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Related Concept Videos

Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
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Types of Reports III: Telephone and Verbal Reports01:26

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Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
Here's an overview of each type:
Telephone Orders
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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Methods of Documentation III: PIE01:21

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Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
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Assessing Body Temperature - Rectal01:27

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Rectal temperature measurement is considered the most precise method for assessing core body temperature and typically registers higher than oral temperature. For adults, the rectal thermometer should be inserted 1 to 1.5 inches into the rectum to obtain the most accurate reading.
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
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SBAR II: Application of SBAR01:14

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SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
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Related Experiment Video

Updated: Oct 15, 2025

Intraoperative Assessment of Resection Margins in Oral Cavity Cancer: This is the Way
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Motivations and Barriers Toward Implementation of a Rectal Cancer Synoptic Operative Report: A Process Evaluation.

Serena S Bidwell1,2, Gabriela C Poles3, Andrew A Shelton4

  • 1University of Michigan Medical School, Ann Arbor, Michigan.

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Synoptic operative reports for rectal cancer were found to be feasible and usable, but surgeons expressed concerns about workflow changes and the need for tangible value. Mandates drove adoption, highlighting the importance of addressing surgeon burden in implementation.

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Area of Science:

  • Medical Informatics
  • Surgical Oncology
  • Health Services Research

Background:

  • Synoptic reporting enhances critical information documentation and data value.
  • Surgeon adoption of synoptic reports lags behind other medical specialties.

Purpose of the Study:

  • To evaluate the implementation process of a synoptic operative report for rectal cancer.
  • To assess surgeon acceptability, feasibility, and usability of the synoptic report.

Main Methods:

  • Mixed-methods process evaluation utilizing electronic surveys and qualitative interviews.
  • Study included 28 board-certified colorectal surgeons across the United States.
  • Measured acceptability, feasibility, and usability through Likert scales and follow-up interviews.

Main Results:

  • High response rates for surveys (76%) and interviews (57%).
  • Mean scores for usability (4.14), feasibility (3.90), and acceptability (3.98) were favorable.
  • Surgeons reported frustration with workflow changes and a need for administrative/technical support.

Conclusions:

  • Synoptic operative reports for rectal cancer are generally easy to implement but raise concerns about added burden.
  • Surgeon adoption was often driven by mandates, such as the National Accreditation Program for Rectal Cancer.
  • Addressing workflow integration and demonstrating tangible value are key for broader surgeon acceptance.