NURS 6512 wk 11 Advanced Stage Cancer
A 49-year-old woman with advanced stage cancer has been admitted to the emergency room with cardiac arrest. Her husband and one of her children accompanied the ambulance.NURS 6512 wk 11 Advanced Stage Cancer
For all patient’s it is important to have respect for them and to protect them from any harm while taking care of them.For this patient as she has advanced stage cancer and is in cardiac arrest is to find out what her wishes are.It is important to talk with the husband and child to see if an advanced directive is in place.Advance directives are used when the patient is not able to voice their wants in emergent situations.Advance directives come into effect when the patient is unable to speak for themselves (American Cancer Society, 2016).The health care provider should discuss the patient’s current medical condition with the family.The health care provider may also bring up hospice care to the family to see if they would be interested.
Scenario #3
A 27-year-old man with Crohn’s disease has been admitted to the emergency room with an extreme flare-up of his condition. He explains that he has not been able to afford his medications for the last few months and is concerned about the costs he may incur for treatment.
According to Lee (2016), stress can cause flare-ups of Crohn’s disease.This patient is worried about the costs of treatment and he is not able to pay for his medications.First of all, I would tell the patient that I will be contacting the care coordinator in our department to discuss different resources to help him.By doing this it may help decrease some of the stress that he is having.Next it is important to discuss his current medical problem and see if it is actually a flare-up of Crohn’s or if it may be a different gastrointestinal issue.I would ask the following questions:
What are his symptoms, when did they start, and if anything, makes it better or worse?We already know that he has not been taking his medication for Crohn’s disease because he can’t afford them, but are there any medications that he is taking?What other medical problems does he have, and what is family history is are also important questions to ask.Diet and smoking are also triggers so it is important to obtain information on the types of food he eats and if he is a smoker.
The following tests would be ordered: CBC with differential, stool culture, hemoccult of stool, and if necessary referring patient to a GI doctor for further tests such as; colonoscopy.NURS 6512 wk 11 Advanced Stage Cancer
Scenario #6
A 12-year-old girl has come in for a routine check-up and has not yet received the HPV vaccine. Her family is very religious and believes that the vaccine would encourage premarital sexual activity.
According to Shelton, Snavely, Jesus, Othus, & Allen (2013), religion has a big influence on whether to vaccinate or not to vaccinate children. It is important as health care providers to listen to our patients and family’s concerns. Health care providers much determine how much the parents know about the vaccination and discuss their values and beliefs that have influenced their decision on vaccinating their daughter. The benefits and risks of receiving or not receiving the HPV vaccination should be explained to the parents (Gilmour, Harrison, Asadi, Cohen, & Vohra, 2011). It is ultimately the parents decision, but making sure they have all of the information is very important.NURS 6512 wk 11 Advanced Stage Cancer