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Lymphoma Case Study Essay

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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. …show more content…

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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