Help with integrated pathophysiology and lung cancer

[pe5322]

Hello,

I need a major help.

I had to write a paper about a patient who came in to hospital to have thoracotomy and lobectomy

for her lung cancer and my professor gave me one more chance to redo it, cause she believed it wasn't integrating enough and she wanted me to expand it little more. If I don't pass this paper, I get fail in the clinical part and that means failing the whole class. I felt I have put enough but I may be missing somethings

She had a non small cell stage II lung cancer without a history of smoking.

She has thymoma, but at the day of care, doctors were saying she would have surgery after she recovers from lung sx.

After lobectomy, she developed chylothorax and a fib. She had chest tube, central line with 3 lumen involving abx, amiodorone, and TPN.

She also had Q pain pump.

Her history include hypertension, hypothyroidism, and known a-fib.

I had to make an integrated patho of her disease process and how it affected her to have lung cancer and relate each history or current illness.

Since she was not a smoker, it is really hard to describe how she got the lung cancer.

I am trying to put environment factor, maybe she living in a farm, but it is just hard to get a lot of resources, since it was not shown in the chart the reason she developed tumor in her lung.

I feel I need to explain more about hypothyroidism, htn, and a fib, but I am having hard times wording out and expanding it.

English is second language for me, so I don't want to confuse my professor and end up failing. That would be sooo tragic.

Please give me some tips or can somebody explain it easier ?

Thank you very much...

Everybody have a great Easter weekend!!

P.S some care plan tips would also help!!!!!!!

EP

[ckh23, BSN, RN]

Well I don't really know how you can incorporate her medical history into her Lung cancer diagnosis. You can also look at family and social history. Maybe her husband was a smoker and she suffered from second hand smoke, or possible asbestos exposure. Afib, HTN, and hypothyroidism doesn't turn into lung ca. However you can go into the pathopys of how having the thoracotomy and lobectomy can exacerbate her other co-morbidities.

[pe5322]

i have looked at family history, but her husband doesn't smoke either. Since there is not much to expand from here,

my professor just suggested expanding more pathos about her secondary illness.

I have to relate hypothyroidism, htn, and a-fib. I know hypothyroidism and hypertension are linked together and I now hypertension and a fib are linked together, but can anyone briefly describe integrating three of these conditions please?

Another question: She wasn't taking thyroid medicine during the care. Do you think she was treating it without medications?

Or is there a reason to not take the medicine and treat hypertension?

As you can see, I am quite lost.. Help!!!

Thank you all.

[OB-nurse2013, BSN, RN]

How about just going into how cancer develops on it's own. Just because someone doesn't have risk factors shouldn't matter, no one knows why any mailignancy is able to grow just that certain things can increase your risk so I don't see why this should hinder your explaining the disease process for lung cancer. Good Luck!!!:heartbeat

[AugustRain]

Don't know when your paper is due, but if you're still working on it, I'm a surgical oncology nurse and happy to point you in the right direction.