Govert Veldhuijzen

73 E-PACO trial: CBE versus nurse counselling for patients to prepare for colonoscopy The doctor and nurse will run through a list of control questions with you. You can also ask questions at this time.” After finishing, click Next . 3.3.11. Play the video on slide (8/21): Sedative . The video voiceover will say: “To alleviate the pain, you will receive a pain-relieving medicine, sometimes in combination with a sedative, administered via the IV needle. You will get a bit sleepy, which will help you relax and make the examination easier for you. This is not an anaesthetic. It may cause you to be a bit forgetful for the rest of the day. Due to the medication administered, it is important that you do not drive a vehicle or drink alcohol for twenty four hours after the examination.” After finishing, click Next . 3.3.12. Read the text on slide (9/21): Location of the intestines. After finishing, click Next . 3.3.13. Look at the automated 3D animation in the background, centring the intestine. Drag to rotate the 3D image. Read the text on slide (10/21): Small intestine. After finishing, click Next . 3.3.14. Drag to rotate the 3D image. Read the text on slide (11/21): Large intestine. After finishing, click Next . 3.3.15. Drag to rotate the 3D image. Read the text on slide (12/21): Continuation of large intestine examination. After finishing, click Next . 3.3.16. Look at the automated 3D animation in the background, centring the anus. Read the text on slide (13/21): Alternative examination . After finishing, click Next . 3.3.17. Look at the automated 3D animation in the background, entering the colon. Play the video on slide (14/21): Air infusion . The video voiceover will say: “The examination usually takes half an hour. You lie on your left side and the lights are dimmed during the examination. The endoscope is inserted carefully. Then air, or actually carbon dioxide gas, is blown into the intestine. The endoscope is pushed forward to the end of the large intestine. During the withdrawal of the endoscope, the intestinal wall is thoroughly inspected. The doctor may remove small pieces of intestinal tissue or polyps. It may be necessary for you to change your position during the examination. The nurse may occasionally press on your stomach to prevent the endoscope from slipping out of place. In order to ensure that your intestine cramps as little as possible, a medication is often given to relax the intestine. This may cause you to have a dry mouth and your heart may beat faster. After the examination, we place the used 4

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