Cancer case study
Document Type:Case Study
Subject Area:Nursing
The case studies purpose is to discuss the case studies by identifying the significant clinical concerns from each case study and integrating evidence-based practice in identifying the appropriate nursing care interventions to address the issues. The discussion will highlight a significant or key clinical issue and progress to explore the nursing care plan for the issue supported by current peer-reviewed information on its management. Case 1 A 35-year old patient of Chinese origin diagnosed with Nasopharynx carcinoma stage 1 T1N1M0. She has a supportive husband and two children aged 6 and 8 years and lives in the family house where she is assisted by a house help. The family is financially stable. Evaluation: The patient will be evaluated for the ability to develop coping mechanisms to deal with her condition and a demonstration of the ability to set realistic goals and participate in activities appropriately.
Patient outcome measures are a key measure of the quality of care. Patient education is a critical aspect as it improves the patient's participation in their care improving the outcomes of cancer management and family support during the period of care and support. Involving the cancer patients with difficulties in coping with the disease process or treatment improves their quality of care which consequently improves the patient's outcomes (Foster & Fenlon, 2011). Okwor, (2017), showed that involvement of cancer patients in peer group support improved their quality of life and coping. Evaluation: Patient will be evaluated for her ability to express her feelings appropriately and the ability to adapt to day-to-day activities and coping during the dying process. Quality of care for dying patients can be enhanced through enabling them to achieve a positive experience of the dying process.
During the terminal stage in cancer management, the involvement of family and ensuring of a robust care process that addresses the patient’s immediate needs contributes to improved outcomes and better quality of care (Clark, 2017). The use of the family-based approach to achieve a better patient outcome in the dying patient ensures that there is psychological support which is part of the comprehensive quality care support required by the patient. Palliative care ought to include, pain management, counseling and supporting the patient to conduct her day-to-day activities as well as planning for her eventual death (Kamal, Nicolla & Power, 2017). This is important to ensure that alternative treatments taken do not result in adverse patient effects. Providing the patient with a strong and effective analgesic such as morphine will reduce the pain perception in the patient.
Implementation: Patient education on the planned medication regiment will be conducted to ensure adherence and counseling on drug addiction and its side effects during the management for the patient. An assessment of any possible adverse interactions of the medicine to the herbal and complementary therapies taken by the patient will be assessed. Evaluation: The patient will be evaluated for improved pain relief with minimum interferences with his activities of daily living and comfort. Assessment: Observed weight loss over 20% of his body weight, decreased appetite and indigestion. Planning: The expected outcome of care will be to enable the patient to demonstrate an improvement in his nutritional intake as per his body requirement, reduce the occurrence of indigestion. The priority nursing intervention for the patient will be to encourage the patient to eat high-fiber, a nutrient-rich diet with adequate fluids and monitor the daily food intake for the patient using a food intake diary and assessment of his anthropometric measures.
Implementation: The implementation of this intervention will be done n close collaboration with the nutritionist to ensure that the patient had an adequate food intake for his body requirements. Regular small feeds will be instituted at the beginning and progressively increased. References Clark, K. Care at the Very End-of-Life: Dying Cancer Patients and Their Chosen Family’s Needs. Cancers, 9(12), 11. doi: 10. cancers9020011 Foster, C. Nicolla, J. Power, S. Quality Improvement Pearls for the Palliative Care and Hospice Professional. Journal of Pain And Symptom Management, 54(5), 758-765. doi: 10. doi: 10. bjon. Okwor, V. Impact of Support Group Intervention on the Quality of Life of Patients with Advanced Breast Cancer. The Breast, 36, S67. j. jand.
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