What type of patient information resource is it and why have you chosen to critique it? i need 2500 words of essay critique of patient information about low-grade follicular lymphoma(please use lymphoma association 2014 edition page 93 on wards book for this because i need to submit this along with essay) i can give examples of one essay but disease is different . and guidance of this also with this: i do work in hematology ward : Critique of a patient information resource For the purpose of this assignment I will be critiquing a source of patient information for people with colorectal cancer. The specific patient information I will focus on is an information sheet on ‘Regaining Bowel Control’ by ‘Beating Bowel Cancer’ (2015) (Beating Bowel Cancer 2015) (see appendix one). This is available to patients as a printed information sheet or to view online in a PDF format. I have chosen this particular resource as it is relevant to my role as a Colorectal Clinical Nurse Specialist (CNS). Colorectal cancer can affect any part of the colon or the rectum and is overall the fourth most common cancer in the UK, affecting both men and women (Cancer Research UK 2012). Surgery, radiotherapy and chemotherapy are all treatments for colorectal cancer; however the primary treatment will vary depending on the individual’s stage and presentation of disease. As a Colorectal CNS I review patients on a weekly basis who have had surgery for rectal cancer. A low anterior resection is a surgical procedure to remove the upper section of the rectum and involves joining the colon to the lower part of the rectum, mostly resulting in the individual requiring a temporary stoma to allow the anastomosis time to heal (NHS choices 2014). These patients can usually have this reversed after some time to allow them to pass faeces through the remaining rectum and anus again. Despite this individuals will often experience a number of bowel symptoms post-surgery and require reversal to form a permanent stoma (Landers et al 2011). Surgery for rectal cancer is likely to result in a change of bowel habit and can include a loss of rectal capacity (Taylor et al 2013). Often patients present i 2 clinic with complaints of poor bowel function and control of defaecation. Symptoms such as frequency, urgency and incontinence are commonly experienced (Taylor and Bradshaw 2015). Radiotherapy can be used in patients with rectal cancer that are not fit enough, or do not wish, to undergo surgery. Radiotherapy is used to control symptoms and can also be used in the neo-adjuvant setting to downsize a tumour prior to surgery. Pieterse et al (2007) identified that patients undergoing neo-adjuvant radiotherapy for rectal cancer have an increased likelihood of faecal incontinence postoperatively. Irritation to the digestive system can be caused by cytotoxic drugs, resulting in side effects such as acute diarrhoea (Cancer Research UK 2014). This can usually be managed with medications during treatment, but patients will need to be informed of how to manage this effectively, to avoid dehydration. It is important patients are given appropriate information and education prior to treatment to prepare them for a potential altered bowel function (NICE 2011). The title of the information sheet – ‘Regaining Bowel Control’ is relevant with regards to the aims of the content; however in this assignment I will be critiquing the quality of the information provided under this title. This will involve reviewing whether the information provided meets the specific needs of the patient group, if the information written is based on the best available evidence and has the information been produced in a form that meets national guidelines and recommendations. More specifically I will explore how useful the information is with regards to the title and also the clarity of the content provided. In order to evaluate these points, I will use a variety of different sources. 3 Alexander et al (2006) highlight that a sensitive and tactful approach should be used from the moment a patient is referred to hospital, whether this is as an inpatient or outpatient. For patients with colorectal cancer a discussion about loss of bowel control and/or increased frequency of bowel movements may be a sensitive topic to broach, but is a subject they will require information on. Alexander et al (2006) also recognise that patients may not actively seek information in when they require it, due to staff appearing busy and unavailable. A difficult task for healthcare professionals is to provide information to individuals at the correct rate and time (Tobias and Hochhauser 2015). Challenges can arise when communicating information to individuals, as it requires adaptation to suit the needs of each individual (Kissane and Bultz 2010). It’s important to produce information that is accessible for a wide variety of individuals with different needs. The Nursing and Midwifery Council (NMC) (2015) Code states that nurses should ‘act in partnership with those receiving care, helping them to access relevant health and social care, information and support when they need it.’ Providing an individual with information on a particular subject can help them gain a sense of control over their life (Alexander et al 2006). Poor bowel control can affect both the physical and psychological wellbeing of a patient. By providing information, healthcare professionals can empower patients to take control. Macmillan (2012) highlight that cancer patients that receive good information and are supported with the consequences of their treatment, are more likely to have a positive care experience. Furthermore, Lithner et al (2015) showed that receiving information after colorectal cancer surgery was vital for patients in regaining control of their life. In my area of cancer nursing we commonly use ‘Beating Bowel Cancer’ as a source for patient information. This can be for advice pre- and post-operatively, during 4 chemotherapy or radiotherapy or for long term support after treatment for bowel cancer. We advise patients to read this particular information sheet on ‘Regaining Bowel Control’ if they have complaints of erratic/unpredictable bowel function or incontinence issues […]
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