Discuss critique of patient information resource.i need 2500 words of essay critique of patient information about low-grade follicular lymphoma

Discuss critique of patient information resource.i need 2500 words of essay critique of patient information about low-grade follicular lymphoma

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
individuals 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
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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.

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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

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