TASK 50  You are a nurse for a general practitioner and a patient is going to have a day colonoscopy procedure in the hospital next week. You are attending the patient for the first time

Patient Details           : Mr. Michael White                          

DOB    : 05.02.1956

Next of Kin     : Sister, Contact number: 05743863564        

Marital Status           : Single

Date of Birth  : 12 August 1956.     Presenting issue : colon cancer scan results: positive, pt wants colonoscopy

Social Background: Lives alone in a large house                

Full time worker         Hobbies          : cycling

Grandfather died of colon cancer (2005)                   

Father-bowerl cancer (1996): resection, other procedure

Medical Background

2013: Some bowel issues: constipation, Poor diet, overweight, eating fast food, drinking and smoking heavily

2014: Cold flu, runny nose not related to bowel/stomach problems)

2015: headaches, fever, tired (not related to bowel/ stomach problems)

On Doctors consultation: Patient admitted changing bowel patterns and bowel test results: abnormal Patient is worried about family history and wants colonoscopy. Pathology test requested. R/V post procedure doctor & nurse

Nursing Notes.          

RR: 22 hr; 77 BP: 145/85, Spo2:97 % RA                 Height: 175 cm, Weight: 80 kg

Pathology results : FBE, UED, REC (will receive preprocedure)           Avoid smoking and alcohol consumptions

Previous anesthetics: No issues, may not need that much amount of anesthetics

Nursing Notes                       

Arranged transport for day procedure

NKA, sensitive to codeine      : Alert band attached with this letter               : Alert to inform other staff

Patient signed the consent form          strictly fasting since midnight : a day before the procedure

Diet prep        : Have light breakfast the day before the procedure then thin fluids afterward.

Bowel preparation    : PREPKIT C 2 days prior to procedure

Brochure given          : Explained the procedure, possible outcomes and

risks associated with procedure, pre and post expectations, complications, side effects, risks of anesthetics, full sedative, local but not full block anesthetics Importance of balance diet and exercise explained

Follow-up                    R/V. Post procedure with doctor & nurse

Further counseling and tests will depend on the result of the surgery Send letter to a day procedure nurse

Using the information in the case notes, write a letter to the surgical Nurse., Georgia Surgical Hospital, 27 Station Road, Brisbane, including details of your preprocedure assessment and nursing management.

Submit your OET letters for correction: (for a minimal fee)
https://goltc.in/oet-writing-correction/