I am a relatively new nurse. I am working a "rehab" hall (but not always rehab patients) Anyway I have a very sweet lady that had breast cancer metastasize to her bones.
She has a port in her chest. She had gone out for her first tx. She has developed a "lump" on her breastbone right about where the catheter to that port would end. It does not hurt her it is not warm or inflamed appearing.
She had asked me why this suddenly appeared and what it is. She said she did tell the daytime RN but she did not explain anything to her. She just felt it, looked at it didn't ask any questions and left the room. She told me nothing in report so I was totally unawares when I walked in for first med pass after being off the weekend.
It does seem to be dissipating from when I first went on shift and when I rechecked her at the end of the shift. Can anyone explain to me exactly what is happening to her when she is getting the chemo tx through this port? She is unable to tell me. She said they gave her benadryl and "some other medicine" before the treatment and it made her so sleepy she slept through the whole day there. I couldn't even find any paperwork from them to explain what happened to her while she was out.
This lump looks and feels just like a bolus of sub-q fluids that I would give to a guinea pig or cat on the scruff of their necks just on her chest instead? Is it possible that chemo would create a bolus? Sadly we do know that she does have a spot of cancer that had developed on her sternum as well as several other areas.
I am scrambling to learn as much as I can about her diagnoses and tx so I am better prepared to talk her through them. I am not getting any support in this area at work either. They are not very sympathetic to her suffering and say stupid things like "well she's terminal, what's to explain?" or something else cruel like that.