,Miguel Flores: Nursing Priorities After Bowel
Diversion Surgery
Patient Introduction: Miguel Flores
Miguel Flores is a 62-year-old Hispanic male
admitted for postoperative care following a partial
colectomy with end colostomy, performed for
Stage II colon cancer. He is currently on
postoperative day 2 and is recovering in the
surgical unit. He has a known medical history of
Type 2 diabetes mellitus, hypertension, and
hyperlipidemia, all of which are managed with oral
medications.
Mr. Flores is alert, oriented, and hemodynamically
stable. He is experiencing moderate incisional pain,
mild postoperative nausea, and expresses emotional
distress related to the presence of a new colostomy.
He lives with his supportive spouse, is retired, and
has no history of tobacco or alcohol use.
Psychosocially, he is struggling with anxiety
,regarding ostomy management and future lifestyle
adjustments.
?
Here is the comprehensive history for Miguel
Flores following bowel diversion surgery (e.g.,
colostomy or ileostomy). This includes his
presenting situation, medical background, and
relevant details needed for nursing care planning.
Patient History: Miguel Flores
Demographics:
• Name: Miguel Flores
• Age: 62 years
• Sex: Male
• Ethnicity: Hispanic
• Language: English (primary), Spanish
(secondary)
Reason for Encounter:
, Miguel Flores is a 62-year-old male who is
postoperative day 2 following bowel diversion
surgery (colostomy) due to colon cancer. He is
being monitored in the surgical unit.
Past Medical History (PMH):
• Colon cancer (Stage II) – recent diagnosis;
underwent partial colectomy with colostomy
• Type 2 Diabetes Mellitus – controlled with
metformin
• Hypertension – managed with lisinopril
• Hyperlipidemia – on atorvastatin
• No history of prior abdominal surgeries
Family History (FH):
• Father: Died of colon cancer at age 70
• Mother: Alive, history of diabetes and HTN
• No known hereditary colon cancer syndromes
Surgical History:
• Colectomy with end colostomy – performed 2
days ago
• No other major surgeries
Medication History:
Diversion Surgery
Patient Introduction: Miguel Flores
Miguel Flores is a 62-year-old Hispanic male
admitted for postoperative care following a partial
colectomy with end colostomy, performed for
Stage II colon cancer. He is currently on
postoperative day 2 and is recovering in the
surgical unit. He has a known medical history of
Type 2 diabetes mellitus, hypertension, and
hyperlipidemia, all of which are managed with oral
medications.
Mr. Flores is alert, oriented, and hemodynamically
stable. He is experiencing moderate incisional pain,
mild postoperative nausea, and expresses emotional
distress related to the presence of a new colostomy.
He lives with his supportive spouse, is retired, and
has no history of tobacco or alcohol use.
Psychosocially, he is struggling with anxiety
,regarding ostomy management and future lifestyle
adjustments.
?
Here is the comprehensive history for Miguel
Flores following bowel diversion surgery (e.g.,
colostomy or ileostomy). This includes his
presenting situation, medical background, and
relevant details needed for nursing care planning.
Patient History: Miguel Flores
Demographics:
• Name: Miguel Flores
• Age: 62 years
• Sex: Male
• Ethnicity: Hispanic
• Language: English (primary), Spanish
(secondary)
Reason for Encounter:
, Miguel Flores is a 62-year-old male who is
postoperative day 2 following bowel diversion
surgery (colostomy) due to colon cancer. He is
being monitored in the surgical unit.
Past Medical History (PMH):
• Colon cancer (Stage II) – recent diagnosis;
underwent partial colectomy with colostomy
• Type 2 Diabetes Mellitus – controlled with
metformin
• Hypertension – managed with lisinopril
• Hyperlipidemia – on atorvastatin
• No history of prior abdominal surgeries
Family History (FH):
• Father: Died of colon cancer at age 70
• Mother: Alive, history of diabetes and HTN
• No known hereditary colon cancer syndromes
Surgical History:
• Colectomy with end colostomy – performed 2
days ago
• No other major surgeries
Medication History:
