MRS WHITNEY BREAST CANCER CASE STUDY
Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages To Order 5-10 Pages Description/Paper Instructions
Mrs. Whitney
SOCIOECONOMIC
Married; mother of two children (ages 12 and 10 years old)
SPIRITUAL/RELIGIOUS
PHARMACOLOGIC
Tamoxifen citrate
LEGAL
ETHICAL
ALTERNATIVE THERAPY
PRIORITIZATION Emotional support and patient advocacy
DELEGATION
Collaboration and referral to comprehensive breast center and Reach for Recovery
Overview: The client in this case requires nursing support during the diagnostic phase of breast cancer. Nursing care for the pre- and postoperative client is discussed. Priority nursing diagnoses in the postoperative period are identified. The use of tamoxifen after surgery is explained and the purpose of a port-a-cath device is reviewed. The nurse must provide discharge instructions and referral for ongoing rehabilitation and support.
Client Profile
Mrs. Whitney is a 45-year-old woman who noticed a lump in her left breast during her monthly breast self-exam two weeks ago. She made an appointment with her gynecologist who documents “a fixed round lump with irregular borders palpated in the upper outer quadrant of left breast at 2:00. Left axillary edema noted. There is symmetry of the breasts with no puckering or nipple discharge. The client denies pain.” Mrs. Whitney began having her menstrual period at 10 years of age. She has two children, both of whom she breastfed for approximately twelve months. Mrs. Whitney’s oldest sister died of breast cancer. Mrs. Whitney has a diagnostic mammogram and a fine-needle aspiration biopsy. It is determined that she has stage II breast cancer.
Case Study
Mrs. Whitney will have a lumpectomy with lymph node dissection (partial mastectomy). A Jackson-Pratt (JP) drain will be in place postoperatively. Following surgery, tamoxifen is prescribed.
Questions
- Discuss the best time of the month to perform breast self-examination (BSE).
- What factors placed Mrs. Whitney at greater risk for the development of breast cancer? Discuss the risk factors associated with Mrs. Whitney’s ethnicity.
- Whitney’s past medical history is “gravida 2, para 2.” Explain what these terms indicate.
- Discuss the priority nursing intervention prior to Mrs. Whitney’s biopsy and immediately following diagnosis.
- The nurse is teaching Mrs. Whitney how to use an incentive spirometer (IS). How will the nurse tell Mrs. Whitney to use the IS, and what will the nurse explain as the rationale for IS use postoperatively?
- Whitney is discharged from the post-anesthesia care unit (PACU) following her lumpectomy and lymph node dissection. Now that she is in your care on the nursing unit, discuss what you will assess.
- Identify five postoperative nursing diagnoses to consider for Mrs. Whitney. List the diagnoses in order of priority.
- In the immediate postoperative period prior to removal of the Jackson-Pratt (JP) drain, how should the nurse assist Mrs. Whitney to position her left arm?
- The nurse hangs a sign above Mrs. Whitney’s bed to alert other members of the health care team about interventions to maintain Mrs. Whitney’s safety and prevent complications of her surgery. Discuss what the sign should say.
- The nurse gives Mrs. Whitney contact information for “Reach to Recovery.” Discuss the support services available through this program.
- Whitney is going home today. The nurse is teaching her about possible complications of her surgery. Explain what lymphedema is, the chances of developing lymphedema, and its manifestations. Identify at least two other complications the nurse will include in the discharge teaching.
- Discuss why tamoxifen is prescribed as part of Mrs. Whitney’s treatment plan.
- Whitney asks about the adverse effects of tamoxifen. Create a list of the possible common and potentially life-threatening adverse effects of this medication. What instructions should you include regarding sexual activity?
RUBRIC
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. The can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper. GET THIS PROJECT NOW BY CLICKING ON THIS LINK TO PLACE THE ORDER
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