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The surgeon is discussing surgery with a client diagnosed with colon cancer. The client is visibly shaken over the possibility of acolostomy. Based on the client's response, the surgeon should collaborate with which health team member?

1. Social worker




2. Staff nurse




3. Clinical educator




4. Enterostomal nurse

1 Answer

3 votes

Final answer:

The surgeon should collaborate with an enterostomal nurse to address the client's concerns about a colostomy after colon cancer surgery, as they specialize in stoma care and provide physical and psychological support.

Step-by-step explanation:

Based on the client's emotional response to the discussion of surgery for colon cancer and the possibility of a colostomy, the surgeon should collaborate with an enterostomal nurse. An enterostomal nurse specializes in the care of patients with stomas, such as colostomies, and is trained to provide support before and after surgery, helping patients adjust to life with a stoma. They ensure that the patient understands stoma care, can handle potential complications, and can return to a good quality of life after surgery, managing both physical and psychological challenges.

The surgeon, nurse, and anesthesia professional are critical in preparing the patient for surgery, ensuring that the procedure is clearly understood and that all preparations are in place. These preparations include a review of critical steps, operative duration, and anticipated blood loss by the surgeon; anesthesia-specific concerns; and confirmation of sterility and equipment by the nursing staff. A time out is taken before the skin incision to confirm patient identity, surgical site, and procedure, and to ensure that all concerns have been voiced and understood by the team.

Collaboration with an enterostomal nurse is vital to address the client's emotional needs and prepare them for the changes following surgery, integrating clinical care with psychological and social support.

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