Highlights
1: Prevention and Screening (NSB334)
Question 1:
Some cancers have a strong relationship with certain lifestyle factors. There are many prevention programs that are promoted in the media, healthcare facilities and other cancer organisations in Australia. Using evidence, identify and discuss one (1) cancer prevention program you are aware of that is used in Australia.
Question 2:
Early detection is the key for increased survival in most cancers. Some cancers can be screened for to facilitate early diagnosis. Identify (2) cancers that can be screened for and discuss how screening for these cancers is performed.
2: Diagnosis & Treatment
Question 3:
Harold has recently had a CT scan that indicated he had a diagnosis of lung cancer. Identify (2) clinical signs and symptoms that would also indicate that Harold might have lung cancer and explain the pathophysiology of these.
Question 4:
Harold has been diagnosed with Non-Small Cell Lung cancer (NSCLC).
a) Describe the anatomy and physiology of NSCLC. (2 marks)
b) Discuss the implications for Harold of having a diagnosis of NSCLC commenting on prognosis and the impact of treatment on his quality of life. (4 marks)
c) Discuss two (2) challenges Harold faces as a person living in a rural community diagnosed with cancer.
Question 5:
Harold is receiving chemotherapy for his lung cancer.
a) Review National Standard 3 (Preventing and controlling healthcare-associated infections). Describe and justify why people undergoing chemotherapy are at higher risk of getting health care associated infections.
b) Name and justify two (2) side effects Harold might experience when receiving chemotherapy.
c) State and justify two (2) interventions (nursing or collaborative, NOT referrals to allied health professionals) to minimise the effects of each stated side effect.
d) Discuss how you would evaluate that each intervention was effective
Question 6:
In the case study it is identified that Harold’s corrected serum calcium is high. This is a common
complication for patients with advanced cancer and can become a medical emergency.
a) State the normal adult values (in mmol/L) for serum calcium and discuss (2) clinical effects of a high serum calcium.
b) Identify two (2) interventions to manage an increased serum calcium level and discuss their mode of action
Question 7:
Given Harold’s complex condition and care requirements. Write (2) short-term goals for Harold in SMART format.
3: Providing patient centred psychosocial care
Question 8:
Lung cancer is associated with significant stigma due to its relationship with smoking. Discuss and justify two (2) communication strategies that you could use when interacting with a person affected by lung cancer to reduce the potential impact of stigma.
Question 9:
Harold discusses concerns about his finances. Describe how you as a nurse would provide good psychosocial, patient centred care for Harold in relation to his financial concerns.
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