NRSG370 - Nursing - Oncology - Mrs. Zata Zata Case Study Assessment Answer

NRSG370: Nursing Oncology Mrs. Zata Zata Case Study Assessment Answer

Assessment Task:

NRSG370 Assessment Task 3: Case Study – Oncology

 case study to use the Clinical Reasoning Cycle (Levett-Jones, 2018) as a framework to plan and evaluate person-centered care. You are being asked to think through the case scenario and then discuss how data was collected and the type of data collected, identify problems and nursing issues, identify and state the objectives and discuss how care was provided in order to address the issues and evaluate the interventions carried out: (analyze and identify a nursing issues/problems/needs, set objectives, discuss the nursing interventions and evaluate the interventions of care carried out). Students are expected to apply the clinical reasoning cycle to address the case scenario using the following format:

• Provide an introduction

• Consider the person’s situation

• Collect, process and present related health information

• Identify and prioritize three (3) nursing problems/issues based on the health assessment data that you have identified for the person at the center of care.

• Establish goals for priority of nursing care related to the nursing problem/issues identified

• Discuss the nursing care of the person; link it to assessment data and history.

• Evaluate your nursing care strategies to justify the nursing care provided

• Reflect on the person’s outcomes/your learning

• Provide a conclusion

Mrs Zata Zata, a 46-year-old with Sigmoid Adenocarcinoma Stage IV

Mrs Zata Zata, a 46-year-old female, had a 2-month history of passing dark blood-stained stools per rectum when she was referred by her medical General Practitioner (GP) to the hospital after experiencing severe cramping and bloody diarrhea. She underwent a colonoscopy, which demonstrated an obstructive lesion in her sigmoid colon and had laparoscopic sigmoid colectomy a week ago. Pathology biopsy results show infiltrating and poorly differentiated adenocarcinoma.

Past medical history:

· Mild hypertension and hyperlipidemia

· Past surgical history: appendectomy at age 25

· Family history: father died at age 66 with cancer of unknown origin

· Social history: married with 2 children, ages 23 and 20; she is currently separated from her husband

Vital signs

Temperature, 37.8, Pulse, 72; respirations, 22; blood pressure (BP), 166/85

Blood Result: CEA> 25 ng/ml; CA- 19 -9 > 120 U/ml; Hb 88; Neutrophils <500/mcl

Current medications:

· Rosuvastatin 20mg daily

· Metoprolol 25mg BD

· Pantoprazole, 40 mg twice daily

· Coloxyl and Senna 2 tablets - BD

· Targin 10mg TDS

· Endone 5 -10mg QID (maximum dose in 24 hours 30mg)

PRN medications

· Panadol 1gm (for pain)

· Metoclopramide 10mg (for nausea)

Plan of Care

To be treated with six cycles of Chemotherapy to be followed by Radiotherapy

Mrs Zata is complaining of severe pain; with her pain score ranging between 8-10 at night.

She also indicates that she has not opened bowels for four days and she has not been sleeping at night. Mrs Zata has lost 5kg in the last two weeks. Doctors state she is to remain in hospital to improve on her neutropenic state as per last blood results. The day nurse report that Mrs Zata has been refusing to get out of bed and has been refusing to eat.

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