DataUsing the information from the case study below, write an essay
discussing the disease and the plan of care you will create for the patient.
Breast Cancer
R M. is a 72-year-old female who went to her health care provider with a
complaint of “feeling tightness” around a lump in her right breast. She has a
history of hypertension and smoking (25 pack-year history).
Subjective Data
• Has a family history of breast cancer-one sister recently had
lumpectomy and radiation therapy. Mother and aunt died from breast
cancer when they were in their 60s.
• Has had history of “lumpy” breasts, but this lump feels “different”
• Says she cannot quit smoking because of all of the stress in her life.
Her husband recently left her, and she has not seen her two
daughters in more than 6 months.
• She spends most of her time watching TV
Objective Data
Physical Examination
• 5’9”, 205 lb
• Blood pressure 165/100, pulse 76, respirations 20, temperature
98.8°F
• Palpable mass in right breast in upper outer quadrant
Diagnostic Studies
• Bilateral mammogram and ultrasound of right breast
Case Study Progress
R.M. goes to her follow-up visit and is told that the mammogram and
ultrasound show a 4-cm mass. She undergoes a core needle biopsy. The
results indicate that the mass is infiltrating lobular carcinoma. She
undergoes a lumpectomy and axillary lymph node dissection. Six of 15
axillary lymph nodes are positive for cancer. Two weeks after surgery, she
is being seen to discuss further treatment options.
Essay Questions
1. Briefly explain the types and pathophysiology of breast cancer. What
are R.M.’s risk factors for breast cancer?
R.M. tells you that she did not hear a word the doctor said after she
heard the words “positive lymph nodes.” R.M. asks why she has to
have chemotherapy and radiation and what they involve. How would
you respond?
3. In the older adult population describe what are the sensitive and
special considerations for physical examination and pharmacological
administration? What are the anatomical, psychological, and
physiological differences? What are the special considerations the
nurse should take when implementing the nursing process and
providing care for the older adult?
4. What classifications of Chemotherapy agents may be utilized for her
type of cancer, give examples
5. What are the special considerations and nursing management for this
elderly patient receiving radiation and chemotherapy treatment?
6. Explain the impact cancer has can have on her life, both
physiologically and psychosocially. What are some supportive
interventions for her and her family?
7. Discuss one priority nursing diagnosis, two expected outcomes in the
smart goal format, and two nursing interventions using the NANDA
format found in Nursing Diagnosis List.
8. Include how you will evaluate this problem’s plan in your conclusion
2.
Order an Essay Now & Get These Features For Free:
Turnitin Report
Formatting
Title Page
Citation
Outline
