Download Colorectal Disease Nursing

POST GRADUATE DIPLOMA
IN NURSING (CANCER
NURSING)
MODULE DESCRIPTOR
Module Title
Colorectal Disease Nursing (Optional Module)
Level of Learning
9 NFQ
Pre-requisite course
Primary degree or equivalent
ECTS Credits
10
Module Coordinator
Module Lecturers
Ms Mary O'Neill
Mr Paul Mahon
Margaret Deasy, Ms. Aine Byrne & Nurses, Medical and Allied
Health Professionals in the area of Cancer Services and
Multidisciplinary Team will be included at appropriate stages in
the module.
Rationale of Module
In Ireland colorectal cancer was reported as being the third leading cause of death in women, (after lung cancer
and breast cancer) and the second leading cause of cancer death in men (after prostate cancer) in 2007-2009.
Colorectal cancer accounted for 11% (in women) and 14% (in men) of all invasive cancers (excluding nonmelanoma skin cancer) for the same period. Although there is evidence of a steady decline in colorectal cancer
mortality rates from 1994 to 2009, colorectal cancer cases are projected to increase by 34% in women and 45% in
men between 2010 and 2020 (National Cancer Registry, 2011). Patients with Inflammatory bowel disease (IBD) are
reported to be at an increased risk for developing a malignancy as well as morbidity from prolonged medical
therapy (World Gastroenterology, 2009). Nurses working with colorectal disease require specialist knowledge and
skills in the medical management and surveillance of colorectal disease as it is recognised that they are an
essential component in the multidisciplinary management of this group of patients.
Module Aims
This module is build on Modules I and aims to provide the student with a knowledge base that exercises higher
levels of judgement, discretion, decision making and skills required for the provision of specialist nursing care to
patients with colorectal disease.
Learning Outcomes
On successful completion of this module, the student will be able to:
•
•
•
•
Critically evaluate the aetiology, pathophysiology and epidemiology and demonstrate an advanced
knowledge base of colorectal disease.
Utilise advanced knowledge and critical thinking skills to develop comprehensive plans of care patients with
colorectal disease based on the nursing process and incorporate best evidence based practice.
Critically evaluate the role of the colorectal nurse specialist in relation to patient and families supports,
psychological and social issues, education and counselling in relation to illness prevention, rehabilitation
and coping strategies. Critically appraise and demonstrate knowledge of the national service provision for
people with colorectal disease.
Critically explore the role of the colorectal nurse specialist as an integral member of the multidisciplinary
team in providing a coordinated approach to health assessment and care planning for the patient with
colorectal disease and demonstrate skills in negotiation and management of conflict
Indicative Syllabus
Colorectal Service
• History
• Governance
• SOP’S
• Standards
• Role of MDT in Colorectal Disease
Epidemiology
• Incidence
• Risk
• Environmental
• Lifestyle risk factors
• Prevention
Anatomy & Physiology
• Colorectal
Genetics
• Genetic Testing
• Implications / ethical, legal, social.
Screening
• Screening Programme
Assessment and Diagnosis (Colorectal Cancer, Benign Colorectal Disease)
• Clinical Assessment
• Endoscopy
• Radiological Assessment
• Liver Scan
• Bone Scan
• Pathological Assessment
• Further Assessment
Staging
• Tumour, Node, Metastasis (TNM) Cancer Staging System
• Histological Factors
• Grade
Colorectal Surgery
•
•
•
•
•
Colorectal Enhanced Recovery
o Abdominal Perineal Resection (APR)
o Hemicoloectomy
o Sigmoid Colectomy
Other Surgeries
Potential Complications
Immediate Post Surgery Complications
Long Term Complications.
2
Colorectal Cancer Therapy
• Individual chemotherapy drugs
• Targeted therapy
• Biological Therapy
• Side Effects
• Management of Extravasation
• Chemotherapy spills
• Safe Handling
• Colorectal Research Clinical Trials
Beign Colorectal Disease
• Assessment
• Smoking
• Diet/Nutritional Supplements
• Support
• Education
• Pain Management
• Drug Treatment
o Immunomodulatery Drugs
o Antibiotics
o Probiotic
o Immunosuppressants
o Biological Therapy
o Antispasmodics
o Laxatives
o Antidepressents
Recognition and Treatment of Oncological Emergencies
• SIADH
• Tumour Lysis
• DIC
• Hypercalcaemia of Malignancy
• Spinal Cord Compression
• SVCO
• Neutropenic Sepsis
Teaching Learning Activities
Hours
Classroom Lectures
30
Course work preparation
50
Tutorials / Workshops
10
Independent learning time
160
Total
250
3
Examination/
Type of Assessment
Assessment Method
(Continuous/Terminal)
Written Exam
Terminal
Weighting
100%
Indicative Reading
Bord Altranais agus Cnáimhseachais na hÉireann (2000) Scope of Nursing and Midwifery Practice Framework.
Bord Altranais agus Cnáimhseachais na hÉireann, Dublin.
Bayless T. & Hanaur S. (2012) Advanced Therapy in Inflammatory Bowel Disease: IBD & Crohns Disease. Peoples
Medical Publishing House, USA.
Bland K.I., Sarr M.G., Buchler M.W., Csendes A. Garden O.J.& Wong J. (2011) Colorectal Surgery: Handbooks in
General Surgery. Springer, New York.
Breckman B. (2005) Stoma Care and Rehabilitation. Elsevier Ltd, Amsterdam.
Burch J. (2008) Stoma Care. Wiley-Blackwell, New Jersey.
nd
Corner J. & Bailey C. (2008) Cancer Nursing Care in Context. 2 edn. Blackwell, Oxford.
Department of Health (1996) Cancer Services in Ireland: A National Strategy. Government Publications, Dublin.
Department of Health (2006) A Strategy for Cancer Control in Ireland. National Cancer Forum. Government
Publications, Dublin.
Doughtery L. & Lyster S. (2011) The Royal Marsden Hospital Manual of Clinical Nursing Procedures. 8
th
edn.
Wiley-Blackwell Publishing, Spain.
Finegan W. & McGurk A. (2007) Care of the Cancer Patient: A Quick Reference Guide. Raddiff Publishing, Oxford,
New York.
Greenberger N. Blumberg R. & Burakoff R. (2012) CURRENT Diagnosis & Treatment Gastroenterology,
nd
Hepatology & Endoscopy. 2 edn. The McGraw-Hill Companies lnc. US.
Kearney N. & Richardson A. (2005) Nursing Patients with Cancer: Principles and Practice. Churchill Livingstone,
London.
Lyons C.C. & Smith A.J. (2010) Abdominal Stomas and their Skin Disorders: An Atlas of Diagnosis and
Management. 2
nd
edn. Informa Healthcare, London.
National Cancer Registry (2011) Cancer in Ireland 2011 Annual report of the National Cancer Registry. Available
on line at http://www.ncri.ie/pubs/pubfiles/AnnualReport2011.pdf (Accessed 25th June 2013) National Cancer
Registry.
Payne M. (2000) Teamwork in Multiprofessional Care. Palgrave Publishers, United Kingdom.
Smith G. & Watson R. (2005) Gastrointestinal Nursing. New Jersey: Wile-Blackwell.
Swinson D. & Seymour M. (2012) Colorectal Cancer. Oxford University Press, Oxford.
Whayman K., Duncan J. & O’Connor M. (2011) Inflammatory Bowel Disease Nursing. Quay Books Division, MA
Healthcare Ltd, London.
White C. (2010) Living with a Stoma. 2
nd
edn. Sheldon Press, London.
4
Young A., Hobbs R. & Kerr D. (2011) ABC of Colorectal Cancer. 2
nd
edn. Wiley-Blackwell, New Jersey.
Useful Journals
A Cancer Journal for Clinicians
Annals of Oncology
Cancer Nursing
Clinical Colon Rectal Surgery
Clinical Nursing Research
Cancer Online
Clinical Journal of Oncology Nursing
Current Oncology
European Journal of Cancer Care
European Journal of Oncology Nursing
Gastroenterology
Gastrointestinal Nursing
International Journal of Palliative Nursing
Journal of Advanced Nursing
Journal of Clinical Oncology
Journal of Supportive Oncology
Oncology Nursing
Oncology Nursing Forum
Seminars in Oncology Nursing
Websites
www.acpgbi.org.uk
www.asco.org
www.arccancersupport.ie
www.beatingbowelcancer.org
www.cancer.ie
www.cancerbacup.org.uk
www.cancerstaging.org
www.dohc.ie
www.egtm.eu
www.hiqa.ie
www.larcc.ie
www.library.nhs.uk/gastroliver
www.nccn.org
www.ncri.ie
www.ons.org
www.rnao.org
Additional reading material will be provided by individual lecturers
Date of Last Revision: August 2013
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