Homework Help is Here – Start Your Trial Now!
Science
Nursing
Make a patient care notes based on the picture.

Make a patient care notes based on the picture.

Principles Of Pharmacology Med Assist
Principles Of Pharmacology Med Assist
6th Edition
ISBN:9781337512442
Author:RICE
Publisher:RICE
Chapter7: Drug Sources, Schedules, And Dosages
Section: Chapter Questions
Problem 19RQ
See similar textbooks
icon
Related questions
Question

Make a patient care notes based on the picture.

CASE CODE: CA2/CAL Patient Aida, a 49-year-old professional, moderately sedentary, was recently diagnosed with breast cancer. She is 5' 1" and weighs 102lbs. A core biopsy revealed a grade 2 to 3 infiltrating ductal carcinoma with positive estrogen and progesterone receptors and human epidermal growth factor receptor 2 and associated ductal carcinoma in situ. She went on to have an excisional biopsy, which revealed a 2.5-cm infiltrating ductal carcinoma associated with multiple smaller nodules. She was taken for a re-excision, and multifocal cancer was found at, and beyond, the surgical site. An Oncotype DX (Genomic Health analysis was performed. She had a recurrence score of 38 (which is in the high-risk range) giving a rate of distant recurrence of 26% at 10 years, assuming treatment with 5 years of tamoxifen. She then underwent a mastectomy that was complicated by pain and infection at the surgical site. These complications were treated with topical lidocaine and antibiotics. Ms Aida also underwent an axillary lymph node dissection that led to lymphedema (treated by physical therapy). Then she started chemotherapy and was scheduled for 4 cycles of doxorubicin and cyclophosphamide every 2 weeks (to be followed by 4 cycles of paclitaxel and dexamethasone). Patient Aida consulted her primary care physician about numerous problems (including nausea, fatigue, neuropathy, lymphedema, and redness, as well as postoperative pain at the surgical site). In addition, she felt anxious, depressed, angry, and sad; she also noted social withdrawal, decreased function, inattentiveness, and difficulties finding words.
Transcribed Image Text:CASE CODE: CA2/CAL Patient Aida, a 49-year-old professional, moderately sedentary, was recently diagnosed with breast cancer. She is 5' 1" and weighs 102lbs. A core biopsy revealed a grade 2 to 3 infiltrating ductal carcinoma with positive estrogen and progesterone receptors and human epidermal growth factor receptor 2 and associated ductal carcinoma in situ. She went on to have an excisional biopsy, which revealed a 2.5-cm infiltrating ductal carcinoma associated with multiple smaller nodules. She was taken for a re-excision, and multifocal cancer was found at, and beyond, the surgical site. An Oncotype DX (Genomic Health analysis was performed. She had a recurrence score of 38 (which is in the high-risk range) giving a rate of distant recurrence of 26% at 10 years, assuming treatment with 5 years of tamoxifen. She then underwent a mastectomy that was complicated by pain and infection at the surgical site. These complications were treated with topical lidocaine and antibiotics. Ms Aida also underwent an axillary lymph node dissection that led to lymphedema (treated by physical therapy). Then she started chemotherapy and was scheduled for 4 cycles of doxorubicin and cyclophosphamide every 2 weeks (to be followed by 4 cycles of paclitaxel and dexamethasone). Patient Aida consulted her primary care physician about numerous problems (including nausea, fatigue, neuropathy, lymphedema, and redness, as well as postoperative pain at the surgical site). In addition, she felt anxious, depressed, angry, and sad; she also noted social withdrawal, decreased function, inattentiveness, and difficulties finding words.
Expert Solution
steps

Step by step

Solved in 2 steps

SEE SOLUTIONCheck out a sample Q&A here
Blurred answer
Similar questions
Recommended textbooks for you
Principles Of Pharmacology Med Assist
Principles Of Pharmacology Med Assist
Biology
ISBN:
9781337512442
Author:
RICE
Publisher:
Cengage
3-2-1 Code It
3-2-1 Code It
Biology
ISBN:
9781337660549
Author:
GREEN
Publisher:
Cengage
Understanding Health Insurance: A Guide to Billin…
Understanding Health Insurance: A Guide to Billin…
Health & Nutrition
ISBN:
9781337679480
Author:
GREEN
Publisher:
Cengage
SEE MORE TEXTBOOKS