Care Study for a Patient with Ovarian Cancer Taneesha Rodriguez Northeastern Junior College
Care Study for a Patient with Ovarian Cancer
As a nurse, in order to take care of a patient, you should always be familiar with their disorders. Their disorders affect how to properly take care of the patient. This includes knowing a summary of the disorder they have and the medical management that takes place for the disorder. Once you have an accurate description of the disorder and a patient’s baseline assessment you can properly write up a care plan for the patient. The following will include a description of the disorder, the medical management for the disorder, a care plan for a patient diagnosed
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Around the world, more than 200,000 women are estimated to develop ovarian cancer every year and about 100,000 die from the disease. The lifetime risk of a woman developing epithelial ovarian cancer is one in seven. Most theories of the pathophysiology of ovarian cancer include the concept that it begins with the dedifferentiation of the cells overlying the ovary. During ovulation, these cells can be incorporated into the ovary, where they then proliferate. Ovarian cancer typically spreads to the peritoneal surfaces and omentum. The precise cause of ovarian cancer is unknown, but several risk and contributing factors have been identified. These include the following: age, obesity, drug or alcohol abuse, diet, hormone therapy, women without children and women who had early menarche or late menopause. Early ovarian cancer causes minimal, nonspecific, or no symptoms. Most cases are diagnosed in an advanced stage. Epithelial ovarian cancer presents with a wide variety of vague and nonspecific symptoms, including the following: bloating, abdominal distention or discomfort, pressure effects on the bladder and rectum, constipation, vaginal bleeding, indigestion and acid reflux, shortness of breath, tiredness, weight loss, and early …show more content…
It is usually found in later stages and there is usually a similar process in diagnosis. Since it is found in later stages, weight loss begins and the tumors are usually palpable. A gynecologist will perform a pelvic exam to try and feel for possible masses. Masses are not always found though. The two diagnostic tests used most often to screen for ovarian cancer are transvaginal ultrasound (TVUS) and the CA-125 blood test. The TVUS is a test that uses sound waves to look at the uterus, fallopian tubes, and ovaries by putting an ultrasound wand into the vagina. It can help find and measure a mass in the ovary, but it can't actually tell if a mass is cancer or benign. CA-125 is a protein in the blood. In many women with ovarian cancer, levels of CA-125 are high. This test can be useful as a tumor marker to help guide treatment in women known to have ovarian cancer, because a high level often goes down if treatment is working. The next step after the tumor is found is surgery to remove the tumor and any other organs that are possibly cancerous around it. After surgery chemotherapy may be necessary to kill off any other possible cancerous
In nursing, the patient is often viewed as the main priority of the nursing staff. The nurse works to provide care for the patient based on the patient 's admitting diagnosis. However, the patient must be looked at as a part of the greater system they exist in such as their family or home environment. While the patient may be ill due to a bacterial infection or virus, their family environment also plays a role in their overall health and wellness.
At the multidisciplinary meeting, the nurse will collect and assess the information provided by the other disciplines and family members stating that the patient is not at her prior level of functioning and then analyze the information to develop a diagnosis of deconditioning. Next, the nurse identifies outcomes for the patient to get stronger, achieve prior level of function, have activities of daily living (ADL’s) met in a safe environment by planning for home health, equipment, and 24/7 supervision through family or placement in a facility. This will be implemented by coordinating delivery of a walker and a 3 in 1 chair prior to discharge to daughter’s home with the home health agency nurse, physical therapist, and aide scheduled to start that day. In a week, the nurse evaluates that outcomes are being met by following up with patient, daughter, and home health agency evaluating that the patient is getting stronger, ADL’s are being met, and will soon be able to return to living independently. To achieve these standards of practice, every nurse should be aware of her own nurse practice act to ensure to be functioning with in the laws of the nurse’s state and to ensure the best outcomes and safety of the patients. In closing, it is every nurses duty to be the best nurse they are capable of being by looking at the scope of nursing practice which gives us the framework to achieve
Client is fully aware that completion of the assigned therapy program is strongly encouraged to be released from skilled nursing with a low possibility for retention or return. He presented with mild cognitive impairment and respiratory failure. Client demonstrated an adequate understanding of his condition and treatment recommendations. Client identified his older sister, niece and daughter as primary caregivers and supporters in case of financial or medical emergency. Client noted older sister as most significantly attentive to his needs. A care plan meeting was scheduled to meet with members of his immediate support system. Client medication upkeep will be closely and frequently monitored as he is on serious life sustaining medicines which need to be administered in a timely manner. Frequent rounds to client room, and follow-up assessments will be conducted and documented to track progress of respiratory rehabilitation. Rehabilitation will include nutritional, recreational, basic breathing and exercise training, specialized care targeting acute care needs. Client is new to the older adult living community therefore care planning will also include and attend to acclimation to daily living at a skilled nursing
A team led by RN, should mentally prepare their patients to understand their responsibility towards good health. This can be done by showing them special documentaries during their stay in the hospital, in a common room where other patients can also join them in a group of six to twelve. After the session, patients should be given a short comments form with multiple choice answers (Appendix A). The purpose is to check their positivity towards the message conveyed through the documentary. At this time patient's vitals should be checked and recorded for the future
It is associated with a higher risk of pregnancy complications and certain ovarian cancers. Due to the importance of this condition, it is critical that patients understand its causes, symptoms, and treatment. By the end of this article, you will have the answers to these essential questions:
...r investigation and then devise a plan for best possible action recognizing the rights of the patient and its benefits followed by the application of the chosen intervention with positive outcome in mind (Wells, 2007). Delivery of excellent and quality of care at constant level (NMC, 2008) must be marked in any responsibilities and duties of the care provider to promote exceptional nursing practice
Over the years, the fight against ovarian cancer has proven to be even more difficult due to the cancer being asymptomatic at its early stages. For this reason, there are constantly late diagnoses made on women who unfortunately develop this cancer (Stack).... ... middle of paper ... ...
As a nurse, it is important to address the needs of a patient during care. These needs are unique to each individual and personalizing it, enable the patients to feel truly cared about. It is important to be educated about these needs as the patients and their families look to you as a guide; therefore, education on things w...
The nursing process is one of the most fundamental yet crucial aspects of the nursing profession. It guides patient care in a manner that creates an effective, safe, and health promoting process. The purpose and focus of this assessment paper is to detail the core aspects of the nursing process and creating nursing diagnoses for patients in a formal paper. The nursing process allows nurses to identify a patient’s health status, their current health problems, and also identify any potential health risks the patient may have. The nursing process is a broad assessment tool that can be applied to every patient but results in an individualized care plan tailored to the most important needs of the patient. The nurse can then implement this outcome oriented care plan and then evaluate and modify it to fit the patient’s progress (Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P., 2011). The nursing process prioritizes care, creates safety checks so that essential assessments are not missing, and creates an organized routine, allowing nurses to be both efficient and responsible.
ANA describes “The Scope of Nursing Practice (as) the “who,” “what,” “where,” “when,” “why,” and “how’ (8).’ In other words, it is the responsibility of the nurse to know who their patient is, what the patient’s diagnosis and treatment are, where it is they will be delivering treatment, the rationale behind their actions, and how they will deliver the care. By following the scope of practice, nurses reduce avoidable errors and are aware of the liability their actions entail. The ANA also puts forth a nursing process to guide nurses in treatment. The constantly evolving process is currently assessment, diagnosis, identification of outcomes, planning, implementation, and evaluation (ANA 9). Though this method has dramatically improved nursing care, it may be necessary to repeat steps to adapt to a patient’s changing needs and pathologies. By following guidelines set by the ANA, nurses are able to better connect with their patients and instill the image of professionalism to the public while also optimizing safety
To ensure quality nursing care, I will make sure that I communicate adequately with patients by spending time with them and get to know them further instead of just doing nursing tasks. I will also provide information to patients about their illness or condition including treatments and medication. I will also gain consent before undertaking any tasks or procedures with patients thereby giving them choice.
A patient’s treatment needs may differ widely based on stage of their illness experience. Treatment for a newly diagnosed, moderately ill patient may be very different than the treatment of an end stage, seriously ill patient. In addition, working with patients in various settings as a part of their multi-disciplinary team requires an added consideration of the approach to the staff in the setting. Each patient care setting has a culture of it’s own and requires that a clinician be mindful of how to work with the staff as well as the patient in that particular
Care planning is one of these tasks, as expressed by, RNCentral (2017) in “What Is a Nursing Care Plan and Why is it Needed?” it says, “Care plans provide direction for individualized care of the client.” A care plan is for an individual patient and unique for the patient’s diagnosis. It is a nurse’s responsibility to safely administer a patient’s medication prescribed by the doctor. Colleran Michelle Cook (2017) in “Nurses’ Six Rights for Safe Medication Administration,” she says, “The right patient, the right drug, the right dose, the right route and the right time form the foundation from which nurses practice safely when administrating medications to our patients in all health care settings.” Nurses must be safe when dealing with medications, and making sure they have the right patient. Nurses document the care that is given to their patient, as said by, Medcom Trainex (2017) in “Medical Errors in Nursing: Preventing Documentation Errors,” it states, “Nurses are on the front lines of patient care. Their written accounts are critical for planning and evaluation of medical interventions and ongoing patient care.” Nurses must provide an exact, complete, and honest accounts of everything that happens with a patient. Doing this allows for the proper evaluation, and medical interventions for the patient. The typical tasks a nurse involves care planning, administration of treatments and medication, and documenting the care given to a
The exact cause of endometrial cancer is unknown, but there are many risk factors that lead to what causes this cancer to grow rapidly, killing off thousands of women each yea. Endometrial cancer is usually found in women in the ages of 50s or 60s. Women, who are obese, fifty pounds over their ideal weight, are ten times greater at risk than women that are not obese. Body fat produces estrogen and the higher level of estrogen is believed to increase the risk of cancer. This is believed because women with excess fat have higher levels of estrogen. Women that have not been pregnant are at three time’s higher risk. Women who have their p...
Listening to your Patient's Concerns about his or her Ability to Follow the Regimen. Nurses can recognize concerns of patients, such as cost of their medications or confusion about the similarities in color of their medications, the names of the medications which are not easy to remember, and the timing of dosage. The nurse will then help the patient seek support in that area of concerns raised by encouraging the patients to call their