Colonoscopy

In: Social Issues

Submitted By tinylisa
Words 295
Pages 2
Colonoscopy vs. Colposcopy
Jennifer was confusing colonoscopy procedure with colposcopy procedure. The colonoscopy is a procedure where the doctor examines the colon. It is used to see the colon and rectum to detect inflamed tissues, ulcers, and abnormal growths. Also this procedure helps to detect early signs of colorectal cancer and can help the doctors diagnose unexplained changes in bowel habits, abdominal pain, bleeding from the anus, and weight loss. The procedure on average takes about thirty minutes to an hour to perform.
The procedure that Jennifer confused with colonoscopy is colposcopy. Colposcopy is a procedure that is used to evaluate a patient with an abnormal pap smear. The doctor will do an annual pap smear and when the results are abnormal that’s when the doctor will request a colposcopy to be done. Sometimes the gynecologist may also order a colposcopy if the cervix appears abnormal during pelvic exam or pap smear. The procedure is normally fifteen to twenty minutes long. The gynecologist uses a colposcope, a large microscope that is positioned approximately 30 cm from the vagina, to view the cervix. A bright light on the end of the colposcope lets the doctor clearly see the cervix.
The reason why it is important for a biller and coder to know the difference between the two is the cost and how to bill the insurance company. The average cost of colonoscopy exam runs about 0-$1,000.00 if covered under benefits. A colonoscopy often is covered under health insurance if a patient has symptoms that warrant it or the patient meets age and risk criteria. During the procedure if polyps are remove the cost increases. Colposcopy is covered under insurance. There could be a co-payment or not depends on insurance…...

Similar Documents

Colon Cancer

...information on these conditions, please read the following articles: Irritable Bowel Syndrome, Ulcerative Colitis, Crohn's Disease, Diverticulosis, andPeptic Ulcer Disease. What tests can be done to detect colon cancer? * When colon cancer is suspected, either a lower GI series (barium enema X-ray) or colonoscopy is performed to confirm the diagnosis and locate the tumor. * A barium enema involves taking X-rays of the colon and the rectum after the patient is given an enema with a white, chalky liquid containing barium. The barium outlines the large intestines on the X-rays. Tumors and other abnormalities appear as dark shadows on the X-rays. For more information, please read the Barium Enemaarticle. * Colonoscopy is a procedure whereby a doctor inserts a long, flexible viewing tube into the rectum for the purpose of inspecting the inside of the entire colon. Colonoscopy is generally considered more accurate than barium enema X-rays, especially in detecting small polyps. If colon polyps are found, they usually are removed through the colonoscope and sent to the pathologist. The pathologist examines the polyps under the microscope to check for cancer. * Colonoscopy is the best procedure to use when cancer of the colon is suspected. While the majority of the polyps removed through colonoscopes are benign, many are precancerous. Removal of precancerous polyps prevents the future development of colon cancer from these polyps. What are the treatments and survival......

Words: 867 - Pages: 4

Lat1 Task 5

...Running head: HOW IMPORTANT IS COLON PREPARATION FOR COLONOSCOPY? 1 How Important is Colon Preparation for Colonoscopy? Wendi McDonough Western Governor’s University HOW IMPORTANT IS COLON PREPARATION FOR COLONOSCOPY? 2 How Important is Colon Preparation for Colonoscopy? Gastroenterologists perform screening colonoscopy to exam the colon for precancerous polyps, with the intent of removing them before they have a chance to develop into colon cancer (Cohen, Kastenberg, Mount, & Safdi, 2009), (Lichtenstein, 2009), (Nguyen & Wieland, 2010). Physicians prescribe bowel preparations prior to colonoscopy to cleanse the colon of stool. Colonoscopy has a number of primary risks involved. These include complications from anesthesia, side effects from preparation, perforation, missing a lesion, and being unable to complete the exam (Hendry, Jenkins, & Diament, 2007). Complications that arise because of poor preparation include increased complexity of the exam, decreased detection of colonic lesions, and increased healthcare spending (Roberts-Thomson & Teo, 2009), (Athreya, Owen, Wong, Douglas, & Newstead, 2011), (Nguyen & Wieland, 2010). The most important function of the colon is to absorb sodium, water, and some fats from the food we eat (Adamcewicz, Bearelly, Porat & Friedenberg, 2011). Complications arise from colon cleansing for a number of reasons. The patient may experience a suboptimal exam with multiple possible complications from poor preparation. These......

Words: 2402 - Pages: 10

Educational Preparation

...knowledge and skills that allow them to work at a higher competency level than their ADN counterparts. This is especially true in the acute care setting of hospitals. Recently 53 year old patient “Robert” was in the endoscopy department for a routine colonoscopy. Robert has a history of diabetes and hypertension, and is otherwise healthy. The colonoscopy was performed without incident, and he was discharged with routine instructions. Three hours after discharge his wife brought him back to the emergency department reluctantly complaining of increased abdominal pain. He states that he “will be just fine” and he only came back to satisfy his wife. His pulse rate is 92, respirations 22, BP 182/104, oxygen saturation 94%. Both the ADN prepared RN and the BSN prepared RN are technically as capable to start the ordered IV and oxygen via cannula, and apply ECG electrodes. However, the BSN will use her knowledge of cultural awareness to know that this patient could be very stoic culturally as the son of German immigrants. She uses her advanced assessment skills to assess his pain using a pain scale and determines that he is at 6 out of 10. This assessment is evidence based practice. The BSN RN has read research about perforated bowel after colonoscopy, and uses this knowledge to assess for possible abdominal bleeding, abdominal pain, and differentiate abdominal pain from chest pain. She is also aware of the symptoms of mycocardial infacrtion, and due to the advanced training she......

Words: 785 - Pages: 4

Wireless Technologies Proposal

...detection. Many people will ask why their doctor tells them to get colonoscopy screening. They will have many excuses why not to get a screening. The recent article by Debra McCormick, RN, and colleagues, entitled colon cancer (McCormick, Kibbe & Morgan, 2002) is of great interest since colon cancer is preventable through colonoscopy screening. What most patients complain about as “the worst part” is the bowel preparation for the colonoscopy. McCormick and colleagues made several statements that healthcare professionals should strive to make the bowl prep process as comfortable as possible. I have had to go in for a colonoscopy when I had bleeding in my stool. I can tell you first hand that the bowl prep the night before the surgery was the worst part. The bottom line is the screening can save your life. When you wait for signs that you have a problem it is too late. The cancer website says by time you get symptoms of colon cancer it must likely have already spread to other parts of the body. The best way to be save your own life is to be tested at age fifty. References 1. Golub, R. , Kerner, B. , Wise. , w. , Meesig, D., Hartmann, R., Khanduju, K., et al. (1995). Colonoscopic bowel preparations-which one? Diseases of the colon & rectum 38(6), 594-595. 2. Hsu, C., Imperiale, T. (1998). Meta-analysis and cost comparison of polyethylene glycol lavage versus sodium phosphate for colonoscopy preparation. Gastrointestinal Endoscopy 48(3), 276-282. ......

Words: 774 - Pages: 4

Colon Cancer

...60,000 people die from this disease.” (Larson, 790). Unfortunately, most people with colorectal cancer do not experience any symptoms in the early stage of the disease. That is why screening tests, such as a colonoscopy, are so important. The symptoms that are noticeable will lead to an early detection (Garnick, 786). Cancer that develops on the left side often affects the person’s bowl habits. Rectal bleeding, unexplained anemia, pain or difficulty in defecation, and constipation followed by diarrhea should alert to the possibility of having this cancer. Also, any consistent change in bowl habits, specifically a narrowing of the stools, will detect a sign of having colon cancer (Schneiderman, 570). There are many ways doctors can diagnose someone with colon cancer. A colonoscopy is the most accurate method of examining the colon for polyps or other small lesions (Larson, 788). Before the colonoscopy, people will be asked to stop drinking anything but water for 24 hours. The study stressed that the findings is only applicable on the left side of the colon and fails to diagnose the right side (Twombly, 366). A fecal occult blood test (FOBT) may also be given to show small amounts of blood in the stool. This may suggest colon cancer. FOBT must be done with colonoscopy to search for and diagnose colorectal cancer (Board). If someone is diagnosed with colorectal cancer, more tests will be given to see if the cancer has spread. This process is called staging. “CT or MRI......

Words: 1604 - Pages: 7

Genetics vs Genomics

...be diagnosed after having a colonoscopy that would hopefully reveal the cause of the bleeding, change in bowels, etc. If there is colon polyps the surgeons will remove the polyps during the procedure. If the polyps and/or mass are too big to remove during the colonoscopy the surgeons will schedule patient for an abdominal procedure to remove it. Men and women both can equally be affected by colorectal cancer as they increase in age. This type of cancer occurs more often in people age 50 and over but is not limited to these ages. . The U.S. Preventive Services Task Force recommends these screening test for ages 50 and over; annual high-sensitivity guaiac fecal occult blood test (gFOBT), or fecal immunochemical test (FIT/iFOBT); sigmoidoscopy every five years, with FOBT every three years; or colonoscopy every 10 years. Fecal Immunochemical Test (FIT) should be done once a year, if a colonoscopy cannot be done for whatever reason. The FIT is a take-home test that may be right for those who experience one or more of the following barriers to colonoscopy: time; transportation; lack of health insurance; lack of willingness to be screened; and/or limited availability. The FIT is a newer kind of test that detects hidden blood only in the lower bowel. This test reacts to part of the human hemoglobin protein, which is found in red blood cells. This accurate test has very few false positives, resulting in fewer unnecessary colonoscopies. Alabama......

Words: 581 - Pages: 3

No-Show Clinical Data Analytics

...type of appointment scheduled for a patient can predict patient absenteeism (Zeber, Pearson, & Smith, 2009). Zeber et al. found that colonoscopy appointments are the most commonly missed appointments (Zeber et al., 2009). Furthermore, previous missed appointments is one of the most significant predictors of no-show appointments (Dove & Schneider, 1981). Studies have also shown that patients’ various psychosocial diagnoses are indicators of missed appointments (Goldman et al., 1982). Patients diagnosed with at least one psychological diagnosis, including mood disorders, such as depression and bipolar disease, anxiety disorders, such as panic attacks and posttraumatic stress disorder, and thought disorders, such as schizophrenia and personality disorders, were more likely to miss appointments compared to patients without psychological diagnoses (Savageau et al., 2004). Finally, Perron et al. showed that patients with substance abuse disorders are more likely to miss appointments (Perron et al., 2010). In order to reduce no-show rates in a hospital gastrointestinal (GI) clinic this project analyzed potential indicators of missed appointments. Based on a conceptual model grouping various barriers that lead to missed appointments (Figure 1, Appendix A), patient level factors were the main focus. The patient-level factors analyzed are colonoscopy procedure, previous GI appointment absenteeism, mood disorder, personality disorder and other substance abuse disorder among......

Words: 1517 - Pages: 7

A Review of Colorectal Cancer

...between ten and one hundred polyps, but these do not normally start developing until age forty (Lee). Patients who are diagnosed with MYH Polyposis Syndrome have a very high risk for developing colorectal cancer. Once a patient has been diagnosed with colorectal cancer, there are five different stages his or her cancer can be categorized into, Stage 0, Stage I, Stage II, Stage III, and Stage IV. Stage 0 has the best survival rate, because the tumor has not invaded the basement membrane at this stage. The only treatment that will need to be done for a stage 0 tumor is a surgical procedure to remove the tumor from further growth. Many times the procedure does not even require incisions, because the polyp or polyps can be removed during a colonoscopy. In stage I colorectal cancer, the tumor has begun to invade the basement membrane, but has not spread to lymph nodes or other parts of the body (Schroeder). Treatment for stage I colorectal cancer is also very simple, normally only needing a partial colectomy to take out the section of the colon where the tumor has invaded. The surgeon may also begin to take out a few lymph nodes, just in case cells have begun to metastasize to the lymph system (Cancer.org). Both stage 0 and stage I have very positive 5 year survival rates, but stages II, III, and IV have extremely lower 5 year survival rates because stages II, III, and IV all have one thing in common – they are categorized by metastasis. The third stage that can be diagnosed......

Words: 5856 - Pages: 24

Patient Safety

...She was scheduled for colonoscopy the next day and orders were placed for NPO (nothing by mouth) after midnight and GoLytely (bowel cleanser) to be finished within three hours before midnight. As a third year medical student, I picked up this patient the morning of her colonoscopy.  She was in mild distress after a difficult night.  She had not been given a bed-side commode and was told to just get up to use the restroom despite her risk for falls; the patient had debilitating arthritis, needed a walker to ambulate, and was morbidly obese  Given the difficulty in physical maneuvering, she decided not to complete all of her GoLytely. In addition, she spent the night NPO without IV fluid replacement and was feeling light-headed by morning.  The patient expressed her difficulties to me that morning during my pre-rounds, stating in tears how poorly she was treated and how judged she felt because of her morbid obesity.  She had no intention of returning to our medical center after her current visit.  The Internal Medicine (IM) team – including the attending physician, residents, and medical students including myself – addressed the patient’s concerns during rounds by apologizing for the failures of her care and advising her to get a hold of the floor supervisor in order to reach her attending physician in times of need. This was not the end of her ordeal in the hospital setting. She was then transported to a neighboring hospital where she had her colonoscopy.  I accompanied her......

Words: 713 - Pages: 3

Crc-S by Various Methods

...cancer using high-sensitivity fecal occult blood testing, flexible sigmoidoscopy or colonoscopy beginning at age 50 years and continuing until age 75 years, for both men and women (American Cancer Association [ACA], 2014). The recommended screening frequency improves the chance that CRC will be detected at an earlier age, when it is more likely to be cured by a single surgical procedure featuring less invasion and faster recovery than is possible at advanced ages (ACA, 2010). Increased or high risk individuals are anyone with a personal history of CRC or adenomatous polyps, inflammatory bowel disease such as Crohn’s or ulcerative colitis, first degree relative or strong family history of CRC or polyps, and family history of CRC syndrome such as Familial Adenomatous polyposis or hereditary non-polyposis colon cancer (ACA, 2014). Individuals at increased risk, high risk, and of African American descent should begin screening at a younger age, and may need to be tested more frequently (Le Et al., 21014). The decision to be screened after age 75 should be made on an individual basis (ACA, 2014). About one-third of US adults who should be getting screened for colon cancer are not being screened, according to the Centers for Disease Control and Prevention (CDC, 2014). This supports the many research studies currently being done that are working to find noninvasive alternatives to colonoscopies or combinations of endoscopic procedures and radiologic procedures with increased......

Words: 2123 - Pages: 9

Or Observation Paper

...Ashley Fincher OR observation reflection My OR day consisted of a hernia repair, a colonoscopy, and a hemorroidectomy. The role of the surgeon was to come in and perform the surgery. The anesthesiologist induced anesthesia, and monitored the patients heart and respirations and other vitals during the surgery. They also bring the patient out of anesthesia and extubate them. The circulating nurse job was to monitor during surgery and make sure the patient is safe, and to call the patients family during and after the surgery. The circulating nurse also goes to the pre-op holding area and assesses the patient prior to surgery and brings them into the OR. The surgical technicians job is to assist the surgeon during the procedure and hand him the required tools needed. They also count before and after the surgery to make sure all tools are present and accounted for. The PACU nurse role was to monitor the patient’s vitals and pain after surgery and to administer any medications. They also monitor the patient’s arousal after surgery and the surgical site for any possible complications. The first surgery I saw was a hernia repair. The surgeon made a 6-8 inch incision in the abdomen and repaired a recurrent hernia in the small intestine. He then put in a mesh to keep everything in place. General anesthesia was used for this procedure and the patient was intubated and tolerated/woke up well. Betadine skin prep was used and general draping techniques were used. In PACU the nurse......

Words: 410 - Pages: 2

Human Physiology

...the other hand, physiology is a science that evaluates the various body functions. The body functions are categorized as physical, mechanical or biochemical. This essay is based on an article titled “New DNA Tests Aimed at Reducing Colon Cancer.” This article appeared in the October 28, 2010 issue of The New York Times newspaper. The article contains findings of DNA tests that were conducted on colon cancer patients. It is estimated colon cancer afflicts at least 150,000 persons annually. The cost incurred in terms of medical spending is approximately US$14 billion. It is generally believed that the findings of the tests will help in avoiding unnecessary colonoscopies. Only those patients whose tests turn positive will be referred for colonoscopy. The DNA tests are seen as the next viable alternative for invasive colonoscopies which involves insertion of a seeing tube into the colon. When fully introduced, DNA tests are bound to be cheap and affordable. The number of patients being evaluated and the detections will also increase due to the accuracy of the tests. The tests can be carried out in two different ways: (i) Testing for the presence of four altered genes in samples of stool. The four altered genes enable colon cancer diagnosis. Exact Sciences of Madison were the innovators behind this test. This test has the capability of determining both pre-cancerous and cancerous tumors. These can then be cured or removed before they degenerate. (ii) Observing blood changes......

Words: 892 - Pages: 4

None

...Pt identified x3 (Name, DOB, Last 4 of SSN) Pt given biopsy results: 5 small colon polyps were removed completely, 3 were precancerous (tubular adenoma) which means they have the potential to develop cancer if not removed within 10-20 years. The other 2 were lymphoid aggregate which is completely benign and has no significant malignancy potential. Pt encouraged to repeat colonoscopy in 3 years due to the 3 precancerous polyps that were removed. All of pt’s questions/concerns were answered and addressed. Pt verbalized understanding of all discussed. The polyp that we removed during you colonoscopy was called a tubular adenoma, this is a pre-cancerous polyp that was completely removed and poses no further threat to you. It was not cancer. You are at risk for having more polyps like this, and the current guidelines recommend that you have a repeat colonoscopy in 5 years. Unable to reach pt. Left message for pt to call GI clinic at 915-742-2222 or 742-1741 IOT receive message. Pt identified x3 (Name, DOB, Last 4 of SSN) Pt notified Rx is ready for pickup. Reminded pt to have labs drawn this week. Pt verbalized understanding. No questions or concerns at this time. Pt identified x3 (Name, DOB, Last 4 of SSN) Pt informed of biopsy results. Most likely gastritis non-h.pylori, but with focal activity we are unable to rule out the h.pylori with these biopsies. Esophagitis is the most likely cause for your symptoms. Dr. Goldberg recommends you stop the Nexium for 2......

Words: 327 - Pages: 2

Colon Cancer

...abilities of their care providers, dreading the never ending paper work, did not like doctor visits and were discouraged on the references of insurance and so on. Some participants did not know what or where the colon was located, creating confusion between the colon and the prostate. Males confused their prostate exam for a colonoscopy. These perceptions bring to insure further that they can be changed. These preventative measures are simple and if you find yourself or a loved one faced with this disease there are some conventional treatments to consider. Beating the odds of colon cancer is geared towards early and regular screening. There are three different screening options to consider depending on risk levels. The stool test, Sigmoidoscopy, inserts a lighted tube in the left side of the colon; this test should be performed every five years. The barium enema and colonoscopy are produces that require a check of the colon as a whole. Barium enema, coats large intestines to spot abnormal growths and colonoscopy uses a flexible tube to reach the large intestines and can remove any small growths. These two should be performed every ten years with the colonoscopy being the more expensive, but also the most affective. A daily exercise routine such as walking, jogging, running and all other physical activities can serve as a defense. The changes in your diet regimen include cutting back on red meat and fat in-take and consuming more vegetables and fruit (2000). If any growths are......

Words: 1458 - Pages: 6

Colorectal Cancer

...different ways to diagnose colorectal cancer is by get a fecal occult blood test (FOBT), Sigmoidoscopy, and Colonoscopy. “If your doctor learns that you do have colorectal cancer, more test will done to see if the cancer has spread. This is called staging” (Colon Cancer: MedlinePlus Medical Encyclopedia). In this case, a PET scan can to use to see where the cancer had spread to. When get treatment for colorectal cancer, it usually depends of the stage of cancer you might have. The common treatment for a patient that has colorectal cancer is surgery, chemotherapy, and radiation. The first way that a person can possible be diagnose for some type of colon cancer is by a fecal occult blood test, also known as FOBT. “A fecal occult blood test (FOBT) is a non-invasive way to screen blood in your stools, which can be a symptom of colon cancer” (Dixon). For this test you can get a kit from your doctor. During this test you will have to collect three different samples of your stools and then send it to a laboratory to be tested for blood. Before you do a test like this, you should avoid red meats and medications like ibuprofen because these things could cause the test show a false positive. This test is usually done once a year. If the test where to come back positive, than you would need to follow-up with your doctor and he would tell you needed to get a Sigmoidoscopy or Colonoscopy done. The next test after a FOBT would most likely be a Sigmoidoscopy. A Sigmoidoscopy is a......

Words: 1325 - Pages: 6