Malignant neoplasm of the large bowel; 70% of cases occur in the rectosigmoid area. It is the second most common malignancy in adult. Occurs after 4th decade, peaks in the 7th decade.

Risk Factor:

• Family History
• Possibly related to increase fat in diet, food additives, low fiber or chronic constipation.

Symptoms:

1. Change in bowel habits, blood in the stool.
2. Vague dull pain.

1. Anorexia, weight loss, weakness and anemia.
2. Signs of obstruction
3. Hemorrhage

Medical Treatment:

• Surgical Intervention, colon resection
• Medical Intervention, radiation and chemotherapy

Management:

• Counsel client regarding surgery and status of health
• Instruct client to continue taken in of high fiber foods and increase his fluids intake.
• Allow client to verbalize fears and concerns.

Colostomy - surgical creation of opening into the abdominal wall for bowel elimination.

Colostomy Care:

1. Teach client how to apply, remove and empty pouch.
2. Irrigate with warm tap water.
3. Reassure client that bowel retaining possible.
4. Change stoma appliance as needed.
5. Wash site with warm water and mild soap every 3 days.
6. Change adhesive layer to prevent skin irritation.
7. Dietary restriction layer to prevent stoma blockage, diarrhea, flatus and odor.
8. Increase fluid intake especially in hot weather.
9. Encourage patient to discuss feeling about resuming sexual relationship.