Colorectal cancer
Presented by .
LIKHILA ABRAHAM
DEFINITION
 Colorectal cancer is a disease in which
cancer cells grow either colon or in rectum
.the colon are the parts ...
Colorectal cancer commonly known as colon
cancer or bowel cancer ;which is a cancer
from uncontrolled cell growth in the c...
etiology
 1.inflammatory bowel disease
 2.genetic mutations
 3.polyps
Risk factors
1.Dietary factors
2.Environmental f...
Cancer distribution
15%
5%
9%
20%
50%
Classifications(duke’s )
 Duke A:the tumor penetrates into the mucosa of
bowel wall no further
 DukeB :B1:tumor penetrat...
C2;tumor penetrates into the muscular layer with
pathological evidence of colon cancer in the lymph
nodes
Modified duke D:...
TNM STAGING
 T;TUMOR
 T1:tumor invades submucosa
 T2:tumor invades muscular layer
 T3:tumor invades to muscular and pe...
Node (N)
 N0: No regional lymph node metastasis
 N1:metastasis to 1 to 3 regional lymph nodes
 N2: Metastasis in 4 or m...
Stages
 Stage1:T1N0M0;T2N0M0(cancer has begun
to spread but still in the inner linig
 Stage2:T3N0M0 ,T4N0M0(cancer has s...
pathophysiology
Clinical features
 Right side
 1.abdominal pain
 2.bleeding
 3.weakness
4. Fatigue
5. Palpable abdominal
mass
6.Malena...
Rectum
1.Pain
2.Rectal bleeding
3.Bloody stools
4. Altered bowel pattern
5. Perineal and buttok
pain
Management
Medical management
1.chemotherapy
2.Bilogic or targeted therapy
3.Radiation therapy
Surgical management
 1.colectomy (right hemicolectomy-asending
colon
 Left hemi colectomy(decending colon)
 Extended he...
Colostomy
 A colostomy is a surgical procedure in which a
stoma is formed by drawing the healthy end of
the large intesti...
Types of ostomies
 End stoma
Loop stoma
Double-barreled stoma
Knock pouch
Colostomy care
 Emotional support as the patient cope with a
radical body change
 Patient teaching about stoma care
Normal stoma
Equipments
Pouching system
Gloves
Bed pan
Plastic bags
Tissue paper
Wash cloth
Cleansing solution
clamp
Explain the procedure to the
patient
Screen the patient
Hand wasing
Wear gloves
Arrange all the article near to
the patient
Remove contents from the pouch
Remove all the content to a bed pan by
opening the clamp ,after procedure
return the clamp and remove the pouch
from the s...
colostomy irrigation
Gather Necessary Materials Needed -You will
need the following materials: a colostomy
irrigation wate...
Irrigation kit
Cone with sleeve
Fill the colostomy irrigation bag -
can always use mineral water. Just make sure the
temperature is a variant of your body...
Insert the cone of the irrigation water bag to
stoma - . Just make sure you insert the cone
firm enough to avoid water lea...
Let the stool exit - After infused, remove the
cone and let the stool exit to the sleeve or the
collection bag with belt t...
Remove the sleeves and Put on regular
pouching system - After the bowel is empty,
remove the sleeves, wash it with soap an...
Nursing management
 Accute pain related to inflammatory process
 Deficient fluid volume related to vomiting
 Imbalanced...
Complication
 Liver cancer
 Lung cancer
 Intestinal obstruction
 Intestinal perforation
Prevention
 Colonoscopy
 Po...
ADVANCEMENTS
NANOTECHNOLOGY
 DMFO.. CELECOXIBANDCOMBINATION
OF SULINADAC ,DIFLUROETHYL
LORNITHINE REDUCE RISK OF POLYPS
...
colorectal cancer
colorectal cancer
colorectal cancer
colorectal cancer
colorectal cancer
Upcoming SlideShare
Loading in …5
×

colorectal cancer

1,268
-1

Published on

corectal cancer with colostomy care

0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total Views
1,268
On Slideshare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
121
Comments
0
Likes
1
Embeds 0
No embeds

No notes for slide

colorectal cancer

  1. 1. Colorectal cancer Presented by . LIKHILA ABRAHAM
  2. 2. DEFINITION  Colorectal cancer is a disease in which cancer cells grow either colon or in rectum .the colon are the parts of digestive system ,normally the cells of colon and rectum divide in a regular manner .,if cells keep on dividing a mass of tissue forms called tumor, that may b benign or malignant.(medical encyclopedia)
  3. 3. Colorectal cancer commonly known as colon cancer or bowel cancer ;which is a cancer from uncontrolled cell growth in the colon or rectum ,genetic analysis shown that essentially colon and rectum tumors are the same type of carcinomas..national cancer institute)
  4. 4. etiology  1.inflammatory bowel disease  2.genetic mutations  3.polyps Risk factors 1.Dietary factors 2.Environmental factors 3.Lynch syndrome 4.Familial adenomatous polyposis
  5. 5. Cancer distribution 15% 5% 9% 20% 50%
  6. 6. Classifications(duke’s )  Duke A:the tumor penetrates into the mucosa of bowel wall no further  DukeB :B1:tumor penetrates into but not through the muscular layer  B2;tumor penetrates into through the muscular layer  Duke C:C1:tumor penetrates into but not through the muscular layer there is pathogenic evidence of colon cancer in the lymph nodes 
  7. 7. C2;tumor penetrates into the muscular layer with pathological evidence of colon cancer in the lymph nodes Modified duke D:the tumor spread beyond the confines ..metastasis to other organs
  8. 8. TNM STAGING  T;TUMOR  T1:tumor invades submucosa  T2:tumor invades muscular layer  T3:tumor invades to muscular and peri rectal tissues  T4:tumor perforates the organ and other structures
  9. 9. Node (N)  N0: No regional lymph node metastasis  N1:metastasis to 1 to 3 regional lymph nodes  N2: Metastasis in 4 or more regional lymph nodes  Metastasis (m)  M0:no metastasis  M1 :distant metastasis
  10. 10. Stages  Stage1:T1N0M0;T2N0M0(cancer has begun to spread but still in the inner linig  Stage2:T3N0M0 ,T4N0M0(cancer has spread to other organs near colon and rectum  Stage3:T4N1 M0 (cancer has spread to lymph nodes .  Stage 4(cancer spread through lymph nodes to other distant parts of the body
  11. 11. pathophysiology
  12. 12. Clinical features  Right side  1.abdominal pain  2.bleeding  3.weakness 4. Fatigue 5. Palpable abdominal mass 6.Malena 7.Bowel obstruction  Left side  1.coliky pain  2.bleeding  3.obstruction  4.weakness and fatigue  5 ribbon like stools  6.nausea and vomitting
  13. 13. Rectum 1.Pain 2.Rectal bleeding 3.Bloody stools 4. Altered bowel pattern 5. Perineal and buttok pain
  14. 14. Management Medical management 1.chemotherapy 2.Bilogic or targeted therapy 3.Radiation therapy
  15. 15. Surgical management  1.colectomy (right hemicolectomy-asending colon  Left hemi colectomy(decending colon)  Extended hemicolectomy(transeverse colon)  Sigmoidectomy  Tottal colectomy  Subtottal colectomy  Colostomy
  16. 16. Colostomy  A colostomy is a surgical procedure in which a stoma is formed by drawing the healthy end of the large intestine though the abdominal wall and suturing in to place (medical encyclopedia)  Colostomy is a surgical procedure that allows intestinal contents to pass from the bowel through an opening is called STOMA .the stoma created when the intestine is brought through the abdominal wall and sutured to the skin.(colostomy nursing care)
  17. 17. Types of ostomies  End stoma
  18. 18. Loop stoma
  19. 19. Double-barreled stoma
  20. 20. Knock pouch
  21. 21. Colostomy care  Emotional support as the patient cope with a radical body change  Patient teaching about stoma care
  22. 22. Normal stoma
  23. 23. Equipments Pouching system Gloves Bed pan Plastic bags Tissue paper Wash cloth Cleansing solution clamp
  24. 24. Explain the procedure to the patient Screen the patient Hand wasing Wear gloves Arrange all the article near to the patient
  25. 25. Remove contents from the pouch
  26. 26. Remove all the content to a bed pan by opening the clamp ,after procedure return the clamp and remove the pouch from the skin wipe the stoma with wash cloth.if physian approves cleansing solution use that.dry the area Select flange size 1or 2cm larger than the stoma,trace the size.make the strter hole.attach the pouch on skin barrier.remove pouch when it is 1/3rd filled
  27. 27. colostomy irrigation Gather Necessary Materials Needed -You will need the following materials: a colostomy irrigation water bag with tubing and cone . This is good because it has a very handy temperature indicator to prevent any stomach cramping and has a flowmeter to control water flow. Another thing is your Irrigation drainage bag with belt (ask about the variant from hollister 7724) this is a reusable bag which comes very handy. Of course you also need your paper towels.
  28. 28. Irrigation kit
  29. 29. Cone with sleeve
  30. 30. Fill the colostomy irrigation bag - can always use mineral water. Just make sure the temperature is a variant of your body temperature and not on any extremes.(normal body temp is 37.5 degree celsius).The amount of water still varies per individual; some use 750ml and some use 1.5 Liters of water. can start with 750mL (again, your doctor's advise is important) Attach irrigation sleeve - your irrigation drainage bag can now be attached using your belt placing your stoma on the middle of the ring.
  31. 31. Insert the cone of the irrigation water bag to stoma - . Just make sure you insert the cone firm enough to avoid water leaks. Infuse the water to your stoma - Start at a slower rate and gradually increase water flow. The infusion will last from 3-5 minutes.You dont have to fill in the whole 1,000mL in. (Remember: if you encounter any discomfort at this stage, stop the water infusing, remove the cone for a while, then continue again and start at a slower rate of infusion)
  32. 32. Let the stool exit - After infused, remove the cone and let the stool exit to the sleeve or the collection bag with belt that you have attached earlier.This process will take around 45 to 60 minutes. . If you see enough stool has collected in the bag, go back to the bathroom, deposit the contents to the bowl and close the sleeve again. Repeat this process until everything has evacuated from the bowel.
  33. 33. Remove the sleeves and Put on regular pouching system - After the bowel is empty, remove the sleeves, wash it with soap and water, rinse and dry them.You may way to use disinfectant to make it odorfree and clean.After this, you can now freely use a patch or your regular pouching system.
  34. 34. Nursing management  Accute pain related to inflammatory process  Deficient fluid volume related to vomiting  Imbalanced nutrition less than body requirement related to dietary restriction  Disturbed body image related to fecal diversion  Anxiety related to the loss of bowel control  Risk for impaired skin integrity related to discharge in the peristomal area
  35. 35. Complication  Liver cancer  Lung cancer  Intestinal obstruction  Intestinal perforation Prevention  Colonoscopy  Polyps removal  NSAID
  36. 36. ADVANCEMENTS NANOTECHNOLOGY  DMFO.. CELECOXIBANDCOMBINATION OF SULINADAC ,DIFLUROETHYL LORNITHINE REDUCE RISK OF POLYPS DEVELOPMENT
  1. A particular slide catching your eye?

    Clipping is a handy way to collect important slides you want to go back to later.

×