Julia Jackson is an 84-year-old woman who presents to the Emergency room

Posted: February 2nd, 2023

Slide 1: Patient Introduction

Julia Jackson, 84-year-old woman
Presented to the Emergency room with severe abdominal pain (8/10) in the left lower quadrant
Abdominal CT revealed a 5cm mass in the lower sigmoid colon with fecal impaction
Admitted to the Med/Surg floor for treatment and resolution of fecal impaction
Oncology consult ordered

Speaker Notes: Julia Jackson is an 84-year-old female patient who arrived at the Emergency room complaining of severe abdominal pain, particularly in the left lower quadrant region. Her pain level was reported as 8 out of 10. A computed tomography (CT) scan of the abdomen was performed, revealing a 5cm mass in the lower sigmoid colon, accompanied by fecal impaction. Following the CT findings, the patient was admitted to the Medical/Surgical floor for treatment and resolution of the fecal impaction. An oncology consultation was also ordered to further evaluate the detected mass.
Slide 2: Patient’s Problem

Suspected colorectal cancer (5cm mass in the lower sigmoid colon)
Fecal impaction causing abdominal pain and discomfort
Potential complications: bowel obstruction, perforation, or bleeding

Speaker Notes: The primary problem identified in Julia Jackson’s case is the suspected presence of colorectal cancer, as evidenced by the 5cm mass found in her lower sigmoid colon during the CT scan. Additionally, she is experiencing fecal impaction, which is causing severe abdominal pain and discomfort. Fecal impaction can lead to potential complications such as bowel obstruction, perforation, or bleeding if left untreated. Addressing both the suspected cancer and the fecal impaction is crucial for Julia’s well-being and recovery.
Slide 3: Teamwork and Collaboration Benefits

Comprehensive patient care through multidisciplinary approach
Effective communication and coordination among healthcare professionals
Shared decision-making and treatment planning
Efficient utilization of resources and expertise

Speaker Notes: In Julia Jackson’s case, teamwork and collaboration among healthcare professionals can significantly benefit her treatment and overall outcome. A multidisciplinary approach ensures comprehensive patient care, addressing all aspects of her condition. Effective communication and coordination among the various healthcare professionals involved in her case are essential for seamless treatment planning and execution. Shared decision-making and treatment planning facilitate a patient-centered approach, taking into account Julia’s preferences and goals. Additionally, efficient utilization of resources and expertise through collaboration can optimize care delivery and prevent duplication of efforts.
Slide 4: Collaborative Healthcare Professionals

Gastroenterologist:

Expertise in diagnosing and treating conditions of the digestive system
Perform colonoscopy and biopsy for definitive diagnosis of colorectal cancer
Develop treatment plan for the suspected malignancy

Dietitian:

Provide nutritional guidance for managing fecal impaction and post-surgical diet
Ensure adequate hydration and fiber intake
Educate patient on dietary modifications for optimal recovery

Speaker Notes: Two healthcare professionals who would be appropriate to collaborate with in Julia Jackson’s case are a gastroenterologist and a dietitian.
The gastroenterologist’s expertise in diagnosing and treating conditions of the digestive system is crucial for Julia’s case. They can perform a colonoscopy and biopsy to confirm the diagnosis of colorectal cancer and develop an appropriate treatment plan for the suspected malignancy.
A dietitian’s involvement is essential for managing Julia’s fecal impaction and ensuring proper nutritional support during her recovery. The dietitian can provide guidance on dietary modifications, adequate hydration, and fiber intake to alleviate the fecal impaction and promote bowel regularity. Additionally, they can educate Julia on post-surgical dietary recommendations for optimal healing and recovery.
Slide 5: Patient-Centered Outcomes

Gastroenterologist collaboration:

Within 2 weeks, Julia Jackson will undergo a colonoscopy and biopsy to confirm the diagnosis of colorectal cancer and develop a personalized treatment plan.

Dietitian collaboration:

Within 1 week, Julia Jackson will achieve complete resolution of fecal impaction and report a decrease in abdominal pain to 3 or less on a scale of 10.
Within 4 weeks, Julia Jackson will demonstrate adherence to dietary recommendations, facilitating her recovery and preparation for potential surgical intervention.

Speaker Notes: The collaboration with the gastroenterologist and dietitian aims to achieve the following patient-centered, measurable, and time-limited outcomes for Julia Jackson:

Gastroenterologist collaboration outcome: Within 2 weeks, Julia Jackson will undergo a colonoscopy and biopsy to confirm the diagnosis of colorectal cancer and develop a personalized treatment plan tailored to her specific condition and needs.
Dietitian collaboration outcomes:
a. Within 1 week, Julia Jackson will achieve complete resolution of fecal impaction and report a decrease in abdominal pain to 3 or less on a scale of 10, indicating significant relief from her current discomfort.
b. Within 4 weeks, Julia Jackson will demonstrate adherence to dietary recommendations provided by the dietitian, facilitating her recovery and preparation for potential surgical intervention related to the suspected colorectal cancer.

Slide 6: References
Butterly, L., & Winawer, S. (2021). Colorectal Cancer: Overview and Best Practice. Gastroenterology Clinics of North America, 50(2), 277-296. https://doi.org/10.1016/j.gtc.2021.02.001
Jain, S., & Gupta, S. (2022). Diagnosis and Management of Fecal Impaction in the Elderly. Current Geriatrics Reports, 11(1), 1-9. https://doi.org/10.1007/s13670-022-00390-z
Sharma, P., & Gulati, M. (2020). Dietary Management of Fecal Impaction in Older Adults. Nutrition in Clinical Practice, 35(2), 279-287. https://doi.org/10.1002/ncp.10439
Tong, G. J., & Bisanz, A. (2023). Multidisciplinary Team Approach in Colorectal Cancer Care: Optimizing Outcomes Through Collaboration. Journal of Clinical Oncology, 41(2), 244-255. https://doi.org/10.1200/JCO.22.01169
Yeo, H. L., & Lee, S. W. (2018). Colorectal Cancer: Current Management and Future Perspectives. Surgical Oncology, 27(4), 665-671. https://doi.org/10.1016/j.suronc.2018.08.005

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Julia Jackson is an 84-year-old woman who presents to the Emergency room with severe abdominal pain, especially in the left lower quadrant. An abdominal CT was ordered, and it found that there is a 5cm mass in the lower sigmoid colon with fecal impaction. The patient was admitted to the Med/Surg floor for treatment and resolution of fecal impaction. An oncology consult order was entered. The patient stated she has abdominal pain of 8 out of 10.

Create a presentation that lasts 3- 5 minutes.
Briefly describe the patient you have been assigned
Write My Essay | Papers Writing Service Online by Essay Hub Experts- Describe the patients’ problem
As the RN how could teamwork and collaboration benefit this patient and help them reach a positive outcome?
Identify 2 other healthcare professionals that would be appropriate to collaborate with and why.
What would be the two outcomes for this patient related to the reason for collaboration with the identified 2 healthcare professionals? The outcomes should be formatted as patient-centered, measurable, and time-limited.
Add speaker notes to each slide.
Support your presentation using at least two evidence-based resources. Consider a professional theme for your slides.  Use intext citations on your slides to support the data.  Your slides should not be overcrowded with words and content should be summarized in a bullet. Use notes pages to speak to your slides.  Include a reference page that conforms to APA Paper Writing Service by Expert Writers Pro Paper Help: Essay Writing Service Paper Writing Service by Essay Pro Paper Help: Essay Writing Service.
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Patient: Julia Jackson

84-year-old woman
Presented to the ER with severe abdominal pain
CT showed a 5cm mass in the lower sigmoid colon with fecal impaction
Admitted to Med/Surg for treatment and resolution of fecal impaction
Oncology consult order was entered
Abdominal pain of 8 out of 10
Patient’s problem:

Mass in the lower sigmoid colon
Fecal impaction
Severe abdominal pain
Teamwork and collaboration:

As the RN, teamwork and collaboration can benefit this patient by ensuring that all aspects of their care are addressed in a coordinated and effective manner.
Collaborating with other healthcare professionals can help to ensure that the patient receives the best possible care and reaches a positive outcome.
Healthcare professionals to collaborate with:

Surgeon: to address the mass in the lower sigmoid colon
Gastroenterologist: to address the fecal impaction
These professionals are appropriate to collaborate with because they have the expertise and knowledge to address the patient’s specific needs.
Outcomes:

Within the next two weeks, the patient’s abdominal pain will be reduced to 4 out of 10, as evidenced by daily pain assessments.
Within the next four weeks, the mass in the lower sigmoid colon will be removed and the fecal impaction will be resolved, as evidenced by imaging and bowel function assessments.
References:

American Cancer Society. (2022). Colorectal Cancer. Retrieved from https://www.cancer.org/cancer/colorectal-cancer.html
Mayo Clinic. (2021). Fecal Impaction. Retrieved from https://www.mayoclinic.org/diseases-conditions/fecal-impaction/diagnosis-treatment/drc-20352807