1

Nursing Department

MAJOR CONCEPT
MAJOR CONCEPT

CELLULAR ABERRATION

DIAGNOSIS DIAGNOSIS
COLON CANCER

CASE SCENARIO

CASE SCENARIO
Patient C is a 72-year-old male who was admitted last December 4 due to a chief complaint of loss of appetite. Vital
signs are as follows: BP- 100/60 T- 36.3 P-76 R- 16

PAST MEDICAL HISTORY:

 (+) Acute Gastritis
 (+) Hepa A

HX OF
HISTORY PRESENT
OF PRESENT ILLNESS ILLNESS

Student Name: Dela Cruz, Jesfel B. Intensive Practicum Prof. Marilen F. Pacis RM, RN, MAN Prof Basilio L. Bermas Jr. RN, MAN, EdD
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Nursing Department
1 week prior to confinement patient have mass on the abdomen.

FAMILY HISTORY
FAMILY HISTORY

Student Name: Dela Cruz, Jesfel B. Intensive Practicum Prof. Marilen F. Pacis RM, RN, MAN Prof Basilio L. Bermas Jr. RN, MAN, EdD
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Nursing Department

PATHOPHYSIOLOGY
PATHOPHYSIOLOGY & CONCEPT MAP & CONCEPT

**** DISEASE PROCESS AND/ OR HOW IT COMPLICATE THE INVOLVED SYSTEM. (MAY ADD ADDTL BOXES)

COLON CANCER PATHOPHYSIOLOGY:

Cellular DNA mutation - Malignant Cellular Proliferation - Immune system failure to destroy cancer cells -
Colon cancer is cancer of the large intestine (colon), the Malignant Cellular Survival - Malignant Cellular Deprivation of Normal Cells of Nutrition and other substances
lower part of your digestive system. for sustenance - Malignant Cellular Compression of Normal Cells - Normal Cell Death

RISK FACTORS CLINICAL MANIFESTATIONS DISEASE PROCESS

Older age change in your bowel habits Malignant Cellular Proliferation

Family history of colon cancer blood in your stool Immune system failure to destroy cancer cells

Obesity Persistent abdominal discomfort Malignant Cellular Compression of Normal Cells

Inflammatory intestinal conditions Weakness or fatigue Normal Cell Death

Student Name: Dela Cruz, Jesfel B. Intensive Practicum Prof. Marilen F. Pacis RM, RN, MAN Prof Basilio L. Bermas Jr. RN, MAN, EdD
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Nursing Department

NURSING CARE MAP NURSING CARE MA

CASE DIAGNOSIS NURSING DIAGNOSIS
NURSING INTERVENTIONS

Risk for Imbalanced Nutrition: Less Than Body

Requirements related to fatigue as evidenced by
- Monitor daily food intake; have patient keep food diaryreport
as indicated.
of loss of appetite

- Assess skin and mucous membranes for pallor, delayed wound healing, enlarged parotid
NURSING ASSESSMENT
glands. DESIRED OUTCOMES

- Encourage patient to eat high-calorie, nutrient-rich diet, with adequate fluid intake.

- Create pleasant dining atmosphere; encourage patient to share meals with family and
Subjective
friends. Data
Demonstrate stable
- -patient
Controlreported loss of appetite
environmental weight/progressive
factors (strong or noxious weight
odors or noise). Avoidgain
overly sweet,
fatty, or spicy foods. toward goal with normalization of
laboratory values and be free of
signs of malnutrition.
Objective Data:
COMMUNITY
NURSINGof
Verbalize understanding RESOURCES
ALERTS
individual
BP- 100/60 interferences to adequate intake.
T- 36.3
P-76 Participate in specific
Watch interventions
out for rectal bleedingtowith or
R- 16 stimulate appetite/increase
without
Refer patient
pain, blood
to supportdietary
in the groups,
stool, a health
change
intake. in
promotion
bowel pattern,
groups,such
hospital,
as increased
clinics,
diarrhea oremergency
constipation,
hotlines.
a change in the
size or shape of stool.

Student Name: Dela Cruz, Jesfel B. Intensive Practicum Prof. Marilen F. Pacis RM, RN, MAN Prof Basilio L. Bermas Jr. RN, MAN, EdD