The British Journal of Cancer; 12: 309-320.Glynne-Jones R et al (2007) The multidisciplinary management of gastrointestinal cancer. Colorectal Disease; 9: 3, 195-202.Sahay TB (2000) A qualitative study of patient perspectives on colorectal cancer; Cancer Practice; 8: 1, 38-44.Sebag-Montefiore D et al (2009) Preoperative radiotherapy versus selective postoperative chemoradiotherapy in patients with rectal cancer (MRC CR07 and NCIC-CTG C016): a multicentre, randomised trial. Metastasis is most often to the liver. Aims The colorectal Clinical Nurse Specialist (CNS) makes an important contribution to the care of individuals diagnosed with a significant polyp and early colorectal cancer (SPECC). Overview Cancer of colon and rectum share: Causes Screening Incidence Symptoms Surgery is the definitive treatment Can vastly alter the flow of GI tract Subsequent surgeries common Nursing Points General Colon Cancer Cancer of large intestine Surgery is the only cure 5-year survival 64% Rectal Cancer Cancer … Stoma care. Chemotherapeutic drugs have side-effects and are given in treatment cycles to cause maximum cancer cell death while minimising adverse effects. Best Practice and Research Clinical Gastroenterology; 21: 6, 1049-1070.Haggar FA, Boushey RP (2009) Colorectal cancer epidemiology: incidence, mortality, survival, and risk factors. Prevention. Education and training. There is also the promise of chemoprevention for colorectal cancer, preventing the development of benign or malignant tumours, which may be targeted at intermediate risk populations (Cooper et al, 2010). Oncology colorectal nurse. Specialist colorectal nursing roles. Clinics in Colon and Rectal Surgery; 22: 4, 191-198.Hamilton W, Sharp D (2004) Diagnosis of colorectal cancer in primary care: the evidence base for guidelines. Nurses have an important role in preparing patients for surgery, with particular emphasis on providing information about what the treatment involves, its risks and benefits, and whether there are alternatives (Association of Coloproctology of Great Britain and Ireland, 2007). British Journal of Cancer; 94: 7, 982-999.Sobin LH et al (eds) (2009) TNM Classification of Malignant Tumors. Radiotherapy is used to treat rectal cancer, primarily to reduce the incidence of local recurrence, and is delivered as a course of treatment over a week (short course) or, more commonly, over five weeks (long course), with or without chemotherapy. Emergency patients have more postoperative complications and a higher risk of perioperative death (10-20%) than elective patients (5%) because of their less robust health (Leung et al, 2011). Development of the multidisciplinary team. Immuno-Oncology. Drug Safety. Managing colorectal cancer is complex. Prevalence of colorectal cancer is higher in men than women, with an 11:10 ratio, and varies according to site as follows: Adenocarcinoma is the most common type of bowel cancer and is the focus of this article; leiomyosarcoma, lymphoma, melanoma and neuroendocrine tumours are more rare. Nurse Navigation. Complication rates depend on the extent of disease, treatment required, skill of the surgeon and the health of the individual. However, in others, such as Japan, it is rapidly increasing (Haggar and Boushey, 2009) - this is likely to be associated with the “westernisation” of the Japanese diet, which saw a tenfold increase in the consumption of meat and dairy products between the 1950s and 1990s (Marchand, 1999). This guideline is particularly important to nurses working in the field of colorectal cancer. The classic polyp-cancer sequence (Vogelstein et al, 1988) details how alterations in a number of identified genes, such as the APC and p53, cause a small polyp in the bowel to progress over many years into a cancer. Family Practice; 21: 1, 99-106.Hassan I, Cima RR (2007) Quality of life after rectal resection and multimodality therapy. Oncology colorectal nurse… Colorectal nursing in the MDT meeting. Interventions: Rationales: … Individuals diagnosed with a previous colorectal cancer or with long-standing ulcerative colitis are also at increased risk of developing the disease and need endoscopic surveillance (Triantafillidis et al, 2009). Journal of Surgical Oncology; 96: 8, 684-692.Hayne D et al (2001) Current trends in colorectal cancer: site, incidence, mortality and survival in England and Wales. Early detection can reduce incidence and mortality. 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