Health: The Basics (13th Edition)
13th Edition
ISBN: 9780134709680
Author: Rebecca J. Donatelle
Publisher: PEARSON
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Chapter 13, Problem 7TAI
What can you do to reduce your cancer risks? What risk factors do you share with family members?
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Mary is a 58-year-old hospice resident with end-stage cancer. She has been very positive about her cancer for the past several months; however, within the last two weeks, she has had a lot of weight loss despite eating all her meals. Mary has become withdrawn and refuses to interact with staff or residents. Mary’s daughter tells you that her mom just needs to eat more and that she will get better if she gains weight.
What quality of life measures can you assist Mary within her remaining time? Consider the specific type of care she would receive.
Describe the difference between hospice care and palliative care. Define the terms as well.
Bill, 85 yo dx with terminal cancer wants to live, worried about the quality of life
Options:
Chemotherapy extends life 2-3 years ($100,000/year)
New cancer rx extends life 5 years ($400,000/year)
Sell everything would only have enough $ for 1 year of new drug
Chemo would cost $300,000 for 3 yrs
New rx cost $2 million
Can you please expand on why males have a higher chance of getting stomach cancer versus women? Thanks!
Chapter 13 Solutions
Health: The Basics (13th Edition)
Ch. 13 - How do we determine whether a behavior or...Ch. 13 - Do you think that there should be legislation...Ch. 13 - Prob. 3WDYTCh. 13 - Prob. 4WDYTCh. 13 - Prob. 5WDYTCh. 13 - Prob. 1PQCh. 13 - Prob. 2PQCh. 13 - Prob. 3PQCh. 13 - LO 4 | Reducing Your Risks 4. Which of the...Ch. 13 - Prob. 5PQ
Ch. 13 - Prob. 6PQCh. 13 - When cancer cells have metastasized, a. they have...Ch. 13 - One of the biggest factors in increased risk for...Ch. 13 - Prob. 9PQCh. 13 - Prob. 10PQCh. 13 - Prob. 1TAICh. 13 - Prob. 2TAICh. 13 - Why do some populations have higher rates of CVD...Ch. 13 - Prob. 4TAICh. 13 - Prob. 5TAICh. 13 - What accounts for the improvement in 5-year...Ch. 13 - What can you do to reduce your cancer risks? What...Ch. 13 - What are the differences between carcinomas,...Ch. 13 - Prob. 9TAICh. 13 - Do any of your primary relatives (parents,...Ch. 13 - Prob. 2AYCh. 13 - Prob. 3AYCh. 13 - Prob. 4AYCh. 13 - Prob. 5AYCh. 13 - Prob. 6AYCh. 13 - Prob. 7AYCh. 13 - Prob. 8AYCh. 13 - Prob. 9AYCh. 13 - Prob. 10AYCh. 13 - Prob. 11AYCh. 13 - Prob. 12AYCh. 13 - Prob. 13AYCh. 13 - Prob. 14AYCh. 13 - Prob. 15AYCh. 13 - Prob. 16AYCh. 13 - Prob. 1PQACh. 13 - Prob. 2PQACh. 13 - Prob. 3PQA
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- What kinds of legal issues do you think stem cell research and genetic therapies will present int he coming years?arrow_forwardWhat are your thoughts on the use of alternative therapies vs prescription drugs.arrow_forwardAre the dollars put into end-of-life care the most cost-effective way to allocate our scarce medical care resources?arrow_forward
- If you had cancer, would you donate tissue samples to this project? Would you want to know about privacy issues and the possible release of parts of your medical records?arrow_forwardJohn Randolphs cancer went into ________________. Although this is not a cure, his symptoms disappeared and he felt much better.arrow_forwardShould he reconsider and try chemotherapy instead? Bruce and his parents moved to a semi-tropical region of the United States when he was about 3 years old. He loved to be outside year-round and swim, surf, snorkel, and play baseball. Bruce was fair-skinned, and in his childhood years, was sunburned quite often. In his teen years, he began using sunscreens, and although he never tanned very much, he did not have the painful sunburns of his younger years. After graduation from the local community college, Bruce wanted an outdoor job and was hired at a dive shop. He took people out to one of the local reefs to snorkel and scuba dive. He didnt give a second thought to sun exposure because he used sunscreen. His employer did not provide health insurance, so Bruce did not go for annual checkups, and tried to stay in good health. In his late 20s, Bruce was injured trying to keep a tourist from getting caught between the dive boat and the dock. He went to an internist, who treated his injury and told Bruce he was going to give him a complete physical exam. During the exam, the internist noticed a discolored patch of skin on Bruces back. She told him that she suspected Bruce had skin cancer and referred him to a dermatologist, who biopsied the patch. At a follow-up visit, Bruce was told that he had melanoma, a deadly form of skin cancer. Further testing revealed that the melanoma had spread to his liver and his lungs. The dermatologist explained that treatment options at this stage are limited. The drugs available for chemotherapy have only temporary effects, and surgery is not effective for melanoma at this stage. The dermatologist recommended that Bruce consider entering a clinical trial that was testing a DNA vaccine for melanoma treatment. These vaccines deliver DNA encoding a gene expressed by the cancer cells to the immune system. This primes the immune system to respond by producing large quantities of antibodies that destroy melanoma cells wherever they occur in the body. A clinical trial using one such DNA vaccine was being conducted at a nearby medical center, and Bruce decided to participate. At the study clinic, Bruce learned that he would be in a Phase Ill trial, comparing the DNA vaccine against the standard treatment, which is chemotherapy, and that he would be randomly assigned to receive either the DNA vaccine or the chemotherapy. He was disappointed to learn this. He thought he would be receiving the DNA vaccine.arrow_forward
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