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QQ-3142. Ms Paula Anderson - Nursing – Ajeesh Karosh – Colon Cancer


Ms Meredith Stevens

Charge Nurse

Holy Heart Hospital

119, Red Sparrow Road



02 February 2018

Dear Ms Stevens,

Re: Ms Paula Anderson, DOB: 19 May 1954

I am referring Ms Anderson, who has been diagnosed with colon cancer, requires a colostomy operation and further managements.

On 28 December 2017, Ms Anderson initially presented to the medical center with a history of rectal bleeding. After the assessment, a palpable mass has been noticed; therefore, the colostomy was performed which revealed 8 Centimeter mass in the left lateral wall of the rectum for which a magnetic resonance imaging and computerized tomography scan were performed which confirmed the diagnosis. She was reviewed by a colorectal and general surgery consultant, and a further CT scan was conducted. However, no metastasis of the cancer was noticed, and was recommended for a colostomy. Today, dehydration has been identified, as well as is being tensed about the future social life. All preoperative assistance was provided to her.

Ms Anderson, who is married, lives with her husband, and is a pensioner. She has had overweight since the age of 30 years and eats red meats, and fast foods, as well as consumes 4 to 5 pegs of alcohol daily.

Pertaining to the above-mentioned information, kindly take over the case of Ms Anderson and provide further assistance for the surgery. Daily rectal wash before bedtime was recommended. She has been commenced for the fluid diet only including the soup, and ice cream.

She has been scheduled for the surgery 05 February 2018. Therefore, she will be on nil per oral route from 00:00 hours.

If you require any additional information information, please do not hesitate to contact me.

Yours sincerely,

Registered Nurse

Pullman Medical Center


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