Consider the following case: A 65-year-old woman is being admitted for a mastectomy due to cancer. She expresses fear and depression during the nursing assessment. What concepts from the various theories could be used in planning her care? How might her care be changed if the woman were 25 years old or 45 years old? How have the social psychology theories been
used in promoting breast cancer awareness?
Elder Patients with breast cancer have larger tumor and greater lymph node involvement,comparing to younger ones..there are variations in breast cancer treatment and diagnosis which is seeking social support..older adults with cancer are more distressed if they also experience functional decline as a result of their cancer diagnosis and treatment..
Older women having fewer supportive networks than younger women.. social support is combination of emotional,tangible,appraisal and informational support..it can be formal,informal, social,professional,structured and unstructured..young woman more likely to have undergone aggressive therapies and held better physical functioning than old woman..clinicians must consider the age with mastectomy treatment..patient age is important that determinant of educational and counseling strategies..patient always need more medical information with depression and anxiety..older women may prefer treatment that maximize quality of life than younger ones..
When patient undergoing for mastectomy patient feel psychological upset support group therapy, Medcal education and coping skills training important for them to eliminate the depression..
Consider the following case: A 65-year-old woman is being admitted for a mastectomy due to cancer....
The patient is a 58-year woman diagnosed with Stage IIIB breast cancer which required a mastectomy, chemotherapy and radiation treatments. She has a variety of chronic illnesses, including hypertension, diabetes and asthma. She is knowledgeable her health and sees the doctor regularly to stay healthy. She is very devout and grew up in a strongly devout family. Her church family is very important to her. Her mother and siblings live out of state. All of her family prays regularly for...
Mrs. Tyler is an 84-year-old white woman with a past medical history of breast cancer, mastectomy, dementia, osteoporosis, depression, and a right hip fracture and repair 1 month ago. She also has a history of anxiety. Her home medications include Prozac (fluoxetine hydrochloride), 20 mg qd; Os-Cal (calcium carbonate), 500 mg tid; Aricept (donepezil hydrochloride), 10 mg qd; Zantac (ranitidine), 150 mg qd; Ecotrin (aspirin EC), 81 mg qd; Mellaril (thioridazine HCl), 10 mg qd; and Valium (diazepam), 10 mg...
A 65-year-old male was admitted for evaluation of pain on swallowing and a sore throat that has persisted for the past year. The discomfort has not changed with the use of various over-the-counter cold remedies. The client has lost weight due to a decrease in appetite and difficulty swallowing. He has smoked 3 packs of cigarettes a day for 40 years. A laryngoscopy showed a subglottic mass. The client had a total laryngectomy with tracheostomy to manage laryngeal cancer. He...
M.D. is a 50-year-old woman whose routine mammogram showed a mass in her left breast. M.D. underwent a stereotactic needle biopsy and was diagnosed with infiltrating ductal carcinoma that was both estrogen and progesterone receptor positive. She had a modified radical mastectomy with lymph node dissection. An implanted port was placed during surgery. She is prescribed a chemotherapy regimen of six cycles. M.D. has a son with Down syndrome that she cares for at home. She expresses concern as to...
65-year-old male was admitted for evaluation of pain on swallowing and a sore throat that has persisted for the past year. The discomfort has not changed with the use of various over-the-counter cold remedies. The client has lost weight due to a decrease in appetite and difficulty swallowing. He has smoked 3 packs of cigarettes a day for 40 years. A laryngoscopy showed a subglottic mass. The client had a total laryngectomy with tracheostomy to manage laryngeal cancer. He also...
Lynn Nunez, a 45- year - old woman with advanced breast cancer that has spread to her lungs and bones, is admitted to your unit for terminal cancer and palliation. She has draining sores on her left breast. She is experiencing a great deal of pain when she moves, but she does not want sedation. Her wish is to spend her last days with her family, which includes her husband, mother and father, and two teenage daughters. The family is...
A.K., a 68-yr-old married Asian American woman, has been diagnosed with breast cancer. She is scheduled for surgery in the morning for a lumpectomy and sentinel lymph node biopsy with possible axillary node dissection. When she is seen in the preoperative clinic 1 week before surgery, she is crying uncontrollably and says, “My husband does not want to look at me anymore. He is afraid of what I am going to look like with a flat chest.” She says, “I...
Case Study M.B. is a 65-year-old male who is being admitted from the emergency department to the cardiopulmonary unit with an exacerbation of chronic obstructive pulmonary disease (COPD). M.B. has been using ipratropium (Atrovent) and albuterol (Proventil) metered-dose inhaler for control of his symptoms. His admission vital signs are as follows: blood pressure 158/86 mm Hg, heart rate 118 beat/min, respiratory rate 36 breaths/min, temperature 101.4° F (38.4° C), and SaO2 85%. He is 5 ft 10 in tall, weighs...
Read the following scenario: K.B. is a 32-year-old woman being admitted to the medical floor for complaints of fatigue and dehydration. While taking her history, you discover that she has diabetes mellitus (DM) and has been insulin dependent since the age of 8. She has undergone hemodialysis (HD) for the past 2 years because of end-stage renal disease (ESRD). Your initial assessment of K.B. reveals a pale, thin, slightly drowsy woman. Her skin is warm and dry to the touch...
Ms. Ritter is a 32-year-old woman who visits the medical outpatient clinic to discuss her treatment options for breast cancer. She is married and has one child, a daughter, who is 6 years old. She and her husband hoped to have another child in the near future but now wonder if that will be possible. She shares with the nursing staff her concerns about the future and how cancer will affect her and her family. Identify two follow-up care plan...