Clinical Concept Map
Lab Finding
Colonoscopy
Biopsy
Molecular testing of tumor.
Cbc
Nursing Intervention
Assess dietary patterns,
including fat and fiber intake,
amounts of alcohol consumed,
and history of smoking; describe
and document a history of
weight loss and feelings of
weakness and fatigue.
palpate for areas of tenderness,
distention, and solid masses;
inspect stool for blood.
Pathophysiology
Colorectal cancer (CRC), also
known as bowel cancer, is the
development of cancer from
the colon or rectum (parts of
the large intestine). A cancer is
the abnormal growth of cells
that have the ability to invade or
spread to other parts of the
body.
Sign & Symptoms Causes
It may start as a benign polyp but • Older age.
may become malignant, invade and • African-American race.
destroy normal tissues, and extend • A personal history of colorectal
into surrounding structures. Cancer cancer or polyps.
cells may migrate away from the
• Inflammatory intestinal conditions
primary tumor and spread to other
parts of the body
Nursing Diagnosis
Imbalanced nutrition: less than
body requirements related to
nausea and anorexia
Risk for deficient fluid volume
Colorectal related to vomiting and
dehydration
Cancer Anxiety related to impending
surgery and diagnosis of cancer
Medication Treatment
• Avastin (Bevacizumab) Supportive therapy and adjuvant
• Bevacizumab. therapy (e.g,
• Camptosar (Irinotecan Hydrochlor chemotherapy, radiation
ide) therapy, immunotherapy) are
• Capecitabine. included.
• Cetuximab.
Cancers limited to one site can
be removed through a
colonoscope