparoscopic abdominal perineal resection Location: Surgical Unit 0800 Report from night nurse: Situation: Mr. Hayes is a 43-year-old white male who underwent a laparoscopic abdominal perineal resection with a permanent sigmoid colostomy 3 days ago for rectal cancer. Background: Mr. Hayes experienced weight loss, increasing fatigue, and narrowing stools with blood, which led to the diagnosis of rectal adenocarcinoma and the recent surgery. Assessment: Vital signs have been stable with a saturation of 94%?97%. Pain level is currently 1 after pain medication was administered an hour ago. The colostomy appliance is an open-ended pouch attached to a skin barrier. The stoma is red and moist with liquid, brown stool output. The three small abdominal incisions are open to air. There is a clean pad covering the perineal incision. Mr. Hayes has been up and ambulating and is taking full liquids. Recommendation: It is time for Mr. Hayess morning assessment. Assess his colostomy, and empty the pouch, if necessary. He can advance to a regular diet as tolerated. Start providing patient education to prepare him for discharge in 2?3 days. Opening Questions How did the simulated experience of Marvin Hayess case make you feel? Talk about what went well in the scenario. Reflecting on Marvin Hayess case, were there any actions you would do differently if you were to repeat this scenario? If so, how would your patient care change? Scenario Analysis Questions* PCC?????????What priority problem(s) did you identify for Marvin Hayes? PCC?????????What potential problems could arise due to the newly placed colostomy? PCC???????? Discuss what type of diet would be appropriate for Marvin Hayes. PCC/T&C ??Discuss the importance of peer support groups with other adults with colostomies. EBP ?????????Explain why it is important to measure the stoma at least once a week for the first 6-8 weeks after surgery. T&C??????What other interprofessional team members should be involved in Marvin Hayess care? I?????????????????Cite one source that you could give to Marvin Hayes that would provide more information on colostomy care and resources. Concluding Questions Describe how you would apply the knowledge and skills that you obtained in Marvin Hayess case to an actual patient care situation. View comments (1) ORDER YOUR PROFESSIONAL PAPER HERE Solution Preview The colostomy is a surgical procedure in which a stoma is created from which the healthy large intestine or colon is drawn to the anterior surface of abdomen. This colostomy is created to drain the stool out of the body or give the intestines time to? Order Now

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Laparoscopic abdominal perineal resection

Introduction

An operation called laparoscopic abdominal perineal resection (LAPR) is a procedure that removes the rectum and upper part of the sigmoid colon to remove cancer. This operation can be performed when you have advanced rectal cancer, or if you have other conditions that make surgery safer than traditional surgical procedures.

Symptoms of rectal cancer

The symptoms of rectal cancer may be different from the symptoms of other types of cancer. You may feel:

• Burning during a bowel movement

• Blood in your stools (a change in bowel habits)

• Abdominal pain or discomfort that occurs after having a bowel movement

Causes of rectal cancer

The following are risk factors for developing rectal cancer:

• Smoking.

• Family history of colorectal cancer.

• Colorectal polyps.

• Antibiotic use (both prescription and over-the-counter). This includes antibiotics such as amoxicillin, azithromycin, ceftriaxone and ciprofloxacin; some other commonly used antibiotics include metronidazole and trimethoprim-sulfamethoxazole (Bactrim) for systemic yeast infections caused by Candida albicans; erythromycin for treatment of bacterial vaginosis in women who have sex with men; tetracycline antibiotics like doxycycline or minocycline which may cause constipation if taken long term—you should consult your doctor before taking these medications if you’re pregnant or have a history of bowel problems such as irritable bowel syndrome (IBS).

Diagnosing rectal cancer

In order to diagnose rectal cancer, your doctor will perform a physical exam and then ask about your symptoms. He or she may also do an endoscopy (a procedure that involves inserting an instrument through the anus) in order to see whether there are any signs of cancer on the inside of the rectum. If you have rectal bleeding or pain caused by having an impacted bowel movement, this could be due to a tumor pressing against nearby areas (such as lymph nodes). It’s important that you tell your doctor about any unusual symptoms so he or she can take them into account when making their diagnosis.

Treating rectal cancer

Surgery is the most common treatment for rectal cancer in the United States. The type of surgery you have depends on how much your doctor thinks it will help with your symptoms, and whether or not chemotherapy can be used to shrink the tumor before surgery.

If you have cancer that’s close to being removed with surgery alone (called an abdominoperineal resection), then they might use chemotherapy after they remove it so that any remaining cancer cells are destroyed by radiation or other methods.

The operation

Laparoscopic surgery is a minimally invasive surgical procedure in which surgeons use large laparoscopes or other similar instruments to perform their procedures.

In this case, it’s a perineal resection that involves the removal of part of the rectum and anus. This procedure can be performed either with an open or closed technique (laparoscopically).

With an open approach, you’ll have access to all areas that are being resected during your operation; however, there is less control over where the instruments go because they’re outside your body and can get stuck on things inside your body (like ribs). In contrast, if you do it laparoscopically then only those parts that are visible through a small incision will be accessible—but if anything gets caught up under something else then there won’t be any way for them reach deeper inside!

Your recovery

It’s important to take the following steps after surgery:

• Avoid driving for at least a week.

• Avoid strenuous activity for at least a week.

• Check your wound daily and change your bandages as needed. You may need stitches removed by a doctor or nurse if they come out on their own during the healing process (this is called dehiscence). If this happens, it can cause bleeding and pain in the area where the stitches were removed—so make sure you visit your doctor or nurse immediately if this happens!

• Take painkillers as prescribed by your surgeon—these are meant to help with any discomfort associated with having surgery done on your abdomen/abdominal muscles/etc., not just during recovery itself but also afterward when things get uncomfortable again due to swelling caused by water retention around those parts being cut off from circulation within their respective spaces within said bodies themselves; so please do not hesitate too much before starting these medications since they’re what keeps everything going while waiting out these days until next Monday when we’ll all meet again here together again after spending more time apart than usual due just how busy everyone else’s lives tend towards being right now thanks mostly because there aren’t enough hours left behind every single day anymore which means even though everyone else seems happy no matter what happens outside our homes instead inside them sometimes things might get pretty dark depending upon who lives near whom

Possible risks and complications

• Bleeding

• Infection

• Blood clots

• Bowel obstruction (blockage)

• Damage to the bowel or bladder. This can lead to serious complications such as: – Damage and narrowing of the ureter (tube that carries urine from the kidney to the bladder). If this happens, you may need surgery to fix it. – Damage or loss of part of your small intestine (large intestine). This may cause abdominal pain, nausea, vomiting and constipation that lasts for several weeks after surgery. However it is unlikely that you will experience any long term problems from this type of injury because most people are able to recover completely from these injuries within 12 months after they happen which means there’s no need for further treatment beyond what’s available today

Conclusion

There are many different types of cancer that can affect your colon, but this article focused on one of the most common forms: colorectal cancer. Colorectal cancer is one of the leading causes of death among women in the US and other developed countries. It occurs when cells in your stomach or colon start to grow out of control, which leads to an increase in blood flow through those tissues (a condition called angiogenesis). The good news is that there are various treatments available to help slow down this process or even reverse it altogether by blocking certain molecules from interacting with nearby cells – including chemotherapy drugs like imatinib!

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