Pamela Allen is a 65-year-old woman who has been married to Clifford for 40 years. Their only child, Gary, has Down syndrome and lives with them. Mrs. Allen stopped working outside the home after Gary was born to care for him. She has recently been diagnosed with advanced colorectal cancer and had surgery last month (colectomy and colostomy). Because the tumor extended into the perineum and lymph nodes, she has been advised to start radiation and chemotherapy. She underwent treatment for endometrial cancer at age 50 but did not receive chemotherapy or radiation at that time.
If Mrs. Allen experiences dehydration following chemotherapy administration, what suggestions could you make to improve her fluid status?
Pamela Allen is a 65-year-old woman who has been married to Clifford for 40 years. Their...
Pamela Allen is a 65-year-old woman who has been married to Clifford for 40 years. Their only child, Gary, has Down syndrome and lives with them. Mrs. Allen stopped working outside the home after Gary was born to care for him. She has recently been diagnosed with advanced colorectal cancer and had surgery last month (colectomy and colostomy). Because the tumor extended into the perineum and lymph nodes, she has been advised to start radiation and chemotherapy. She underwent treatment...
Pamela Allen is a 65-year-old woman who has been married to Clifford for 40 years. Their only child, Gary, has Down syndrome and lives with them. Mrs. Allen stopped working outside the home after Gary was born to care for him. She has recently been diagnosed with advanced colorectal cancer and had surgery last month (colectomy and colostomy). Because the tumor extended into the perineum and lymph nodes, she has been advised to start radiation and chemotherapy. She underwent treatment...
NURS 454 Pathopysiology Ms. Jones is a 56 year old female who has been diagnosed with Stage 3 breast cancer. The tumor is approximately 6 cm in size and has metastasized to nearby lymph nodes. Both her mother and her older sister died from breast cancer. She will be undergoing surgery to remove the tumor and affected tissue later today. Other treatments are planned in addition to surgery. Contribute to the discussion of additional therapies as noted below. Ms. Jones...
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...
Joan Monroy is a 58-year-old public relations consultant who was recently diagnosed with colon cancer after a routine colonoscopy, a procedure in which the colon is examined using a flexible tube attached to an optical device. Mrs. Monroy is scheduled to have surgery to remove the segment of colon that contains the tumor and to determine if the cancer has spread to the surrounding lymph nodes and, possibly, other organs. The nurse completing the nutrition assessment finds that Mrs. Monroy...
Mrs. S Mrs. S is a 56-year-old woman who has been working as a secretary at a dentist’s office for 30 years. She uses the computer to book and keep track of appointments. She is also in charge of the filing system and patient’s records. These cabinets are located on the floor, requiring her to bend down to reach them, often several times a day. Mrs. S has been diagnosed with carpal tunnel syndrome and has been receiving treatments for...
J.T. is a 62-year-old woman who has been on estrogen therapy without progesterone for menopausal symptoms for the past 6 years. She is seeking medical care for unexplained vaginal bleeding. She is obese and has been menopausal for 8 years and has not had any menstrual bleeding until a week ago. She does not have any pelvic discomfort. After examination, she is scheduled for a dilatation and curettage (D&C) with biopsy. The biopsy reveals endometrial cancer. 1. Outline the processes...
3. Rachel is a 25-year-old woman has been married for the past two years. She and her husband have decided to have children, but Rachel began having menstrual problems. After seeing a doctor, Rachel was diagnosed with uterine cancer. What reactions may occur in clients diagnosed with cancer? After treatment, Rachel learns that she cannot have children. What kind of psychological impact can infertility have?
3. Rachel is a 25-year-old woman has been married for the past two years. She and her husband have decided to have children, but Rachel began having menstrual problems. After seeing a doctor, Rachel was diagnosed with uterine cancer. What reactions may occur in clients diagnosed with cancer? After treatment, Rachel learns that she cannot have children. What kind of psychological impact can infertility have?
Mrs. Sienna Mrs. Sienna is a 76-year-old woman referred to an internist for evaluation and management of hypercalcemia in the setting of recent complaints of fatigue, malaise, loss of appetite, and possible dysphagia for solids. Her known medical problems include hypertension, hypercholesterolemia, osteoporosis, hypertensive heart disease, and sick sinus syndrome. Mrs. Sienna smoked a few cigarettes a day over a 10-year period but stopped 50 years ago. She has no known allergies and has had cataract surgery to her left...