The Relationship Between Corruption And Human Trafficking

TO WHAT EXTENT DOES CORRUPTION FACILITATE CRIMINAL GROUPS, SPECIFICALLY IN EASTERN EUROPE WHEN PURSUING TRANSNATIONAL CRIMES SUCH AS HUMAN TRAFFICKING (THE RELATIONSHIP BETWEEN CORRUPTION AND HUMAN TRAFFICKING) By Student’s Name Code + Course Name Professor’s Name University Name City, State Date Table of Contents 1.0 Introduction 4 2. 0 Literature Review 5 2.1 Introducion to the Theoretical framework 5 2.2.1 Corruption 6 3. 0 Human Trafficking in the European region 8 3.1 Human Trafficking 8 3.3.1 Fundamentals of human trafficking 9 3.2 Movement and Trafficking Flows of People across borders in the European region 9 4.0 Use of Corruption in Relation to Human Trafficking 12 4.1 What is corruption 12 4.2 Border Control†¦show more content†¦1.0 Introduction Trafficking of persons is the illegal practice of procuring human beings for unpaid work, slavery and or other forms of exploitations in physically abusive settings and locations from which they are not allowed to leave and return to their countries of residence (Danailova-Trainor, 2010). Trafficking of persons is a criminal activity as it deprives the victims of their fundamental human rights and their human dignity. The trafficking is done across the borders of the various countries of origin and those of destination. To curb this vice, the border point control staff has a great responsibility in its prevention. The border point security personnel’s have been identified as the major actors in the prevention and eradication of human trafficking (Hetzer, 2007). The main contributor and cause of the unending cases of human trafficking is corruption. Corruption can be defined as dishonest exploitation of power for personal gain by use of the deprivation technique. The traffickers engage in the trafficking activities for monetary gain (Hetzer, 2007). The victims are either coerced or deceived to cross the border without them realizing they are being trafficked or exploited. Many victims are promised better job opportunities, better pay, and working conditions and the ease of movement without enduring the legal process of visa acquisition. The border control authorities have accepted the bribes and the huge amounts of money offered

Theme Of Morality In The Picture Of Dorian Gray - 789 Words

Everyone in the world lives their lives following a set of personal morals. However, as every individual person decides what their morals are, arises moral ambiguity. Moral ambiguity is defined as a lack of ethical decision making. Everyone defines what is morally correct and incorrect, but there comes a point where most people cannot decipher if a decision is truly correct. In The Picture of Dorian Gray, Dorian Gray’s morals are ambiguous. Dorian Gray’s moral ambiguity stems from his actions only benefiting himself due to the influence of Lord Henry and Basil and parallels the dangers of engrossing yourself in Aesthetics. A widely expressed idea in The Picture of Dorian Gray is that becoming too absorbed in the Aesthetics movement is†¦show more content†¦The unclearness also comes from Dorian going back and and forth between seemingly caring about and not caring about people. After he broke his engagement with Sibyl Vane, Dorian realizes he had been â€Å"sel fish and cruel to her,† and decides to â€Å"go back to Sibyl Vane, make her amends, marry her, try to love her again,† but fails to follow through because she dies (67). If Dorian was able to go through with marrying Sibyl, to the outside observer it would seem to be in favor of Sibyl, but Dorian still benefits from this. So, we see that even though his actions would have benefited someone else, the same actions also would have benefited him, in that he would be marrying someone he loved and there would no longer be conflict between Dorian and Sibyl. Lord Henry and Basil are very influential in that they both play a role in Dorian’s moral ambiguity due to their attempts to get Dorian to agree with their ideas. Lord Henry forced Dorian to think about the human race and the concept of Beauty. Dorian was â€Å"bewildered† by Henry’s ideas, such as the idea that people have a â€Å"desire for a new sensation,† (14, 163). Many of Dorian’s questionable thoughts stemmed from Henry’s influence. Even Dorian outright says Lord Henry brings up â€Å"subtle poisonous theories† and he had to â€Å"resist† the â€Å"temptation† of listening to these theories (67). Basil also greatly influences Dorian by showing Dorian his own beauty. BasilShow MoreRelatedThe Theme of Decadence in the Picture of Dorian Grey by Oscar Wilde1553 Words   |  7 PagesThe theme of decadence in The Picture of Dorian Grey by Oscar Wilde Staring from the definition found in the dictionary, the decadence is a literary movement especially of late 19th-century France and England characterized by refined aestheticism, artifice, and the quest for new sensations. [1] In decadence, important is not necessarily what is seen, but the hermeneutics: what man feels when he sees the creative result of this feeling. 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One of the Most Incredibly Ignored Answers for Intitle:Commentary Essay Samples Issue

One of the Most Incredibly Ignored Answers for Intitle:Commentary Essay Samples Issue If one paragraph looks weak, then the general level of your essay will be lacking. A persuasive essay should be able to grab the interest of the folks reading it easily. Persuasive essay topics don't always must be of a severe nature, you can write about things that are connected in your life. Most academic essay topics usually ask you to select a side in an argument or maybe to defend a specific side against criticism. Persuasive Essay Body There are a few newspapers which are still concerned with the caliber of news they report. There are some steps that you may take to compose a good body to your essay. Your paragraphs do not connect one another's meaning along with the whole thought of your essay may be incomprehensible. There are 3 things that will need to get included in your introduction paragraph. What You Don't Know About Intitle : Commentary Essay Samples Issue The most effective persuasive short essays often concentrate on controversial problems. Using persuasive essay examples is a great way to prepare to compose a successful essay. There are several good persuasive essay topics to pick from. Good persuasive essay examples will show you three key points you must have in your thesis as a way to compose a compelling essay. Thus selecting an expert for doing your essays could be the best selection. If you are concerned that you won't have the ability to locate a low-cost essay writing service capable of dealing with your academic papers, we're here to prove you wrong. To practice writing awa essays all you want to do is. If you wish to learn how to compose a fantastic persuasive essay, you're looking in the correct place! New Ideas Into Intitle : Commentary Essay Samples Issue Never Before Revealed In most high schools, your capability of writing this kind of essay is going to be evaluated in class. Summary Hiring a low-cost essay service may be suitable alternative for students at one time crunch. You can easily locate essay writing services that may write for you at cheap prices. The essay isn't the simplest task to master. Details of Intitle : Commentary Essay Samples Issue Know the precise learning needs of your readers before you get started writing so that you can create your content fo cused and highly targeted. Everyone can publish on the web. The web is a method of connecting computers together around the world utilizing the telephone cables. Firstly, a fast look at the way in which the web and eMail has shrunk the world. Sadly, not all of these are getting the results they're searching for. Moreover, many people are now working on the on-line sites as bloggers and writers, or even researching for assorted businesses, and then they're paid through internet payment means like the Western Union or PayPal. Accordingly, in risking out competition or being left from the present market situation, there's the need to improve on the social networking entities in the advertising situation. In any event, you'll receive an idea about what your target audience are interested in each time they go online. Using Intitle : Commentary Essay Samples Issue There's no ideal solution about how to compose an effective essay. Don't forget that any argumentative essay sample you'll discover on the internet will require a full rewriting in order to prevent plagiarism. Such last-minute searching never becomes futile, which causes unfinished essay assignments and leads to a poor grade. Reviewing some narrative essay examples can enable you to organize your information and help you decide how to compose each paragraph to acquire the best outcomes. Some of the greatest research paper introduction samples consist of primary resources supporting the argument or research of the issue. A government has a duty to make sure that it identifies all learning institutions and learners as equal irrespective of their financial and societal backgrounds. An argumentative essay example will reveal the should possess some important components which make it better in the practice of convincing. You have the choice of doing surveys or merely conduct keyword research.

Simple Partial Cystectomy Urology Surgery -Myassignmenthelp.Com

Question: Discus About The Simple Partial Cystectomy Urology Surgery? Answer: Introduction Abdominoperineal resection (apr). In this surgical procedure, parts of the GI tract like the Anus, rectum and sections of sigmoid colon are removed via an incision in the abdomen. In this process, the end of the intestine is connected to the stoma called colostomy, or the opening in the abdomen, through which the bodily wastes are collected in a disposable bag, placed outside the body. Cancerous lymph nodes can be removed in this surgery (Cancer.gov, 2018). Here the surgeon first divides the blood vessels supplied to the colon and rectum, after which the sigmoid colon and rectum is freed from the surrounding tissues, and then removed from the rest of the large intestine. After preparing the colon and rectum for removal, the perineal region (between the legs) is operated to remove the anus, after which the anus, along with the colon and rectum is removed from the body. 1a (ii): low anterior resection (lar). Low Anterior Resection (LAR) surgery is used in the treatment of rectal cancer. nursing procedure, the cancerous part of the rectum is surgically removed; the remaining portion of the rectum is connected back to the colon to enable normal movement of bowel. The surgery can be done by two different techniques, depending on the number and type of incisions made of the abdomen: Open Surgery: In this technique, a long incision is made on the abdomen (or belly), and the cancerous part of the rectum is removed through this incision. Minimally Invasive Surgery: Here many small incisions are made in the abdomen, through which surgical instruments and a video camera is inserted, to remove the cancerous part of the rectum. Robotic devices can be used in this procedure by the surgeons to help with the surgery. After the removal of the cancerous part of the rectum, the remaining part of the rectum is connected back to the colon using stitches or metal staples. The region where the two ends of rectum and colon are connected is known as the anastomosis (Mskcc.org, 2018). 1a (iii): proctocolectomy. Total proctocolectomy with ileostomy is a surgical procedure in which the entire large intestine and rectum is removed (Medlineplus.gov, 2018). The surgical procedure can either be an open surgery or laparoscopic surgery (also called keyhole procedure). The complete colon, rectum and anus are removed, and are also called a Pan-Proctolectomy. The blood and vessels and lymph nodes associated the part of the bowel are also removed. Along with the abdominal incisions, another incision is made near the bottom, to remove the anus. The rest of the bowel (consisting of the small intestine) is utilized to make an ilesotomy on the right side of the abdomen. The complete surgical procedure takes approximately three to four hours. (Birminghambowelclinic.co.uk, 2018). 1a (iv): hartmanns procedure. In this surgical procedure, part of the sigmoid colon and/ or the rectum is removed. It is generally performed on patients suffering from bowel cancer or diverticular diseases (Birminghambowelclinic.co.uk, 2018). The surgery can be either done laproscopically or as open surgery. In the process, the bowel is made free from the surrounding attachments from the abdominal cavity, followed by the division of blood vessels. After this, the bowel is incised, and the segment that is diseased is then removed. The colon is the brought to the surface of the skin, and is stitched to it, to form a colostomy. The rectum is closed using stitches or staples and placed back in the pelvic region. This surgery can be reversed by another surgery later on (Sussexsurgical.co.uk, 2018). 1a (v) cystectomy. The procedure can be of different types, like: radical cystectomy. Where the bladder and the fatty tissues around it is removed with a wide margin. The nearby pelvic organs (like prostrate in case of male patients, uterus and part of vaginal wall in case of female patients) are also removed. It is used for invasive or advanced cancer of the bladder (Kcurology.com, 2018). After the removal of the bladder, urinary diversion is done to restore the continuity of urinary tract. The urinary diversion can be of three types: Neobladder (connecting a new bladder to existing urethra), Continent Diversion (ureters connected to pouch with catherizable stoma) and ileal Conduit (short segment of small intestine connecting ureters to skin) Partial Cystectomy. Here a part of the bladder is removed, while preserving the rest of the bladder. It is utilized in case of benign lesions on the wall of bladder (Kcurology.com, 2018). Simple Cystectomy. Here the entire bladder is removed, but the adjacent fatty tissue and pelvic organs are preserved (Kcurology.com, 2018). Thus, the prostrate, seminal vesicles and urethra in male and urethra, uterus and anterior wall of vagina in female is left intact. This also keeps potency conserved (Urology.ucla.edu, 2018). 1a (vi) pelvic Excenteration. Anterior Pelvic Excentration. In this surgery, organs from the urinary and gynecologicsystem are removed, in order to treat cancer in the cervix or other organs in the urinary or gynecologicsystem (Mskcc.org, 2018). This procedure can be performed if irradiation therapy has failed (atlasofpelvicsurgery.com, 2018). The bladder and urethra is removed and hence a new place is needed for the elimination of urine. Urinary diversion is created for collecting the urine, and can be either is in the form of ileal conduit or urinary pouch. The ovaries, fallopian tubes and uterus are also removed (mskcc.org, 2018). Posterior Pelvic Excentration In this surgery, organs from the gastrointestinal and gynecological systems are removed to treat cancer of cervix or other organs in the gastrointestinal or gynecologic system. Part of the large intestine along with the rectum and anus are removed, and the remaining of the large intestine is brought to the surface of the abdomen to create a colostomy, attached with a pouch to collect stool, and the ovaries, fallopian tube and uterus are also removed (Mskcc.org, 2018). Total Pelvic Excentration. This surgery involves bloc resection of pelvic organs including reproductive organs, urinary bladder and the recto sigmoid. It is used to treat advanced primary or locally concurrent forms of cancer (Diver, Rauh-Hain Carmen, 2018). Indications for the surgery: 1b (i) abdominoperineal resection. This surgery is commonly used to treat cancer located low in the rectum or in the anus, or cases of distal tumors or poor sphincter function (Perry Connaughton, 2007). This surgery can also be used in case of severe traumatic injury to the rectum (Augusta.edu, 2018). 1b (ii) low anterior resection (lar). This surgery is used to treat stage 1, 2 and 3 cancers in the upper part of the rectum (that connects to the colon). The American Society of Colon and Rectal Surgeons (ASCRS) have outlined the parameters of the usage of colectomy to treat different conditions/indications (Emedicine.medscape.com, 2018). The different indications for colon resection are: Colorectal Cancer, Colonic Diverticular Disease, Trauma, Inflammatory Bowel Disease, Bowel infarction, Slow-transit constipation and Polyposis syndromes. 1b (iii): proctocolectomy. This surgery removes the diseased part of the bowel, thereby significantly improving the quality of life of the patients. This procedure can be used to cure ulcerative colitis, (Cdhb.health.nz, 2018). This surgery is also used when all other forms of treatment fails to treat the problems with large intestine, and is common surgical procedure for patients suffering from inflammatory bowel diseases like ulcerative colitis and Crohns Disease. Additionally, this surgery can also be performed in case of colon or rectal cancer, familial polyposis, bleeding of intestine, birth defects that cause damage to the intestine or other forms of intestinal damage due to injury or accidents (Medlineplus.gov, 2018). 1b (iv): hartmanns procedure. Hartmans procedure was initially developed to treat distal colonic adenocarcinoma, however other indications that calls for this procedure have progressed with time, including: Complicated Diverticulitis (stage I, II, III and IV), Recto sigmoid Cancer, Ischemia, Volvulus, Iatrogenic Perforation of the colon, Lymphoma, Metastatic Cancer in the Pelvis, Crohns Disease, Trauma due to accident or injury, Anastomotic dehiscence, Pseudomembranous colitis, Rectal prolapsed, Leiomyosarcoma, Ulcerative Colitis, Radiation Injuries, Retroperitoneal bleeding, Pneumatosis cystoides and For colon resection for patients who are haemodynamically unstable, immune-compromised or malnourished (Emedicine.medscape.com, 2018). 1b (v:) cystectomy. 1b.5.1: simple and partial cystectomy. Upper tract diversion can be used for the treatment of benign lower tract pathology or upper tract obstruction. Other indications for simple cystectomy include: radiation cystitis, interstitial cystitis, cyclosphosphamide cystitis, severe incontinence, neurogenic bladder, severe trauma to urethra and upper urinary tract obstruction. It can also be done to treat attenuation of bladder diverticuli, genitourinary sarcomas, manage urachal carcinomas and palliation of severe local symptoms, as well as to manage colovesical or vesicovaginal fistula and localized endometriosis of the bladder (urologysurgery.wordpress.com, 2018). 1b.5.2: radical cystectomy. Indications for radical cystectomy include: invasive bladder cancer, resectable locoregional metastases, superficial bladder tumors; Stage-pT1; grade-3 tumors that does not respond to BCG vaccine therapy; palliation for pain and primary adenocarcinoma (Emedicine.medscape.com, 2018). 1b (vi): pelvic Excenteration. Indications for pelvic Excenteration includes: Cervical Cancer, Uterine Cancer, Vulvar Cancer, Ovarian Cancer, Vaginal Cancer and Pallation (Diver, Rauh-Hain del Carmen, 2018). Specific Risks: 1c (i): abdominoperineal resection. Specific risks associated with Abdominoperineal Resection are: Intra abdominal or pelvic abscess, Nerve Injury, Urologic Injury, Perineal Wound and Ostomy, Risk of peroneal nerve injury, Brachial plexus injury, Damage to autonomic nerves, Injury to hypo gastric nerves, Sexual dysfunction in male, Bladder injuries and Perineal herniation(Perry Connaughton, 2007; Murrell et al.,2005). 1c (ii): low anterior resection (lar). Risks of LAR includes: Anastomosis leakage, Postoperative ileus, Frequent Stools, Urinary and stool incontinence, Ventral hernia, Damage to autonomous nerves that can cause bladder paralysis, erectile and ejaculatory dysfunction and vaginal dryness. (Oncolex.org, 2018). 1c (iii): proctocolectomy. Possible complications arising from this surgical procedure include: Damage to adjacent organs and nerves to the pelvic region, Infection of lungs, urinary tract and abdomen, Formation of scar tissues blocking small intestine, Breaking of wound or poor healing., Reduced absorption of nutrients from food and Phantom rectum (medlineplus.gov, 2018). The complications can include: infection and delayed healing of perineal wound, obstruction of small bowel, urinary retention, sexual dysfunction, stomal complications, pelvic infection as well as misdiagnosis. Additional physiological effects like dehydration, electrolyte abnormality, urinary and gall stone formation can also occur due to ileostomy (Dozois, 2004) 1c (iv): hartmanns procedure. The common complications due to bowel surgery include bleeding (that can persist for few days), infection (inside the abdomen, lungs, bladder as well as in the surgical wound), Bowel Obstruction (due to internal scar tissues and causes a blockage of bowel movement and passing of wind, pain or cramps in abdomen and nausea/vomiting). Other complications include wound hernia (due to bowel obstruction), deep vein thrombosis (due to reduced mobility) (Cdhb.health.nz, 2018). 1c (v): cystectomy. The rate of urination can increase after cystectomy. Removal or bladder and surrounding organs can also change the normal function of the body. In men it can cause erectile dysfunctions, and menopause in women (cancercouncil.com.au, 2018). Other short term complications can include acidosis, leaking urine or stool, bowel obstruction and kidney infection, and long term conditions like obstruction to ureters or intestine, renal failure, complication with stoma, scar tissue formation in the intestine (webmd.com, 2018). Risks for urinary tract infection and urinary tract septicemia were also reported by van Hemelrijck et al., (2013). 1c (vi): pelvic excenteration. Common complications of this surgical procedure include sepsis, thrombo embolic disease, and cardiopulmonary failure. Other complications include loss of blood, fluid shift, urinary infection, wound infection, anastomotic leak, fistulae, small bowel obstruction and urethral obstruction. Death can also occur in rare cases (less than 5%) and more significant among women older than 65 years of age (Diver, Rauh-Hain del Carmen, 2018). Type of Stoma/Diversion- 1d (i): abdominoperineal resection. The type of stoma created in this surgical procedure is End-Colostomy, since it involves bringing the gastrointestinal tract to the surface of the abdomen, cuffing it back on itself and suturing it to the operating on the skin, and the colon and rectum is removed. 1d (ii): low anterior resection (lar). The type of stoma created in this surgical procedure is loop ileostomy, where a loop of the small intestine is bought to the surface of the skin in the form of the stoma, from which gas and waste from the intestine passes out, collected in pouch stuck to the skin at the opening of the stoma (uhn.ca, 2018). 1d (iii): proctocolectomy. The type of stoma created in this surgical procedure is an end ileostomy, since the complete colon and rectum is removed through the incision in the abdomen, and the end of the small intestine is brought to the surface of the skin through the incision, creating the opening or stoma through which the waste exits (nhs.uk, 2018). 1d (iv): hartmanns procedure. In the Hartmans procedure, end colostomy type of stoma is created since in the procedure, parts of the large bowel or rectum is removed. It can be temporary or permanent. 1d (V): Cystectomy. Three types of diversions that can be made in a Cystectomy surgery are: Ileal Conduit (where a section of the intestine is removed, secured to skin through a small opening to create a stoma, and an ostomy bag is used to collect urine), Neobladder (creates a new bladder using a portion of small intestine, with the ureters connected at the top of the bladder and urethra at the bottom of it) and Continent Cutaneous Urinary Reservoir (where the urethra exits the abdominal skin through stoma, instead of being connected to the bladder) (Washington.edu, 2018). 1d (VI): Pelvic Excenteration. The type of diversion created in Pelvic Excenteration includes Urinary Diversion (also called wet colostomy, as the urine and feces are eliminated through a single stoma), Fecal Diversion (as a permanent end colostomy, as the anal sphincter is removed), Neovagina (reconstructing a part of the vagina), Pelvic Floor Coverage (Diver, Rauh-Hain del Carmen, 2018). How Restorative Proctolectomy differs from Proctolectomy: In Restorative Proctolectomy, the entire large intestine is removed, and an internal pouch or reservoir is made using the small intestine, within which fecal discharge is stored, and is connected to the anus. This pouch is called the J-Pouch or ileo anal pouch (Sofo, Caprino, Sacchetti Bossola, 2016). This is different from Proctolectomy in which the entire large intestine and rectum is removed, and results in the formation of end ileostomy, through which the waste is discharged. Immediate post operative and long term characteristics of the output- 3.1: ileostomy. The stoma created by ileostomy would be pink, moist and slightly shiny. The output/ discharge from the stoma might be a thin or thick liquid, or even semi solid, but not solid like stool. The density of the exudates will depend upon the diet and medications. Some gas might also be discharged. The pouch should be emptied 5 to 8 times a day (Medlineplus.gov, 2018). 3.2: colostomy. If the rectum and anus are intact in the colostomy procedure, mucus is produced at the lining of the bowel to help the passage of stool. The longer the section of the bowel left, more is the discharge of mucous. The mucous can vary between clear, egg white to sticky glue like. This can occur every few week or several times daily (nhs.uk, 2018). 3.3: ileal conduit. Urine and some mucus are the main output. It will be in the form of continuous drainage. The mucous is formed by the segment of the intestine used to make the ileal conduit or urine pocket (Cancer.org, 2018). How Loop stoma and end stoma are made and why: 4.1: end stoma. In end colostomy, the colon and rectum is removed, and the remaining portion of large intestine is brought near the surface of the abdomen to create the stoma. It can be temporary or permanent (Coloplast.com.au, 2018). 4.2: loop stoma. In loop colostomy, the intestine is lifted above the skin and fixed in place using stoma rod. Cut on the intestine loop is then rolled and sewn to the skin to form two stomas. In case of loop ilesotomy, a loop from small intestine is lifted above the skin, and fixed with a stoma rod. Cut on the loop is rolled up and sewn to the skin to form two stomas (Coloplast.com.au, 2018). Continent Urinary Diversions: 5a.1: indiana pouch. This is a continent catherizable urine pouch. The pouch is formed from the caecum, ascending colon, and ileum. The ileum is then sewn to the skin of the abdomen (on the right side) (columbiaurology.org, 2018). 5a.2: the koch pouch. This is also called continent ileostomy. During the surgery, the small intestine is joined to an internal reservoir or pouch made from small intestine. A one way valve ensures the leakage of waste to the outside. The pouch is emptied using a catheter. The stoma is protected using stoma cap (Ouh.nhs.uk, 2018). 5a.3: mitrofanoff. This procedure is used to allow drainage of bladder, in situations where voiding or self catherization is not possible. The procedure creates a catheter channel into the bladder to empty it. This is done by forming a channel between the abdominal wall and the bladder to allow drainage. Mitrofanoff is made using the appendix or the fallopian tube. The continent mechanism is provided by tunneling one end of Mitrofanoff to the wall of the bladder to create a valve, and the other end passed through the skin of the abdomen to form stoma (mitrofanoffsupport.org.uk, 2018). Indiana Pouch 5b.1: immediate care. After surgery, tubes, drains and other equipments are used, and intravenous line is used for fluid and medicine. Abdominal drains such as stoma tube, suprapubic tube, stents, Jackson Pratt Drain, Foley Catheter, and NasoGastric Tube can be used. For pain control, medications will be used, to keep the pain limited to mild, and enable mobility. Walking is suggestible to speed recovery, and restoration of bowel function, and prevent blood clot or pneumonia. Drainage from the incisions might also occur, which would need cleaning and dressing (uwhealth.org, 2018). 5b.2: long term care. For long term care, the incision should be washed daily, gently with soap and water. Mucous buildup at the stoma should be wiped using plain warm water daily if required. Care should be taken cleaning near the stitches, and little bleeding might also occurs, which is normal. The stoma can be uncovered during bathing, once it has healed completely, but never should be scrubbed. After removal of tubes, a small gauze dressing can be used to cover the stoma. The tubes must also be cleaned daily with mild soap and water. It should be flushed 2-3 times every day to prevent plugging with mucous. The bags would also require changing or emptying of its contents. Self catherization will also be required on the long run, to be done by the patient. The diet should also be soft until the first visit after surgery, and 8-12 glasses of water should be drank every day (uwhealth.org, 2018). References: atlasofpelvicsurgery.com.(2018).Anterior Exenteration.Atlasofpelvicsurgery.com. management 1 February 2018, from https://www.atlasofpelvicsurgery.com/10MalignantDisease/16AnteriorExenteration/cha10sec16.html augusta.edu (APR).(2018).Abdominoperineal Resection Surgery (APR). 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