Rachel Clements is a 42-year-old mother of two, Sarah, age 12, and Jennifer, age 18. Because of a family history of breast cancer, she has been closely monitored for 4 years prior to her diagnosis. Mrs. Clements discovers a lump in her left breast during her monthly BSE. An incisional biopsy reveals invasive lobular carcinoma in the left breast. Mrs. Clements is debating whether to have reconstructive breast surgery. Her oncologist has recommended a 6-month course of adjuvant chemotherapy, and she is concerned about side effects. She is afraid that recovering from the mastectomy and completing the chemotherapy regimen will limit her ability to keep her part-time job, complete her academic work, and continue to meet the needs of her daughters. Also, this breast cancer diagnosis seems part of the family legacy. She wonders, “When will it happen to Jennifer? To Sarah?”. Physical assessment findings include T 98.5°F (37.0°C), BP 110/62, P 65, R 14. Her weight is 120 lb (54 kg); she is 66 inches (168 cm) tall. Discussion Questions: Aside from the initial nursing diagnosis identified, identify another actual problem that the patient may also be experiencing. Devise a teaching plan to address the client’s problem.
Rachel Clements is a 42-year-old mother of two, Sarah, age 12, and Jennifer, age 18. Because of a family history of breast cancer, she has been closely monitored for 4 years prior to her diagnosis. Mrs. Clements discovers a lump in her left breast during her monthly BSE. An incisional biopsy reveals invasive lobular carcinoma in the left breast. Mrs. Clements is debating whether to have reconstructive breast surgery. Her oncologist has recommended a 6-month course of adjuvant chemotherapy, and she is concerned about side effects. She is afraid that recovering from the mastectomy and completing the chemotherapy regimen will limit her ability to keep her part-time job, complete her academic work, and continue to meet the needs of her daughters. Also, this breast cancer diagnosis seems part of the family legacy. She wonders, “When will it happen to Jennifer? To Sarah?”. Physical assessment findings include T 98.5°F (37.0°C), BP 110/62, P 65, R 14. Her weight is 120 lb (54 kg); she is 66 inches (168 cm) tall. Discussion Questions: Aside from the initial nursing diagnosis identified, identify another actual problem that the patient may also be experiencing. Devise a teaching plan to address the client’s problem.
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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Rachel Clements is a 42-year-old mother of two, Sarah, age 12, and Jennifer, age 18. Because of a family history of breast cancer, she has been closely monitored for 4 years prior to her diagnosis. Mrs. Clements discovers a lump in her left breast during her monthly BSE. An incisional biopsy reveals invasive lobular carcinoma in the left breast. Mrs. Clements is debating whether to have reconstructive breast surgery. Her oncologist has recommended a 6-month course of adjuvant chemotherapy, and she is concerned about side effects. She is afraid that recovering from the mastectomy and completing the chemotherapy regimen will limit her ability to keep her part-time job, complete her academic work, and continue to meet the needs of her daughters. Also, this breast cancer diagnosis seems part of the family legacy. She wonders, “When will it happen to Jennifer? To Sarah?”. Physical assessment findings include T 98.5°F (37.0°C), BP 110/62, P 65, R 14. Her weight is 120 lb (54 kg); she is 66 inches (168 cm) tall.
Discussion Questions:
- Aside from the initial nursing diagnosis identified, identify another actual problem that the patient may also be experiencing. Devise a teaching plan to address the client’s problem.
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