Topic: Pancreatic cancer case study

Introductions and conclusions are NOT required; go directly into answering each question.

Take-home exam must be typed using double spacing and size 11 or 12 font and text left justified.

The assignment must be typed in accordance to the American Psychological Association (7th ed
APA) style.

All pages must be numbered consecutively from the title page. The title page should include the Department, University, Course name, Student number, Subject name and Subject code.

Insert your student number and subject code as a footer.

Penalties: You may lose up to five (5)% of the total marks for non-compliance with referencing requirements, including in-text citations and Reference List. You may lose up to 5% of the total marks allocated to the assessment component for errors or inaccuracy in spelling/grammar and sentence construction.

(Very important)

It is important to present your ideas in paragraph form with linked sentences to establish the flow of ideas. There should be no single sentence paragraphs. Use single spacing between paragraphs. Dot point and/or tabled format is to be avoided unless you are specifically directed to do so. This will be outlined for you in the specific question instructions.

Carefully check your grammar/spelling before submitting, also that you have answered the question – written on task. Ten (10) percent of the overall mark for this exam will be awarded for the quality use of contemporary evidence in support of your answers.

Penalties: You may lose up to five (5)% of the total marks for non-compliance with referencing requirements, including in-text citations and Reference List. You may lose up to 5% of the total marks allocated to the assessment component for errors or inaccuracy in spelling/grammar and sentence construction.

Reference’s minimum 6 -journal and article latest from 2015 only

Case 2: Assessment and care of the patient with cancer

Frankie Smythe (pronouns they/them) is a 38-year-old who was recently diagnosed with head of pancreas cancer. As part of Frankie’s treatment, the medical team plan to perform a Whipple’s surgery on them but have first recommended neoadjuvant chemotherapy to ensure they are a better surgical candidate.

The medical team have commenced Frankie on chemotherapy fluorouracil and targeted therapy agent, erlotinib. They have been admitted to the oncology ward of university hospital following advice from their general practitioner due to loss of weight (approx. 5 kg in 2 weeks), nausea and vomiting. They are currently day 7 of cycle 1 of their chemotherapy regime, which was administered in the day procedure unit of University Hospital (UH).

Frankie’s head to toe assessment on admission demonstrated the following:

CNS – Alert, orientated to time, person and place. Complains of general malaise. Report’s dizziness when standing too suddenly. Reports 5/10 pain to right upper quadrant radiating to back. Also complains of general discomfort, as they have “sores” throughout their mouth.

CVS – Blood pressure 103/67 mmHg lying, 92/61 mmHg standing. Heart rate 110 beats per minute, regular, bounding radial pulses. Capillary refill 3 seconds. Temp 37.6 degrees Celsius. Peripherally inserted central catheter (PICC) in left upper arm. Dressing due for change in 3 days. Nil abnormalities to site, PICC external length 2 cm. Their most recent blood results indicate that they are not currently neutropenic

Resp – Respiratory rate 19 breaths per minute. SpO2 100% room air. Equal air entry to base of lungs bilaterally.

GIT – Reports significant reduction in appetite. Tim (partner) prepares most of Frankie’s meals, Tim reports Frankie eats “hardly anything”. Ulcers to mucosa and lips evident, Frankie reports are worsening “over last few days”. Bowels opened 5-6 times a day (abnormal for patient, they report opening bowels once or twice daily prior to chemotherapy starting). Nausea +++, regular vomiting since chemotherapy commencing. Weight on admission 59 kg (reports 65 kg 2 weeks ago). They are refusing a naso-gastric tube for feeding at present. Renal – Passing urine in toilet, reports concentrated-brown coloured urine. Denies dysuria.

Musculoskeletal/Integumentary – Appears pale, jaundice and cachexic. Complains of stiffness to joints, reports difficulty in mobilizing. Reports reluctance to mobilise as it makes Frankie feel “sea sick”. Frankie has dry, itchy skin “all over”, scratch marks 8 of 9 CCHS Written Examination 2021 evident on arms. Bruising evident to limbs – Frankie reports they are “bruising like a peach” since commencing chemotherapy. Reports dry, sore eyes.

Psychosocial – lives at home with supportive partner (Tim) and dog (Charlie). Employed as a freelance interior decorator – has stopped working 3 months ago, when earning of their cancer diagnosis. Reports low mood, evident low affect. Frankie denies any evident hair loss.

Question 1. (approx. 250 words) Discharge planning should start on admission. Identify which referrals you would make to ensure that Frankie is safely discharged and has the assistance required at home and/or in the community, providing an evidence-based rationale to support your choice.

Question 2. (approx. 200 words) Frankie is concerned about how yellow and itchy the skin is. Using terminology Frankie would understand, explain the pathophysiology behind the symptoms

Type Of Service : Academic Paper Writing
Type Of Assignment : Case study
Subject : Pathogenesis of disease
Pages/words : 2/550
Number of sources : 1
Academic Level : Senior(college 4th year)
Paper Format : APA
Line Spacing : Double
Language Style : AU English

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