Flexible Sigmoidoscopy: What to Expect? By Jonas Wilson, Ing. Med. Flexible sigmoidoscopy, carried out at a hospital or outpatient center, is a procedure that allows visualization of the rectum and sigmoid colon. Indications for this procedure include screening for cancer and in patients who report rectal bleeding and any associated symptoms such as abdominal pain, weight loss and/ or changes in bowel habits. FS can illustrate bowel pathologies with regards to polyps, ulcers and inflammation. There is a camera attached to the scope with which images are acquired. In addition to this, interventions, such as drug administration, poly removal and biopsy acquisition, may all be conducted through the sigmoidoscope where applicable. Preparation …show more content…
for the procedure In preparing for FS, a person has to cleanse the bowel, as the presence of stool significantly reduces the optimal visualization of the bowel.
Patients are given bowel prep instructions that may be easily followed at home. These instructions typically include a liquid diet 1 to 3 days prior to undergoing the procedure. Patients are also advised to avoid food that contains dyes or coloring. Several hours before the examination, the patient self administers a laxative, which loosens the stool and increases passage. This may be done orally in liquid or capsule form. An enema, which is a procedure that entails flushing water into the rectum is also conducted. Patients are advised to ensure easy access to a toilet as bother enemas and laxatives may induce diarrhea. This bowel preparation is critical to the success of the FS procedure, without which visualization of the sigmoid colon will be nearly impractical. In addition to cleansing the bowel, patients are required to inform their doctors of any pre-existing medical conditions and medications that they are on. This is especially important for patient who are diabetic or on medications, such as iron supplement, blood thinner, aspirin and nonsteroidal anti-inflammatory drugs. There may be a need to adjust dosage of these medications or to temporarily stop intake. During the
procedure FS lasts for about 20 to 30 minutes and is usually well-tolerated by most people. The scope is inserted into the anus and gradually advanced through the rectum to the sigmoid colon. Where needed, biopsies may be taken and these are painless. In general, some patients may feel some abdominal cramping, pressure or bloating during the procedure. Bleeding and bowel perforation are the two most common complications that may arise during FS. Cases of bleeding are frequently associated with polyp removal and these are treatable right away with the administration of drugs through the sigmoidoscope or an electrical probe. In cases of perforation, surgery is required. Other rare, but possible complications include diverticulitis (inflammation of small pouches in the colon) and cardiovascular problems, such as low blood pressure and cardiac arrhythmias. Aftermath and results It is not unusual to experience some cramping or bloating an hour or two after FS. Despite these symptoms, patients may immediately resume their normal everyday lives with regards to diet and activities. Some results may be available immediately following the test and these can be made available to the patient. However, those that require analysis (e.g. biopsies) may take more time for processing. A negative result denotes that no abnormalities were found in the examined areas; whereas a positive result means abnormal tissue or polyps were found and additional testing may be required for further examination of the discovered pathologies. References • https://www.niddk.nih.gov/health-information/health-topics/diagnostic-tests/flexible-sigmoidoscopy/Pages/diagnostic-test.aspx • http://www.mayoclinic.org/tests-procedures/flexible-sigmoidoscopy/basics/definition/prc-20014697 • http://www.asge.org/patients/patients.aspx?id=384
The “Rectal Rocket” suppository is designed to treat hemorrhoids in 3 days or less**. It is more effective than a traditional suppository because of its unique design and comfort fit. It remains positioned for many hours to soothe and treat the enlarged and swollen tissue without getting lost in the rectum. The contoured top portion of the suppository is inserted into the rectum and treats internal hemorrhoids, while the larger flared base of the suppository remains on the outer surface of the anus to treat external hemorrhoids.
Pre-Op begins momentarily, where the patient meets with nurses, surgical technicians, Dr. Todd, and the anesthesiologist to discuss the operation and go over any new concerns or questions the patient may have. They will be hooked up to an IV where the anesthesiologist with administer the local anesthesia before Dr. Todd begins to operate.
The dream that I most desire in life is to become a Diagnostic Medical Sonographer. I’ve always had an interest in the inner workings of the human body, but I also value life, and care for others, and my happiness is the happiness of others. Although this career has its bumps on the road just to see mothers face light up when they see the image of their unborn baby is such a breath taking experience. This all originated from going to one of my sisters’ ultrasound appointment that I ended up going to all my sisters’ ultrasound appointments. I believe becoming a diagnostic medical sonographer is something I can do because I have what it takes. Diagnostic medical sonographer is imaging modality that can work in conjunction with other imaging modalities
Moreover, I will let the patient become familiar with any instruments such as a speculum, and demonstrate the tools that will be used to obtain tissue samples that would be used during the examination. Explaining the procedure is also a significant step; this will allow the patient have a sense of control during the examination as we ask and answer questions about their current state, that would help disseminate any concern they may have. Meanwhile, they can learn about what may happen, related to any body sensations or feelings they can experience during the procedure, all while the provider continues to develop rapport and patient’s trust
Positron Emission Tomography is a scanning technique that allows us to measure in detail the functioning of distinct areas of the human brain while the patient is comfortable, conscious and alert. PET represents a type of functional imaging, unlike X-rays or CT scans, which show only structural details within the brain. The differences between these types of imaging don’t end there.
This health care team have to make sure that this patient have normal GI functioning, and they have to make sure that this resident pass gas or they can check for bowel sounds to make sure that this person is ready to make the transition before he can start enteral feeding (DeBruyne & Pinna, 2012). As soon as this person starts with oral feeding, Clear liquid diet will be given first, then gradually the intestine will able to accept solid food. Once the patient is able to consume enough nutrients, then parenteral feeding will be discontinued (DeBruyne & Pinna,
The care plan is composed of the right food, exercise and medication (Mayo Clinic Staff, 2014). The person needs to know what type of foods affects their blood sugar levels and most of the time the patient is sent to a nutritionist to follow a diabetic diet. The patient needs to keep track of a food log to discuss later with the doctor or nurse on the next appointment (Mayo Clinic Staff, 2014). An exercise regimen also helps to keep the sugar levels balanced. It is important to keep an exercise schedule that will help the person to keep an exercise routine in accord with the medications and meals. It is very important to stay dehydrated and to keep track of the blood sugar levels (Mayo Clinic Staff, 2014). The medications are to lower the blood sugar levels. It is very important to store the insulin properly, check the expiration date and double check the dose before administration. The person will need to report to the doctor if the blood sugar gets too low or still high, because the doctor might need to adjust the dosage or timing. Also, it is important for the doctor to know if the person is taking medications for other conditions, because that will help the doctor to prescribe the correct medication for the person (Mayo Clinic Staff,
Polypharmacy among the elderly is a growing concern in U.S. healthcare system. Patients who have comorbities and take multiple medications are at a higher risk for potential adverse drug reactions. There is a great need for nursing interventions in conducting a patient medication review also known as “brown bag”. As nurses obtain history data from patients at a provider visit, the nurse should ask “what medications are you taking?” and the answer needs to include over-the-counter medications as well. If the response does not include any medications other than prescribed meds, it is incumbent upon the nursing professionals to question the patient further to ensure that no over-the-counter medications or supplements are being consumed. This is also an opportunity for the nurse to question about any adverse reactions the patient may be experiencing resulting from medications. Polypharmacy can result from patients having multiple prescribers and pharmacies, and patients continuing to take medications that have been discontinued by the physician. Nurses are in a unique position to provide early detection and intervention for potentially inappropriate medications and its associated adverse drug reactions.
There are many tests that could be used for diagnosing a patient, such as imaging tests. For imaging testing there are ultrasounds that could detect little gallstones, x-rays which could spot pigment stones, computed tomography (CT) scans, magnetic resonance imaging (MRIs) that could detect gallstones in the bile duct, Endoscopic retrograde cholangiopancreatography (ERCP) which is a tube with a small camera and light used to be inserted into the throat, down into the stomach, and into the small intestine; it can help detect gallstones. There is also cholecintigraphy also known as DISIDA, HIDA scan, or gallbladder radionuclides scan which can also detect for
...ischarged, until the patient gains bowel function. This time may vary. Most patients are normally on a fluid restricted diet, until there intestines are fully recovered from the surgery. (Mayo Clinic, 2012)
When asked about his typical elimination pattern, the patient stated that he voids several times daily, and typically has one bowel movement per day. The patient denied any concerns nor expressed any problems regarding his usual pattern of bowel/bladder elimination. He also denied any symptoms such as pain, bleed, unusual appearance or pattern. Furthermore, he has previously experienced dysuria and hesitancy by record. No treatment regarding elimination is implied at this time. There were no labs drawn in respects to the patient’s fluid or electrolyte status.
Endoscopic surgical instruments are surgical procedures described as minimally invasive. This, compared to open surgery, requires only tiny incisions to perform an operation. Consequently, this kind of surgery provides benefits for the patient, both physically and financially. The surgery reduces a patient’s recovery time, because there has only been a small incision, furthermore, it reduces surgical expenses overall. Despite the benefits of this type of surgery, (which market has created in the early 80’s) the technology has only been popular since the last ten years. Only three years ago the market was expecte...
I chose this topic because I a found it as a very interesting thing which I wanted to know more about. I have been CT-scanned when I had concussion after a car accident when I was seven. Also because my father has been under a CT-scanner and a lot of my friends.
There are several interventions within the health care system that can be implemented to help reach this goal by promoting colorectal cancer screening to decrease colorectal cancer rates. One intervention is to implement an office-based reminder system to help health care providers remember which patients are eligible for screening (American Cancer Society, 2014). Another suggested intervention is the use of patient navigators to manage referrals and help facilitate follow-up screening (American Cancer Society, 2014). There are many quality initiatives in the health care systems. Colorectal cancer screenings can be made a high priority for a quality initiative by hosting educational opportunities for staff on the importance of colorectal cancer screening, risk factors for colorectal cancer, and types of screening tests (National Colorectal Cancer Roundtable, 2016). Each health care system should set a system-wide screening goal (National Colorectal Cancer Roundtable, 2016). Every primary care provider should know their screening rates and the rates of the whole system to help improve and reach the set goals (National Colorectal Cancer Roundtable, 2016). The quality of colorectal cancer screening should also be monitored and known by the providers performing the procedures (National Colorectal Cancer Roundtable, 2016). A system should be in place to track adenomatous polyp detection rate, cecal intubation rate, and prep quality (National Colorectal Cancer Roundtable, 2016). Health care systems should improve existing practices or adopt new practices to maximize bowel prep thoroughness, eliminate no-shows, and improve scheduling by allowing open-access colonoscopy by allowing healthy,
Secondly, they advise their patients in assuring the appropriate use of medications. It is important to tell the patient about the name of the drug, what is it for, when to take the drug, how many times per day, whether it should be taken before meals, after meals or with meals, the method of taking the drug and its side effects and possible drug-drug interactions. (Swanson, 2005)