Nurses' Notes
1030:
The client is 63 years old and attends a preventive-care visit. The client reports no rectal bleeding, unexplained weight loss, or change in bowel habits. The record shows no inflammatory bowel disease, prior colorectal polyps, or known hereditary cancer syndrome. A normal screening colonoscopy was completed 10 years ago. During shared planning, the client says, I would be comfortable completing a FIT every year. The client adds, if a FIT is positive, I will repeat the FIT next month before deciding about colonoscopy. The nurse reviews the need to complete follow-up after an abnormal stool test. The client says, I could choose colonoscopy every 10 years if each result remains normal. When discussing another stool-based option, the client states, I plan to repeat stool DNA-FIT every 4 years if the result stays negative. The client also says, CT colonography every 5 years is an option I could discuss. After comparing preparation requirements, the client adds, a 7-year interval should be enough if I choose CT colonography. The nurse explains that each accepted strategy has its own interval and follow-up pathway. The client states, I will choose among recommended strategies after discussing benefits, burdens, and follow-up. The client says, I understand that an abnormal stool-based test needs follow-up colonoscopy. The client notes, new rectal bleeding would need diagnostic evaluation rather than waiting for routine screening. The nurse asks about relatives with colorectal cancer and prior abnormal testing. The client responds, my family and personal history should be checked before using the average-risk schedule. The nurse documents the three plans that need clarification before the screening order is placed.
Nurses' Notes
1030:
The client is 63 years old and attends a preventive-care visit. The client reports no rectal bleeding, unexplained weight loss, or change in bowel habits. The record shows no inflammatory bowel disease, prior colorectal polyps, or known hereditary cancer syndrome. A normal screening colonoscopy was completed 10 years ago. During shared planning, the client says, I would be comfortable completing a FIT every year. The client adds, if a FIT is positive, I will repeat the FIT next month before deciding about colonoscopy. The nurse reviews the need to complete follow-up after an abnormal stool test. The client says, I could choose colonoscopy every 10 years if each result remains normal. When discussing another stool-based option, the client states, I plan to repeat stool DNA-FIT every 4 years if the result stays negative. The client also says, CT colonography every 5 years is an option I could discuss. After comparing preparation requirements, the client adds, a 7-year interval should be enough if I choose CT colonography. The nurse explains that each accepted strategy has its own interval and follow-up pathway. The client states, I will choose among recommended strategies after discussing benefits, burdens, and follow-up. The client says, I understand that an abnormal stool-based test needs follow-up colonoscopy. The client notes, new rectal bleeding would need diagnostic evaluation rather than waiting for routine screening. The nurse asks about relatives with colorectal cancer and prior abnormal testing. The client responds, my family and personal history should be checked before using the average-risk schedule. The nurse documents the three plans that need clarification before the screening order is placed.