part 1..Written Assignment- Nursing care of a Cancer patient

Competence

Explain principles of care for clients with oncological disorders.

Scenario

Anna is a 45-year-old female that presented to her physician’s office for her annual check-up. Anna has a history of diabetes, obesity, and noncompliance with diet and medications to control her diabetes. She a single mother of three teenagers and smokes regularly. During the history review, Anna shares with you that she has not been feeling like herself for the past six months, she has been unusually tired and thought that she felt a lump in her right breast during a self-breast exam around that same time. She stated, “I am very busy with my children; I haven’t had time to get it checked out.” She has recently been experiencing right nipple pain. Anna has a positive family history of breast cancer; both her mother and grandmother have been treated for breast cancer. Anna has never had a mammogram. During the breast examination, the practitioner palpated a lump in Anna’s right breast. No discharge from the nipple was observed. Anna’s right breast was tender upon palpation. No abnormalities were found in the left breast. Based on the physical findings Anna will undergo a diagnostic mammogram.

Instructions

In a 2-page paper, describe the care that Anna would require and address the questions below.

1. What risk factors does Anna have that could predispose her to the development of cancer?
2. What signs and symptoms could indicate that Anna has developed cancer?
3. Based on Anna’s risk factors and presenting problems, identify three care strategies that you would use to provide quality care to Anna. Provide rationale to explain why you chose these strategies.

PART 2; Multidimensional Care of the Cancer Patients

Discussion

Cancer is one of the leading causes of death in both men and women. Caring for the cancer patient and family requires a multidimensional approach.

What does it mean to provide a multidimensional approach? What are some examples of how the care team can meet the patient and the family’s needs? Who are the members of the care team and how are they involved in providing multidimensional care

PART 3; WRITTEN ASSIGHNMENT-ACID-BASE IMBALANCE

Competency

Describe strategies for safe, effective multidimensional nursing care for clients with acid-base imbalances.

Scenario

Tony is a 56-year-old, Hispanic male that presented to the Emergency Room with complaints of shortness of breath, which he has been experiencing for the past two days. He states “I haven’t felt good for about a week, but couldn’t afford to miss work.” He complains of a cough, fever, and feeling exhausted. Past medical history includes asthma, chronic obstructive pulmonary disease and diabetes. Upon physical examination, you notice that Tony is struggling to breathe, his respiratory rate is 36 breaths per minute and labored, heart rate 115 beats per minute, blood pressure 90/40 mm Hg, and his pulse oximetry is 84% on room air. You notify the MD. He orders oxygen at 4 L via NC and an arterial blood gas.

Tony’s ABG results:

pH 7.28
PaCO2 – 55 mm Hg
PaO2 – 70 mm Hg
HCO3 – 30 mEq/L

Instructions

In a 1-2 page Word document:

1. Determine Tony’s acid-base imbalance
2. Describe possible causes of the imbalance
3. Identify the signs and symptoms that Tony is exhibiting as a result of the acid-base imbalance
4. List the multidimensional care strategies that are appropriate for the care of Tony

PART 4; DISCUSSION -MULTIDIMENSIONAL CARE OF SARA

Sarah is a 69-year old female that presented to the emergency department with shortness of breath. Her past medical history includes heart failure and COPD. Her pulse oximetry on room air is 82%. You notify the provider, and he orders oxygen at 4 L via nasal canula NC. Sarah’s chest x-ray reveals bilateral pneumonia. Her arterial blood gas result are below:

pH	7.30
PaCO2	58 mm Hg
PaO2	78 mm Hg
HCO3	26 mEq/L

Sarah is admitted to a general medical floor. You are the nurse assigned to Sarah.

1. What potential problems can occur based on the above findings?
2. How would you provide multidimensional care for Sarah?
3. Describe the roles of other departments in Sarah’s treatment plan

PART 5. ASSIGNMENT- DIGESTIVE POSTER

Competency

Select appropriate nursing interventions for clients with lower gastrointestinal disorders.

Scenario

Patient and family education is important in increasing adherence. To provide education to patient and families, you are going to create a poster about a gastrointestinal disorder that will be displayed in a physician’s office.

Instructions

Please be sure to include the following in your poster design.

• Overview of the disorder
• Causes of the disorder
• Diagnostic tests to diagnosis the disorder
• Assessment findings
• Multidimensional nursing care interventions for the disorder

PART 6; ASSIGNMENT -ENDOCRINE DISORDERS CUIDE

Competency

Evaluate responses to nursing interventions for clients with endocrine disorders.

Scenario

You are working as a nurse supervisor. You are finding a lot of new nurses are unfamiliar with certain endocrine disorders. You have decided to put together a guide for these nurses to educate them on different endocrine diseases and provide them with ways to provide quality multidimensional care.

Instructions

Compare and contrast two endocrine disorders within the guide. Include the following information:

• Identify and compare the causes and diagnostic tests.
• Identify and compare the signs and symptoms of the disorder.
• Describe the nurses’ role in caring for a patient that suffers from this disorder to include the multidimensional aspects of nursing care.
• Identify how you will evaluate responses to the interventions taken for each disorder

part 7.discussion- Influence of Multidimensional Care Elements on Disorders

Disorders of the endocrine system affect many individuals. Providing multidimensional patient care can be challenging for patients experiencing these disorders. Ensuring the plan of care meets the patient and family needs is important in order to increase adherence to proper medical treatment following discharge.

What does it mean to provide a multidimensional approach? Provide at least three examples of how the care team can meet the patient and the family’s needs? List at least three care team members and how are they involved in providing multidimensional care?

PART8; REFLECTION

Initial Post

Describe how you achieved each course competency including at least one example of new knowledge gained related to that competency.

Describe how this new knowledge will impact your nursing practice.

Course Competencies

1. Explain principles of care for clients with oncological disorders.
2. Identify components of safe and effective nursing care for clients experiencing fluid and electrolyte imbalances.
3. Describe strategies for safe, effective multidimensional nursing care for clients with acid-base imbalances.
4. Select appropriate nursing interventions for clients with upper gastrointestinal disorders.
5. Select appropriate nursing interventions for clients with lower gastrointestinal disorders.
6. Evaluate responses to nursing interventions for clients with endocrine disorders.