Silliman University

College of Nursing
Dumaguete City


Syllabus on Care of Patients with
Cancer of the Colon




Prepared by:
Krishaz Marie G. Co
NCM 106 B3


Submitted to:
Asst. Prof. Veveca V. Bustamante
Clinical Instructor

June 16, 2014
SILLIMAN UNIVERSITY
Vision:
A leading Christian institution committed to total human development for the well-being of society and
environment.

Mission:
Infuse into the academic learning the Christian faith anchored on the gospel of Jesus
Christ; provide an environment where Christian fellowship and relationship can be
nurtured and promoted.
Provide opportunities for growth and excellence in every dimension of the University life
in order to strengthen character, competence and faith.
Instill in all members of the University community an enlightened social consciousness and
a deep sense of justice and compassion.
Promote unity among peoples and contribute to national development
Syllabus on Care of Patients with Cancer of the Colon
Topic Description: This topic focuses mainly on the management of patients with colon cancer. It includes its related terminologies, etiology, pathophysiology,
clinical manifestations and diagnostic evaluation. The medical management as well as the nursing management with the use of the nursing process are also. In
line with this, the anatomy and physiology of the organ involved is also briefly discussed.
Central Objective: At the end of interactive discussion, the learners shall acquire knowledge, develop appropriate beginning skills and manifest desirable attitudes
and values in the care of patients with colon cancer.
Placement: 1
st
Semester, SY 2014-2015. 1
st
Rotation
Time allotment: 1 hour

Specific Objectives Contents T/A T/L
Strategies
References Evaluation
Prayer 2
minutes

Introduction 3
minutes

Given the specific
resources, the learner
shall:
1. Define the
different
terminologies
briefly in their
own words.




I. Definition of terms
1. Polyps
2. Adenocarcinoma
3. Metastasis



5
minutes



Socialized
discussion



Black, J., & Hawks, J. (2005).
Medical-surgical nursing:
Clinical management for
positive outcomes, 7
th
ed.
Philippines: Elsevier Pte. Ltd.

At the end of the
1hour ward class,
the learners shall be
able to answer the
following questions
satisfactorily:

- What is
adenocarcinoma?

2. Recall the
anatomy and
physiology of

II. Anatomy and Physiology of the Large
Intestine


5
minutes
Video
Presentation

Socialized

Marieb, E. & Hoehn, K. (2007).
Human Anatomy and
Physiology,7
th
ed. Pearson

-Fill in the colon
parts: a game
wherein the class
the large
intestine.

discussion


Education, Inc.

will be asked to
answer which part
of the colon is being
pointed out in the
picture.

3. Discuss briefly
what is colon
cancer.


III. Definition of disease condition: Colon
caner


5
minutes

Video
Presentation

Smeltzer,S,et.al.(2008) Brunner
& Suddarths Textbook of
Medical-Surgical Nursing,11
th

Ed (Vol1).Ph: Lippincott
Williams & Wilkins

-Explain Briefly what
colon cancer is.




4. Differentiate
the various
stages of colon
cancer


IV. Pathophysiology

1. Staging of Colon cancer
a. Stage 0
b. Stage 1
c. Stage 2
d. Stage 3
e. Stage 4



30
minutes

Presentation
of the
concept map

Socialized
and lecture
discussion


Black, J., & Hawks, J. (2005).
Medical-surgical nursing:
Clinical management for
positive outcomes, 7
th
ed.
Philippines: Elsevier Pte. Ltd.

http://www.webmd.com/color
ectal-
cancer/default.htm?names-
dropdown=



-Differentiate Stage 1
and stage 4 cancer

5. Identify at
least 3 factors
that may cause
colon cancer.


2. Causes/Etiology and Risk Factors
a. Diet
i. Animal Fats
ii. Insulin Resistance
b. Hereditary Factors and syndromes
i. Polyposis Coli
ii. Hereditary Nonpolyposis
Colon Cancer
c. Inflammatory Bowel Disease

Kasper, D. & Harrison T. (2005).
Principles of Internal Medicine
16
th
Ed (Vol1) New York:
McGraw- Hill, Medical Pub,
Division


-Give at least three
causes of colon cancer
and an example under
this cause.
i. Ulcerative Colitis
ii. Crohns Disease
d. Lifestyle Factors
e. Age and Gender
f. Other High Risk Conditions
i. Streptococcus bovis
Bacteremia
i. Ureterosigmoidostomy


6. State the
possible
clinical
manifestations
of colon cancer
in accordance
to its location.


3. Clinical Manifestations
a. Location
i. Right sided lesions
ii. Left sided lesions
iii. Cecum and ascending
colon
iv. Transverse and descending
colon
v. Rectosigmoid
b. Changes in bowel habits
i. Blood in stools
ii. Anemia, anorexia, weight
loss, fatigue


Poth, C. (2011). Essentials of
Pathophysiology: Concepts of
Altered Health States 3
rd
Ed
Philadelphia, Pa: Wolters
Kluwer/ Lippincott Williams &
Wilkins

Kasper, D. & Harrison T. (2005).
Principles of Internal Medicine
16
th
Ed (Vol1) New York:
McGraw- Hill, Medical Pub,
Division


- What are the
possible effects of
right sided lesions?

- How does cancer in
the descending and
transverse colon affect
the body?

- What signs could
alert you as a nurse
that the patient has
a blockage in the
colon?


7. Explain in their
own words the
possible
complications

4. Complications
a. Intestinal Obstruction
b. Recurrence
c. Metastasis
Huether, S., McCane, K (2008)
Understanding
Pathophysiology ,4
th
Ed. St
Louis Mo: Mosby Elsevier


- In your own terms
based on the concepts
you have learned,
what is cold be the
possible complications
of colon cancer

d. Development of a Second
Primary Cancer
http://www.livestrong.com/arti
cle/91661-complications-colon-
cancer/
of colon cancer?

8. Correctly
enumerate the
possible
outcomes of
the laboratory
and diagnostic
findings of a
colon cancer
patient.


5. Laboratory and Diagnostic
Findings
a. Stool Tests
b. Colonoscopy
c. CT Scan
d. Genetic Testing
Smeltzer,S,et.al.(2008) Brunner
& Suddarths Textbook of
Medical-Surgical Nursing,11
th

Ed (Vol1).Ph: Lippincott
Williams & Wilkins

Poth, C. (2011). Essentials of
Pathophysiology: Concepts of
Altered Health States 3
rd
Ed
Philadelphia, Pa: Wolters
Kluwer/ Lippincott Williams &
Wilkins


-What could be the
FOBT findings of a
patient with colon
cancer?

-During CT Scan what
are the common areas
that colon cancer
could metastasize?

9. Correctly
relate the
mechanism of
action of the
different
medical and
surgical
management
for colon
cancer


6. Medical and Surgical Management
a. Surgery
b. Chemotherapy
i. Palliative
ii. Adjuvant
iii. Deoadjuvant
c. Radiation
d. Biological Therapy
i. Biological Response
Modifiers
ii. Colony Stimulating Factors
iii. Tumor Vaccines
iv. Monoclonal Antibodies
a) Erbitux

Poth, C. (2011). Essentials of
Pathophysiology: Concepts of
Altered Health States 3
rd
Ed
Philadelphia, Pa: Wolters
Kluwer/ Lippincott Williams &
Wilkins

Kasper, D. & Harrison T. (2005).
Principles of Internal Medicine
16
th
Ed (Vol1) New York:
McGraw- Hill, Medical Pub,
Division

http://www.webmd.com/color
ectal-

-What is the
mechanism of action
of Avastatin in our
body?

-What type of
chemotherapy is done
after a surgery?
b) Avastatin
c) Vectibox
cancer/default.htm?names-
dropdown=

10. Create a
nursing
diagnosis with
3 nursing
interventions
for a colon
cancer patient


7. Nursing Management/
Intervention


Poth, C. (2011). Essentials of
Pathophysiology: Concepts of
Altered Health States 3
rd
Ed
Philadelphia, Pa: Wolters
Kluwer/ Lippincott Williams &
Wilkins

Smeltzer,S,et.al.(2008) Brunner
& Suddarths Textbook of
Medical-Surgical Nursing,11
th

Ed (Vol1).Ph: Lippincott
Williams & Wilkins

-Identify one priority
nursing diagnosis for
a patient with colon
cancer

-Give at least 3
interventions that is
of top priority in the
care of patients with
colon cancer.
Evaluation 10
minutes

Open forum