The Essentials Of Pouch Care Nursing by Julia Williams, John Nicholls

By Julia Williams, John Nicholls

Show description

Read or Download The Essentials Of Pouch Care Nursing PDF

Similar nursing books

ABC of the Upper Gastrointestinal

(BMJ Books) Univ. clinic, Nottingham, united kingdom. offers a concise advisor to issues of the higher gastrointestinal tract. hugely illustrated with charts, diagrams, and colour images. displays most up-to-date advances in realizing the pathophysiology and pathogenesis of this disorder. For scientific scholars, nurses, and clinicians.

Emergency Medicine: Expert Consult

Asserting a greater resource for in charge solutions on your fast paced box! This new reference, edited by means of James G. Adams, MD, provides the correct of information - the correct method - so that you can get what you wish and circulate on. you should have barely enough heritage to appreciate each one challenge with out getting slowed down .

Oxford Handbook of Emergency Nursing

Emergency nursing calls for speedy review and decision-making. frequently nurses are required to make experience of substantial quantities of knowledge and act on it. The Oxford guide of Emergency Nursing offers a vital source whilst time is brief and the necessity for functional scientific assistance is paramount.

Additional info for The Essentials Of Pouch Care Nursing

Example text

From the age of 14 years, annual rigid sigmoidoscopy is commenced, looking for polyps in the rectum. When polyps are present, it is usual for one or two to be visible in the rectum, but they Familial adenomatous polyposis 33 can be overlooked, and there may even be rectal sparing. For this reason, colonoscopy is usually advised, being performed first at the age of 20 and 5 yearly thereafter. Colonoscopy is not advocated earlier because cancer is unusual in youngsters with polyposis, and on the rare occasion that it does occur, the polyposis tends to be dense and easily recognizable on rigid sigmoidoscopy.

Gender The most comprehensive data on gender difference in colorectal cancer incidence and mortality are available from the USA. These data, derived for the Surveillance, Epidemiology and End Results (SEER) programme, indicate that there is a significant difference in age-adjusted colorectal cancer mortality between males and females, and that blacks are more frequently affected than whites. Changes in incidence and mortality by gender and time SEER data indicate that the incidence of colorectal cancer increased in males in the period 1950–84, whilst it fell slightly in females.

The importance of these is, however, minor compared with the importance of their large bowel disease. Surgical options The surgical choices are: • colectomy with IRA; • restorative proctocolectomy with the construction of an ileo-anal pouch (RPC); • proctocolectomy with permanent end-ileostomy. A proctocolectomy and permanent end-ileostomy should really now only ever be considered in the presence of a low rectal cancer. In this day and age, patients advised to have this operation should be counselled to seek a second opinion in order to be sure that it really is necessary and that they have indeed given their full consent to it.

Download PDF sample

Rated 4.98 of 5 – based on 36 votes