For this discussion, your instructor will assign you to Patient A or Patient B.

Question

For this discussion, your instructor will assign you to Patient A or Patient B. Patient A is a 22-year-old female survivor of Stage II Hodgkin lymphoma treated with radiation and chemotherapy. Patient B is a 60-year-old male survivor of colon cancer treated with a colon resection and sigmoid colostomy, chemotherapy, and radiation therapy. For your assigned patient: Identify 2 interventions the nurse will include on the survivorship plan of care that will address health promotion and management of comorbid conditions. Provide a rationale for each intervention. Identify another member of the interprofessional team that could play a role in the cancer survivorship care for this patient. Explain the role of this interprofessional team member.

Explanation / Answer

Nursing interventions for Stage II Hodgkin lymphoma treated with radiation and chemotherapy:

Description

Causes/Risk Factors

The reason for Hodgkin's malady is obscure. Numerous specialists have suspected an irresistible segment. A portion of the early side effects incorporate fever, chills, and leukocytosis, as though a viral contamination were available. Quality sections like those of a murine leukemia infection have been found in Hodgkin's tissue. Specifically, higher than common Epstein-Barr antibodies have been found in numerous Hodgkin's patients, and a little increment in Hodgkin's occurrence has been found in individuals who have had the Epstein-Barr– actuated illness, irresistible mononucleosis. A few people who have lessened insusceptible frameworks, for example, those with AIDS and organ transplant patients, are likewise at a higher hazard for Hodgkin's ailment.

Assessment:

Confirm diagnosis:

Essential Nursing Diagnosis

Pharmacologic Interventions:

Restorative Management

Surgical Interventions:

Nursing Interventions:

Documentation Guidelines

Discharge and Home Healthcare Guidelines

Despite the fact that they are cured of the disease,patients who survive Hodgkin's sickness keep on having insusceptible deformities that endure all through life. Imperfections incorporate transitorily discouraged immune response creation, diminished polymorphonuclear chemotaxis, diminished antigen-instigated T-cell proliferation,and changes in deferred extreme touchiness. Combined with the occasionally waiting eventual outcomes of radiation and chemotherapy, the patient needs to keep up contamination watchfulness even after abatement is gotten. Educate the patient long lasting techniques to keep away from disease. Patients may have different inconveniences for up to 25 years after mantle radiation treatment, including hypothyroidism, Graves' disease, and thyroid malignancy. Light can likewise cause aspiratory and pericardial fibrosis and coronary course changes, and it might expand the hazard for the advancement of strong tumors, for example, lung cancer, breast cancer, and others. Clarify the showing side effects of the disorder, provide composed data for the patient, and urge yearly physicals to keep up development. Since fruitlessness might be a complexity of chemotherapy, men might need to consider sperm keeping money before medications, albeit numerous have sperm brokenness at diag.

Nursing interventions for colon cancer treated with a colon resection and sigmoid colostomy, chemotherapy, and radiation therapy:

Nursing Interventions: Colorectal Cancer

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