The Role Of Commitment For Caring : Roach

What is breast cancer? A female’s breast is made up of fibrous tissue, fatty tissue, and lobes of glandular tissue that eject milk to the exterior. However, breast cancer occurs when the normal cells in the breast begin to grow and divide at an unregulated speed. In all honesty, I want to know more about this issue because of the proven statics. Approximately forty thousand women and four hundred men die each year from breast cancer. In this article “Our Feel-Good War on Breast Cancer” by Peggy Orenstein she stresses the significance of early detection and creating mindfulness of breast cancer. Orenstein discuss how most people discover they have breast cancer by taking a mammogram conversely the real impact is somewhat different. Whereas,

It is important to understand how to identify, treat, and provide education to women related to their breast health. This journal entry will focus on a patient encounter related to a clinical presentation of a breast mass. Lastly, strategies for education and self-breast exam education will be discussed.

Situation: The client is a 50-year-old female teacher who was notified of an abnormal screening mammogram. Diagnosis of infiltrating ductal carcinoma was made following a stereotactic needle biopsy of a 1.5 x 1.5 cm lobulated mass at the 3:00 position in her left breast. The client had a modified radical mastectomy with lymph node dissection. The sentinel lymph node and 11 of 16 lymph nodes were positive for tumor. Estrogen receptors and progesterone receptors were both positive. Further staging work-up was negative for distant metastasis. Her final staging was stage IIB. Her prescribed chemotherapy regimen is 6 cycles of CAF after a single-lumen central line was placed.

Dr. Jean Watson's Theory of Human Caring was released in 1979, and has continued to evolve over the past three decades. Watson's theory describes a philosophical foundation for nursing, which puts caring at the center of practice. It focuses on patient centered care, with emphasis on developing a trusting mutual bond. The caring environment allows for optimal health promotion, growth, empowerment, and disease prevention. The present paper discusses the theory's main concepts, and the significance of the model to nurses, nurse practioners, and health organizations. As well as, how the theory applies to my personal nursing philosophy.

Masson devotes a more emotional appeal throughout the article, rather than offering confirmation to display that mammograms are not beneficial. She expresses reflection to show the reader her perspective and even contradicts herself in one aspect stating “If I should happen to discover a lump in my breast, I’ll have it evaluated. I’m not opposed to having a diagnostic mammogram” (Masson, 2010). This statement shows weakness within her argument and recognizes that there is potential in mammogram screening. Although relying on mammography is not the only primary diagnostic tool, it can however assist in the initial diagnostic process.

Janet Tomcik, age 31, was assign to participate in the Department of Rehabilitation and Correction center in the state of Ohio on April 28, 1989 for having burglar tools in her custody. The policy of the institutes states every new inmate must have a physical examination to record current medical status. Ms. Tomcik had her medical assessment done on May 26, 1989 by Dr. Evans. The next day she inspected her own breasts and found a pea size lump in the right one. She notified medical personal but she did not receive a re-examination until June 21 by a nurse who stated the mass was large.

I arrived to work well rested and ready to start the day. I had just returned after a two week long vacation. Because of the time off, I arrived to 7 East to find that the assortment of patients was not familiar at all. As I began getting reports on my patients, one in particular I started to feel a little anxious and stressed. At first glance I could tell I would be busy for the next twelve hours. Lynda was a 45 year old woman that was admitted almost a week ago after having an emergent tracheostomy placed. Lynda was newly diagnosed with laryngeal cancer with already having several other diagnoses including: seizure disorders, mild mental retardation, behavioral issues, and was legally

The facts of the case were reviewed. In 2015, Ms. Heigle was diagnosed with breasts carcinoma, and had surgery in October 2015. Ms. Heigle has had radiation and some seromas. She was prescribed Tamoxifen, and in May 2016, Ms. Heigle had a hysterectomy.

Women may experience a range of emotions with the diagnosis as well as throughout the treatment as a result of breast cancer, such as: sadness, anger, fear and guilt. Therefore, it is essential to closely monitor the client for their psychosocial adjustment to the diagnosis and treatment, and identifying those that need further psychological interventions (Boehmke & Dickerson, 2006). This includes being aware of the impact the diagnosis will have on the family members and loved ones; as their support is warranted as possible caregivers during the process. Appropriate nursing diagnoses for a woman with a new verdict of breast cancer may include (but not limited to): disturbed body image related to loss of hair due to chemotherapy; fear related to the diagnosis and prognosis of the disease; and knowledge deficit of cancer treatment options and reconstructive surgery. Other diagnosis will be added and removed as the patient decides if she wants treatment; and the psychological, psychosocial, and physical changes that may affect her quality of life. For instance, after a mastectomy the patient may have a nursing diagnosis of: risk for disturbed body

Throughout her hospital stay, Ms CP was exceptionally helpful, providing detailed history to medical staff and volunteering in learning tutorials with medical students. She described the hospital as her “home” and spoke fondly of a childhood spent terrorising students and junior doctors while receiving treatment for her asthma. During comprehensive history taking and examination conducted by multiple health professionals, her descriptions shifted and evolved, often differing between healthcare providers and

On the last day of a placement block for Nursing clients with chronic conditions at an unnamed Gold Coast Hospital, I was assigned five patients with the supervision of a registered nurse in the orthopaedics ward. With awareness of the environment, I noticed and retained times patients were coming and going from surgery that weren’t assigned to me. On completion of the shift with bag in hand, I walked past an elderly lady in her room whom I remembered had come back from surgery approximately two hours earlier. I noticed she was quite flushed with a slight grimace on

Nurse administrators need to adroitly balance many aspects of their role, moving seamlessly from senior leadership meetings to assisting patients while completing walking rounds on an inpatient unit. This is what I have witnessed over the past three weeks in my practicum. The experience has been rich, and I am grateful to my preceptor, Karen Slifka for having lengthy conversations with me, as we discussed the current happenings at the hospital, and the practicum readings. Karen and I reviewed unit specific budgets, discussing both the revenues and expenses. We had continued attending meeting about the implementation of the agency’s electronic medical record (EMR). Our discussions also included civility in

On Thursday, January 28, 2016 at approximately 8:45am I met with Anne Moore Medical Director at the Weill Cornell Breast Center and obtained the following statement.

The results came in confirming a malignant tumor in my mother’s breast, and I knew her hopes had been crushed, but she remained strong. After the surgery, another biopsy established that the cancer was found on the outside of her tumor and also in her lymph nodes, so it was very possible that it could spread. She would need to get a mastectomy.

She discovered that she did indeed have breast cancer but the doctor also told her that she could not afford the surgery and that she would die within three to six months. The next doctor was able to come up with a solution that she could afford and in the end, she beat cancer is able to continue on with life. A similar situation was undergone by a family friend of mine. She had cancer however it took visiting several different doctors to confirm this fact. The information was vital to the girls beating of cancer yet the opinions of several doctors nearly resulted in the loss of her life. This could have been for many reasons however mainly the interpretation was the result of individualistic interpretation, personal bias and culture.