Case Study
Hodgkin’s Disease
Setting: Outpatient clinic
Index Words: Hodgkin’s disease, cancer, assessment, radiation therapy, diagnostic tests, symptom management
Scenario
A.T. is a 21-year-old college student. He works part-time as a manual laborer, uses half a can of smokeless tobacco each week, and drinks a six-pack of beer on the weekend. A year ago in September, he discovered a small, painless lump in his lower left neck. Over the quarter, he experienced increasing fatigue and a 10-pound weight loss that he attributed to “working and studying too hard.” In the spring he saw a nurse practitioner at the student health center who immediately referred him to an oncologist. A lymph node biopsy revealed Hodgkin’s disease.
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You have developed a good relationship with A.T. during the multiple visits required for his radiation therapy. He shares some futuristic goals and says, “What are the chances that I will beat this cancer?” Respond to A.T.’s request
It varies from person to person depending on how one responds to the treatment, but I assure you that the doctors are going to do everything they can to help you beat this. But also stage 1 or 2 has a greater outlook.
Other kinds of cancer may occur many years later as a result of the toxic effects of earlier treatment. This is one reason why cancer specialists are reluctant to use the word “cured.”
6. What other issues of survivorship may affect patients like A.T. (e.g., insurance, employability)? An uncontrollable situation that may affect A.T is stress, tobacco use, and alcohol use.
7. How and what are you going to counsel and teach A.J. about potential sterility/infertility side effects of treatment?
Explain to him that it does not happen to everyone but if this situation is to occur, it can be much easier for males than for females ahead of time. This is due to the fact that doctors are able to collect a sperm sample and the freeze male’s sperm for use at a later date.
8. Six weeks into therapy A.T. drags himself into the clinic one Friday, drops into a chair, and wearily states, “I’m quitting. If this is what life is like, it’s not worth
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Lymphoma or lymphatic cancer is a very serious and life threatening disease. In this country there is an estimated 63,900 new cases, 7,100 of which are Hodgkin’s lymphoma as opposed to non-Hodgkin’s lymphoma. Since around the 70’s the occurrence of non-Hodgkin’s lymphoma has almost doubled while the occurrence of Hodgkin’s disease has declined. (Steen, 1993)
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Nearly 14.5 million Americans have had a history stint with some type of cancer and were still alive on January 1, 2014(American Cancer Society, 2016). There will be an estimated 1,685,210 new cancer cases and 595, 590 deaths in 2016 attibuted to caner in the U.S. (American Cancer Society,2016 ) Those astonishing numbers do not even account for the cancer patients family and friends whose lives are also affected this horrific disease. In order to get a glimpse of what a cancer patient has to go though, I decided to read Stuart Scott’s memoir, Every Day I Fight, by Larry Platt. He is an ESPN anchor that was diagnosed with a rare form of Appendiceal Cancer. It was a great book, and wanted to discuss the merits this book had on showing what
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“’So what’s your story?’” she then then replies “’I already told you my story. I was diagnosed when-‘” He interrupts and says “’No, not your cancer story. Your story. Interests, hobbies, passions, etcetera… Don’t tell me you’re one of those people who becomes their disease. I know so many people like that. It’s disheartening. Like cancer is in the growth business, right? The taking-people-over business. But surely you haven’t let it succeed prematurely’” (Green, 32).
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Treatments are a long process, depending on what stage you’re in will indicate how long your treatment may take.
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