Essay on Breast Cancer Case Study - 642 Words

Luis F Vega Jr NUR 1211 Breast Cancer Case Study Mrs. Thomas, a 57 year old married lawyer, was found to have a 4 X 6 cm firm, fixed mass in the upper, outer quadrant of the right breast during a routine physical examination, and a stereotactic core biopsy indicated a malignant tumor. Although the surgeon recommended a mastectomy because of the size of the tumor, Mrs. Thomas chose to have a lumpectomy. Now three weeks postoperative, she is scheduled for chemotherapy. Subjective Data Never had a routine mammogram Never practiced Breast Self-Examination (BSE) States she deserves to have breast cancer for being so careless about her health Chose to have a lumpectomy to remove the tumor despite its large size because she believes†¦show more content†¦What can the nurse do to help Mrs. Thomas reduce or manage the common physical effects of the chemotherapy? Nausea Vomiting - anti-emetic drug, eat and drink slowly, drinking enough fluids Mouth sores (Mucositis) – OTC anesthetics, ice chips or popsicles, gargling Diarrhea - drink plenty of fluids, high-protein foods, cooked vegetables, fresh fruits without the skin Hair loss - wear some kind of head covering (scarf, turban, hat, or wig) 4. What does the finding that Mrs. Thomas’s tumor is estrogen receptor-positive mean? What additional treatment modalities might this suggest? This means that estrogen, but not progesterone, may be supporting the growth and spread of the cancer cells. Your doctor usually will prescribe some form of hormonal therapy at some point in your treatment plan. 5. How could the nurse help Mrs. Thomas cope with her feelings of guilt and maintain a positive relationship with her husband? The nurse could listen to and explore Mrs. Thomas’s feeling of guilt. Inform her about support groups and counseling that are available in her area. 6. What are some possible reasons that Mrs. Thomas did not perform BSE or have mammography performed? Not confident in the technique of BSE Fear that something may be found Losing her sexual identityShow MoreRelatedBreast Cancer Case Study929 Words   |  4 PagesIn the present study, we found that rate of pCR to neoadjuvant chemotherapy was 24.7% (n=25) in the whole cohort (n=101). This finding was consistent with the range of pCR rates to prospective randomized trials of preoperative chemotherapy of 15%-40% mentioned in the literature (Burstein et al., 2008). Moreover, high Ki-67 expression (cutoff 14%) was significantly correlated with achieving a pCR in the large cohort (p=0.016). This result matched with the finding of several studies that reported thatRead MoreBreast Cancer Case Study1234 Words   |  5 Pagesultimately lead to the progression of oral cancer. 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