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1. Colorectal Cancer
Introduction
What is Colorectal Cancer?
Incidence and Mortality Rates
Colorectal Cancer Symptoms
Risk Factors
Development of Colorectal Cancer
Colorectal Cancer Diagnosis
Staging of Colorectal Cancer
mCRC: Prognosis & Treatment
Prognosis for mCRC patients
Optimising treatment
Surgery for mCRC
Chemotherapy for mCRC
Targeted biological therapy
Radiation therapy for mCRC
The mCRC Patient Experience
Challenges and concerns
Activity: Your patients
Reflections
Summary
Assessment
Glossary
References
Patient Resources
2. Supportive Care
Introduction
Why supportive care is important
Psychological impact of diagnosis
Support for mCRC patients
Recognising unique needs
Stigma associated with CRC
Lack of motivation
Activity: Your patients
Providing supportive care
Assessing patient needs
Additional support services
The nurse’s role as patient educator
Empowering and preparing your mCRC patients
Complementary and alternative therapies
Existential and spiritual support
Improving communication
Ensuring medical information is understood and retained
Discussing embarrassing issues
Breaking bad news
Palliative care
Communication skills training
Principles for better communication
Reflections
Summary
Assessment
Glossary
References
Patient Resources
3. Physical Symptoms
Introduction
Physical symptoms
Management of common cancer symptoms
Potential causes of physical symptoms
Contributing factors to physical symptoms
Upper GI tract symptoms
Nausea and vomiting
Cutaneous toxicities
Reflections
Summary
Assessment
Glossary
References
Patient Resources
4. Quality of Life
Introduction
Diarrhoea
Constipation
Other bowel issues
How can nurses help?
Reflections
Assessment
Glossary
References
Patient Resources
5. Stoma & Bladder
Introduction
Stoma-related difficulties
Bladder-related issues
How can nurses help?
Reflections
Summary
Assessment
Glossary
References
Patient Resources
6. Sexual Function
Introduction
Sexual function
Psychological issues
Support for patients
Reflections
Summary
Assessment
Glossary
References
Patient Resources
Home
2. Supportive Care
Assessment
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2. Supportive Care
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If patients do not have adequate emotional and social support:
Nurses should provide them with information about additional support services and peer support groups which may help them
Nurses should not address the issue with them in case they upset or embarrass the patient
They should always be referred to a clinical psychologist
They will develop long-term psychological distress and are less likely to achieve disease remission
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