Case Study Colorectal Assignment Help: How to Answer This Question

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

This question relates to case study colorectal and requires a structured academic response.

How to Approach This Question

Use appropriate theories and support your answer with clear reasoning.

Key Explanation

This topic involves case study colorectal. A strong answer should include explanation, application, and examples.

Original Question

Case Study 2: 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. Objective data Vital on admission to DPU BP 164/86 mmhg HR 92 BPM T 37o c RR 21 breaths per minute Weight 96kg Height 167cm Hypertension diagnosed 3 years ago Rheumatoid arthritis (confined to hands) diagnosed 6 years ago. Recently commenced on methotrexate. Father died of bowel cancer 16 years ago aged 71years. Haemoglobin (Hb) Hematocrit (Hct) WBC Platelets RCC MCV MCH MCHC Serum Iron Ferratin Transferrin 85g/L 0.33mL/L 6.9 x109/L 265 x 109/L 3.0L 65 fL 25 pg 237 g/L 7 micromol/L 19 microgram/L 3.1 g/L 115 – 165 g/L 0.37 – 0.47 mL/L 4.5 – 11 x 109/L 150 – 450 109/L 4.5 – 6.5 1012/L 80 – 100fL 27 – 32 pg 300 – 350 g/L 14 – 32 micromol/L 25 – 155 microgram/L 2.0 – 3.6 g/L NUM2409 Adult Health 2 – Assessment 2 Case study Sem 1 2022 Medications Methotrexate 7.5mg orally once per week Paracetamol and Ibuprofen PRN Ramipril 5mg daily 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 (DO NOT USE TABLES). 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. The following is to be addressed in your presentation. Specific Assignment instructions The aim of this case study presentation is to provide an opportunity for you to apply your new knowledge of specific disease pathophysiology, diagnosis and treatment (pharmacological, non- pharmacological, nursing and allied health professional interventions) to a “real life” clinical scenario.

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