Mr.

X is 80 years old from Cam Norte admitted on Oct 2012 with a diagnosis of Rectal Cancer Stage IV with Liver
Metastasis
Cancer is a class of diseases characterized by out-of-control cell growth There are over 100 different types of
cancer, and each is classified by the type of cell that is initially affected.
Cancer harms the body when damaged cells divide uncontrollably to form lumps or masses of tissue called tumors
(except in the case of leukemia where cancer prohibits normal blood function by abnormal cell division in the blood
stream). Tumors can grow and interfere with the digestive, nervous, and circulatory systems, and they can release
hormones that alter body function. Tumors that stay in one spot and demonstrate limited growth are generally considered
to be benign.
Rectal cancer is a disease in which cancer cells form in the tissues of the rectum; colorectal cancer occurs in the
colon or rectum. Adenocarcinomas comprise the vast majority (98%) of colon and rectal cancers; more rare rectal
cancers include lymphoma (1.3%), carcinoid (0.4%), and sarcoma (0.3%).
Colon and rectal cancer incidence was negligible before 1900. The incidence of colorectal cancer has been rising
dramatically following economic development and industrialization. Currently, colorectal cancer is the third leading cause
of cancer deaths in both males and females in the United States
Approximately 20% of colon cancers develop in the cecum, another 20% in the rectum, and an additional 10% in
the recto sigmoid junction. Approximately 25% of colon cancers develop in the sigmoid colon.
According to International Agency for Research on cancer the proportion of new cancer cases diagnosed in less
developed countries is projected to increase from about 56% of the world total in 2008 to more than 60% in 2030
because of the increasing trends in cancer rates and expected increases in life expectancy and growth of the population
We have chosen this kind of case to present to you some facts that many of us dont bring up rectal cancer at the
dinner table which is understandable. In fact, most of us dont bring up rectal cancer at all. But we have to start talking
about it for two reasons (1) it is preventable (2) its treatable.
General Objective
This case presentation aims to:
identify and determine the general health problems
gain the comprehensive knowledge about the disease
identify the need of the patient with an admitting diagnosis of Rectal Cancer Stage IV with Liver Metastasis
analyze, improve and apply the appropriate nursing care while maintaining confidentiality of the patient.
gain the practical exercise about the Adult Health Problem
gain Practical experience working with a patient having chronic kidney disease.
Specific Objectives
To the Patient :
Improve the level of awareness of patient on the health problems that may encounter
To render nursing care and information to patient through the application of the nursing skills.
Facilitate patient and significant other in taking necessary actions that would help them identify and manage the
occurrence of the disease.
Counsel and make aware the patient party about importance of continuity of medicine and psychological support to
prevent from worsens.
To the Students :
To become equipped of knowledge about Rectal Cancer Stage IV with Liver Metastasis
gather adequate information to be used in the development of the a study
Establish a therapeutic nurse-client relationship as well as the family.
Be able to render quality nursing care and information to the patient.
Identify factors that cause the disease, effective treatment and prevention of complication.


Patients Profile
Name: Mr X
Age: 80 years old
Address: Cam Norte
Sex: Male
Civil status: Married
Nationality: Filipino
Religion: Roman Catholic
Date of admission:
Time of admission:
Attending physician:
Diagnosis: Rectal Cancer Stage IV with Liver Metastasis
CHIEF COMPLAINT: Abdominal pain