Management of diarrhea post-colorectal cancer treatment.
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Biomedical subjects
Publications and source records attributed to A Bisanz.
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PURPOSE/OBJECTIVES: To provide strategies for the assessment and management of bowel elimination disorders and to standardize approaches to prevent bowel disorders. DATA SOURCES: Articles, books, ongoing clinical research. DATA SYNTHESIS: The type and degree of bowel elimination problems vary with the type of tumor and treatment received. Prediction of potential bowel problems based on treatment given dictates a bowel management program to prevent problems and help patients deal with the outcome of the treatment. A standard care plan that includes assessment and intervention for various bowel elimination problems provides specific guidelines for nursing care. CONCLUSIONS: Bowel function in the patient with cancer inevitably will be affected while going through treatment or as the disease progresses. IMPLICATIONS FOR NURSING PRACTICE: Nursing care to relieve these problems can significantly affect the patient's quality of life. As patients are diagnosed with cancer and undergo cancer therapy, they can hope for bowel management through nursing guidance and patient education.
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The purpose of this article is to explain the process used in the development and implementation of care pathways in a comprehensive cancer center in the Southwest. The pathways are a major component of the disease management process that defines a multidisciplinary standard of practice for a specific episode of care and measure outcomes as a basis for quality and cost improvement. Patients may be on several pathways as they progress through cancer treatment.