Case Study: Renata is a resident at the Calypso Aged Care Home. Two years ago, she was diagnosed with advanced bowel cancer and received three intensive cycles of chemotherapy treatment after undergoing a bowel resection to create a permanent colostomy. Renata was aware that her cancer was incurable but with the help of her husband, she remained well and enjoyed a reasonable quality of life. At the end of last year Renata’s husband passed away suddenly. Following his death she became socially isolated and found it increasingly difficult to care for herself. With her children’s support she moved into Calypso. Not long after settling into Calypso, Renata began experiencing right-sided chest and upper abdominal pain. Following further investigations, Renata’s oncologist, Rajesh, advises that the cancer has metastasised to her right lung, liver, and bones. He advises Renata to consider palliative chemotherapy as it may manage her disease symptoms and possibly prolong her life. Renata’s son, Alejandro, is at the consultation and tells Rajesh he wants his mother ‘to do everything possible and keep fighting it’. Renata reluctantly agrees to schedule chemotherapy for later that week. After the appointment, Renata returns to Calypso and reflects on her diagnosis. She is fatigued, and feels that her strength is deteriorating due to her age and conditions. She previously experienced severe side effects from chemotherapy and understands the palliative treatment will only temporarily extend her life but not cure her condition. Later that week, Alejandro takes Renata to her appointment where she advises Rajesh that after much careful thought she does not want chemotherapy, and would prefer to focus on spending the time she has left with her family. Alejandro becomes extremely distressed and demands that Rajesh ‘make my mother have the chemo!’. Answer the following questions: What is Diagnosis? What is the Prognosis? What is Treatment? Any Medical History? What are the Goals of Care & Quality of Life? Evaluation of the Patient Situation?
Case Study: Renata is a resident at the Calypso Aged Care Home. Two years ago, she was diagnosed with advanced bowel cancer and received three intensive cycles of chemotherapy treatment after undergoing a bowel resection to create a permanent colostomy. Renata was aware that her cancer was incurable but with the help of her husband, she remained well and enjoyed a reasonable quality of life. At the end of last year Renata’s husband passed away suddenly. Following his death she became socially isolated and found it increasingly difficult to care for herself. With her children’s support she moved into Calypso. Not long after settling into Calypso, Renata began experiencing right-sided chest and upper abdominal pain. Following further investigations, Renata’s oncologist, Rajesh, advises that the cancer has metastasised to her right lung, liver, and bones. He advises Renata to consider palliative chemotherapy as it may manage her disease symptoms and possibly prolong her life. Renata’s son, Alejandro, is at the consultation and tells Rajesh he wants his mother ‘to do everything possible and keep fighting it’. Renata reluctantly agrees to schedule chemotherapy for later that week. After the appointment, Renata returns to Calypso and reflects on her diagnosis. She is fatigued, and feels that her strength is deteriorating due to her age and conditions. She previously experienced severe side effects from chemotherapy and understands the palliative treatment will only temporarily extend her life but not cure her condition. Later that week, Alejandro takes Renata to her appointment where she advises Rajesh that after much careful thought she does not want chemotherapy, and would prefer to focus on spending the time she has left with her family. Alejandro becomes extremely distressed and demands that Rajesh ‘make my mother have the chemo!’. Answer the following questions: What is Diagnosis? What is the Prognosis? What is Treatment? Any Medical History? What are the Goals of Care & Quality of Life? Evaluation of the Patient Situation?
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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Question
Case Study:
Renata is a resident at the Calypso Aged Care Home. Two years ago, she was diagnosed with advanced bowel cancer and received three intensive cycles of chemotherapy treatment after undergoing a bowel resection to create a permanent colostomy. Renata was aware that her cancer was incurable but with the help of her husband, she remained well and enjoyed a reasonable quality of life.
At the end of last year Renata’s husband passed away suddenly. Following his death she became socially isolated and found it increasingly difficult to care for herself. With her children’s support she moved into Calypso.
Not long after settling into Calypso, Renata began experiencing right-sided chest and upper abdominal pain. Following further investigations, Renata’s oncologist, Rajesh, advises that the cancer has metastasised to her right lung, liver, and bones. He advises Renata to consider palliative chemotherapy as it may manage her disease symptoms and possibly prolong her life. Renata’s son, Alejandro, is at the consultation and tells Rajesh he wants his mother ‘to do everything possible and keep fighting it’. Renata reluctantly agrees to schedule chemotherapy for later that week.
After the appointment, Renata returns to Calypso and reflects on her diagnosis. She is fatigued, and feels that her strength is deteriorating due to her age and conditions. She previously experienced severe side effects from chemotherapy and understands the palliative treatment will only temporarily extend her life but not cure her condition.
Later that week, Alejandro takes Renata to her appointment where she advises Rajesh that after much careful thought she does not want chemotherapy, and would prefer to focus on spending the time she has left with her family. Alejandro becomes extremely distressed and demands that Rajesh ‘make my mother have the chemo!’.
Answer the following questions:
What is Diagnosis?
What is the Prognosis?
What is Treatment?
Any Medical History?
What are the Goals of Care & Quality of Life?
Evaluation of the Patient Situation?
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