Ms Meredith Stevens
Holy Heart Hospital
119 Red Sparrow Road
1 February 2018
Dear Ms Stevens
Re:Ms Paula Anderson,DOB:19 May 1954
I am writing to refer Ms Anderson who was diagnosed colon cancer and was scheduled for colostomy on 5/2/2018.requires your your expert management in preoperative and postoperative care.
On 28/12/2017 Ms Anderson presented to GP with concern about rectal bleeding,rectal examination reveals a palpable mass,she was reffered urgently to our facility to for suspection of colorectal cancer.on assessment a mass of 8cm was palpable on left lateral wall of rectum.during hospitalization investigations were done.results was reviewed by colorectal and general surgery consultant,CT showbno evidence of metastatic cancer, and colonoscopy reveals colon cancer.she was advised on diagnosis and recommended to undergo colostomy.
Ms Anderson needs complete standard preoperative care,also involment of family member in care would be beneficial. she have potential problem of dehydration so she should be maintain on light diet ,soup ice cream and fluid only.also minimise risk of postoperative infection by emptening the bowel contents and rectal wash should be done 3 times aday.to start nil per ors from 00:00 5 February.
If you need any clarification do not hesitate to contact me.