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Clinical Integration Case Analysis

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The patient is a 57 year old female who was diagnosed with Stage IIIC Ovarian Cancer. Stage IIIC means that the tumor is in one or both of the ovaries and it has spread to the lymph nodes and/or deposits of the cancer exceed 2cm in diameter in the abdomen (ovarian.org). At 57 years of age, she should be in Erickson’s Generativity vs. Stagnations stage of psychosocial development. During this she should be focused on her impact on the next generation. For many this is how they have impacted their children but she does not have any children. Due to her depression and recent diagnosis of ovarian cancer, she is at risk for feeling that she has failed at this part of her life. She has voiced disappointment that she was not able to have children. Her painting through has been her main focus throughout life. This will give her life the meaning that should help her to move from this stage to the next as she ages.

She and her husband have no children, although it is listed in her chart that she is G1P0010 which means that she had one abortion before 20 weeks gestation which was either spontaneous or elective. The cancer was discovered due to her having a three week history of bloating, abdominal pain, and early satiety. These have been leading to a gradual onset in discomfort during bowel movements and urge tenesmus symptoms, which is the urge to have a bowel movement even if the bowels have recently been emptied. The patient denies noticing any bright red blood from her rectum and mucus, but she did acknowledge that there is an objective decrease in caliber of stool. She also stated that she was having night sweats without fevers. She self palpated a mass that was confirmed by palpation from her husband. A CT was performed ...

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