Case Study For Colon Disorders Assignment

Case Study For Colon Disorders Assignment

Colon disorders are prevalent, and identifying the appropriate test is essential for healthcare providers. Colonoscopy involves an FO camera inserted into a flexible tube to see the colon and ileum. This test was first used in the 1960s and has significantly contributed to the understanding and diagnosing of colon diseases and disorders. Virtual colonoscopy and CAT scanning, which analyzes internal organs and tissues, can detect cancers. The patient usually has the final decision regarding whether or not to undertake the colonoscopy test. Before having surgery, every patient should consult a radiologist and a clinician to assess the risk involved. Studies indicate that a virtual colonoscopy is ineffective in finding all polyps and malignancies. However, colorectal cancer screening is accurate with this test. As a result, it is important to stress that the exam and the associated risks cover the initial worth of decision-making and the subsequent procedures. Before making a decision, the patient should understand all available options Case Study For Colon Disorders Assignment.

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Coloscopy Purpose

Infections of the colon are quite common. Diagnoses are made using medical history, body examinations, laboratory tests, and x-rays. However, the finest exam is a colonoscopy, which gives patients a clear view of their intestines (Doubeni et al., 2018). Inflammation and infection of the colon are symptoms of colitis. An inflamed intestinal growth known as diverticulosis or diverticulitis is the cause (Rees et al., 2016). Bleeding from a colon lesion might occur anywhere. A colon-flushing solution, laxatives, and enemas might be used as part of the treatment (Rose et a., 2018)Case Study For Colon Disorders Assignment. The patient fasts and only drinks clear liquids the day before the evaluation. During this time, the patient should follow all prescribed medication regimens. The vast majority of colonoscopies are performed in a clinic without needing overnight hospitalization by gently inserting an endoscope into the patient’s colon after they have been anesthetized.

Gathered Information

Flexibility is a key feature during colonoscopy tests. Fiber-optic colonoscopes collect and transmit images using a bundle of glass fibers. These endoscopes are like video cameras since they have a computer chip sensitive to light (Doubeni et al., 2018). Computers receive scope signals to display images on large television panels. These scopes contain an open channel that can be used by feeding devices to perform biopsies, remove polyps, or inject fluid (Rose et a., 2018). Tissue samples can be obtained for microscopic examination by biopsy in addition to colonoscopy. During the thirty-minute process, the patient is hardly aware of it. As long as the patient is unconscious, the physician checks their vital signs (Rees et al., 2016)Case Study For Colon Disorders Assignment. Notably, post-exam discomfort, such as cramping or bloating, is normal but disappears after one hour. The patient and members of their family are informed of the results of the examination by the doctor. The doctor may request a follow-up if sedatives remain in the body longer than expected. The doctor produces the test results within seven days after the examination.

A negative colonoscopy indicates no abnormalities in the colon. However, a doctor may prescribe another colonoscopy if the patient is a risk of developing colon cancer within ten years (Anderson et al., 2022). The doctor may also recommend another test depending on the type and number of polyps removed, whether the patient is genetically pre-disposed or has a family history of colon cancer. Stool and colon visibility determine colon examination. Colonoscopy is successful if the doctor identifies polyps or abnormal tissue; few polyps are precancerous, but most are not (Anderson et al., 2022)Case Study For Colon Disorders Assignment. Polyps extracted during a colonoscopy are tested to see if they are malignant, precancerous, or noncancerous. Depending on the size and number of existing polyps, the patient may need more regular checkups. The doctor may recommend a second colonoscopy if they identify two polyps, polyps and fecal accumulation prevent a complete colon inspection or if certain polyp cell characteristics indicate future cancer risk (Anderson et al., 2022). If polyp removal is possible during a colonoscopy, your doctor may prescribe a follow-up colonoscopy with a specialist or surgery.

Colonoscopy’s Validity and Reliability

There is a constant need to improve the safety and outcomes of colonoscopies necessitated by the demands of quality, completeness, and safety. Patients with lower gastrointestinal symptoms and positive stool tests or other colon imaging are required to undergo a colonoscopy as part of colorectal cancer (CRC) screening programs. Studies indicate that GUAiac fecal occult blood tests (FOBT) and sigmoidoscopy improve CRC screening mortality (Doubeni et al., 2018)Case Study For Colon Disorders Assignment. The quality of colonoscopies must be evidence-based; common quality indicators include caecal intubation rates and adenoma detection rates (ADR). Colon cancer is the third most common cancer in the world; hence the results of colonoscopies must be accurate. Colonoscopies that are patient-centered, evidence-based, cost-effective, and auditable are desirable (Dönmez, Nahcivan & Rawl, 2022). Improving quality indicators became feasible due to this experience, which demonstrated their importance. Healthcare providers classify quality markers before, during, and after colonoscopy tests (Dönmez et al., 2021)Case Study For Colon Disorders Assignment. Other concerns include the proper handling of reprocessed equipment and the accuracy of associated documentation.

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Quality assurance is a must for every colonoscopy test. There is no consensus regarding the best quality indicators to utilize for an evaluation. It is difficult to compare units and endoscopists across the country because many colonoscopy centers do not keep a registry (Dönmez et al., 2021). It is important to look at the percentage of patients who develop cancer within a specific period to gauge colonoscopy quality. That is the most important quality indicator for pre-screening colonoscopies. Hospitals now use post-colonoscopy colorectal cancer (PCCRC) to distinguish interval cancers discovered during colonoscopy and FOBT (Doubeni et al., 2018). Common side effects associated with colonoscopy include distention and test-induced bloating. Although problems with colonoscopy are extremely rare, excessive bleeding might occur when a big polyp is removed (Rees et al., 2016)Case Study For Colon Disorders Assignment. These conditions may demand hospitalization and surgical intervention. Notably, doctors rarely misdiagnose or misinterpret results. The patient should avoid using heavy machinery or driving after the exam because of the sedative.

Conclusion

A colonoscopy test is used to identify and treat problems with the colon. A polyp may be detected and removed during the checkup to avoid a major operation later on. Detecting the site of a bleeding injury enables treatment. When more therapy is required, physicians recommend endoscopy. In other situations, an enema or virtual colonoscopy can be utilized to identify the colon disease. Doctors can also detect gastrointestinal disorders in feces and blood tests. However, one cannot remove colon polyps during these examinations. Virtual colonoscopy alleviates fear or anxiety associated with conventional colonoscopy tests. Males over 50 are at risk and the least likely to make an appointment. However, that may change as the procedure becomes a mainstay among necessary medical tests. Although less painful, virtual colonoscopy still raises fear among patients. Virtual colonoscopies use standard imaging and similarity to CAT scanning; thus, universal processes can be used for accurate diagnosis and an easier way of obtaining the necessary image.

References

Anderson, J., Robinson, C., Hisey, W., Limburg, P. and Butterly, L., 2022. Colonoscopy Findings in FIT+ and mt-sDNA+ patients versus in colonoscopy only patients: New Hampshire Colonoscopy Registry Data. Cancer Prevention Research Case Study For Colon Disorders Assignment,.  .

Dönmez, E., Nahcivan, N. O., & Rawl, S. M. (2022). Validity and Reliability of the Instruments to Measure Colorectal Cancer Screening Benefits and Barriers—Turkish Version. Cancer Nursing, 45(2), E364-E373. https://doi:10.1097/NCC.0000000000000921

Doubeni, C. A., Corley, D. A., Quinn, V. P., Jensen, C. D., Zauber, A. G., Goodman, M., Johnson, J. R., Mehta, S. J., Becerra, T. A., Zhao, W. K., Schottinger, J., Doria-Rose, V. P., Levin, T. R., Weiss, N. S., & Fletcher, R. H. (2018). Effectiveness of screening colonoscopy in reducing the risk of death from right and left colon cancer: a large community-based study. Gut, 67(2), 291–298. https://doi.org/10.1136/gutjnl-2016-312712

Rees, C. J., Bevan, R., Zimmermann-Fraedrich, K., Rutter, M. D., Rex, D., Dekker, E., Ponchon, T., Bretthauer, M., Regula, J., Saunders, B., Hassan, C., Bourke, M. J., & Rösch, T. (2016). Expert opinions and scientific evidence for colonoscopy key performance indicators. Gut, 65(12), 2045–2060. https://doi.org/10.1136/gutjnl-2016-312043 Case Study For Colon Disorders Assignment

When seeking to identify a patient’s health condition, advanced practice nurses can use a diverse selection of diagnostic tests and assessment tools; however, different factors affect the validity and reliability of the results produced by these tests or tools. Nurses must be aware of these factors in order to select the most appropriate test or tool and to accurately interpret the results.

Not only do these diagnostic tests affect adults, body measurements can provide a general picture of whether a child is receiving adequate nutrition or is at risk for health issues. These data, however, are just one aspect to be considered. Lifestyle, family history, and culture—among other factors—are also relevant. That said, gathering and communicating this information can be a delicate process Case Study For Colon Disorders Assignment.

For this Assignment, you will consider the validity and reliability of different assessment tools and diagnostic tests. You will explore issues such as sensitivity, specificity, and positive and negative predictive values. You will also consider examples of children with various weight issues. You will explore how you could effectively gather information and encourage parents and caregivers to be proactive about their children’s health and weight.

To Prepare Case Study For Colon Disorders Assignment

Review this week’s Learning Resources and consider factors that impact the validity and reliability of various assessment tools and diagnostic tests. You also will review examples of pediatric patients and their families as it relates to BMI.
By Day 1 of this week, you will be assigned to one of the following Assignment options by your Instructor: Adult Assessment Tools or Diagnostic Tests (option 1), or Child Health Case (Option 2). Note: Please see the “Course Announcements” section of the classroom for your assignments from your Instructor.
Search the Walden Library and credible sources for resources explaining the tool or test you were assigned. What is its purpose, how is it conducted, and what information does it gather?
Also, as you search the Walden library and credible sources, consider what the literature discusses regarding the validity, reliability, sensitivity, specificity, predictive values, ethical dilemmas, and controversies related to the test or tool.
If you are assigned Assignment Option 2 (Child), consider what health issues and risks may be relevant to the child in the health example.
Based on the risks you identified, consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.
Consider how you could encourage parents or caregivers to be proactive toward the child’s health. Case Study For Colon Disorders Assignment

The Assignment Option 1

Colonoscopy: Whiters

Assignment (3–4 pages, not including title and reference pages):

Assignment Option 1: Adult Assessment Tools or Diagnostic Tests:
Include the following:

A description of how the assessment tool or diagnostic test you were assigned is used in healthcare.
What is its purpose?
How is it conducted?
What information does it gather?
Based on your research, evaluate the test or the tool’s validity and reliability, and explain any issues with sensitivity, reliability, and predictive values. Include references in appropriate APA formatting.

Resources: Case Study For Colon Disorders Assignment

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

Chapter 3, “Examination Techniques and Equipment”
This chapter explains the physical examination techniques of inspection, palpation, percussion, and auscultation. This chapter also explores special issues and equipment relevant to the physical exam process.

Chapter 8, “Growth and Nutrition”
In this chapter, the authors explain examinations for growth, gestational age, and pubertal development. The authors also differentiate growth among the organ systems.

Chapter 5, “Recording Information” (Previously read in Week 1)Case Study For Colon Disorders Assignment
This chapter provides rationale and methods for maintaining clear and accurate records. The text also explores the legal aspects of patient records.

http://publications.muet.edu.pk/research_papers/pdf/pdf1568.pdf
This study explores the escalating healthcare cost due the unnecessary use of diagnostic testing. Consider the impact of health insurance coverage in each state and how nursing professionals must be cognizant when ordering diagnostics for different individuals.

Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.
Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center.

Chapter 1, “Clinical Reasoning, Evidence-Based Practice, and Symptom Analysis”
This chapter introduces the diagnostic process, which includes performing an analysis of the symptoms and then formulating and testing a hypothesis. The authors discuss how becoming an expert clinician takes time and practice in developing clinical judgment Case Study For Colon Disorders Assignment.

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Noble, H., & Smith, J. (2015) Issues of validity and reliability in qualitative research . Evidence Based Nursing, 18(2), pp. 34–35.

https://content.waldenu.edu/content/dam/laureate/laureate-academics/wal/ms-nurs/nurs-6512-11wk/week-3/Week%203_History%20Subjective%20Data%20Checklist.pdf

Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis.

Chapter 2, “The Comprehensive History and Physical Exam” (Previously read in Week 1)
Chapter 5, “Pediatric Preventative Care Visits” (pp. 91 101) Case Study For Colon Disorders Assignment