mfatony

I have to write a 5 page paper concerning breast cancer and the following scenarios.... You have been diagnosed with invesive ductal breast cancer. 5 out of 10 lymph nodes taken were (+) for cancer. There are no other signs of metastasis. The tumor size was 2.1cm and was grade 3. The tumor was (+) for estrogen, progesterone, and was HER 2 positive. The tx plan will include the following: Modified radical mastectomy, mediport placement, andriamycin with cytoxan and taxol to be given every 3 wks for 4 doses; herceptin every 3 wks for one yr; arimidex daily for 5 yrs. The herceptin and arimidex will begin after the adriamycin/cytoxan/taxol is finished. Mammograms on the remaining breast will be done yearly. CAT scans to chech for metastasis will be done every 6 months for 2 yrs and then yearly. You will be seeing the oncologist and getting lab work (CBC, CMP, tumor markers) every 3 months for3 yrs and then every 6 months for 2 more years and yearly after that to chech for metastasis. Your mediport will remain in place for 5 yrs and needs flushed monthly when not in use. State how you will inform your family and school-age children. Any thoughts???

Thanks. I got pretty much everything all of you guys said. I have a care plan book also and i definitly use google! thanks

My instructors always told us that you can't have a risk as your first diagnoses.. and pain would be over that one anyway

same thing i got... thanks

you could use risk for falls due to her being 78 maybe. I would use nausea as a dx too. Since she has rectal cancer to me that would be chronic pain not acute. Just remember you have to use airway first when prioritizing...just a couple hints..hope they help

I have a patient who was assaulted. She is only 36 yrs old. If she has a rt orbital fx, hematoma in rt eye, quite a bit of bruising, she has several broken ribs, hx of asthma and depression, and she has a chest tube on each side does any one have any suggestions for good diagnoses for this pt?? I can think of a few but we have to have 10! plus 10 interventions and 1 goal for each diagnoses.... thanks for any help! i also have her labs if you want to know them..

Thanks everyone for the help! I really appreciate it!! O yea and i finally broke down and ordered a care plan book yesterday maybe it will help me out. My problem with this one was that having to plug all her meds in (which most were to do with her hear) but all that was really being focused on was the fx's.

On the new Nanda list for 2009-2011 the impaired walking and the imbalanced fluid volume are both on there. But anyways.. thanks for the help!

Alright. I have a couple more question... if i was doing impaired walking as a diagnosis what are some interventions? and interventions for imbalanced fluid volume? and a goal for ineffective protection. O yea and i am looking into buying a care plan book..i figure it would help TREMENDOUSLY! haha

Thanks stearnsy!

I am in LPN school. This is my first med-surg care plan. I need help coming up with my 10 nursing diagnoses for this lady. She is an 87 yr old who fell and fractured her right hip and right humerus. She also has HTN, COPD, and Diabetes type 2. Her WBC is 4.5 (L) RBC 2.87 (L) HGB 9.7 (L) HCT 28.6 (L) platelets 93 (L) BUN 21 (H) and glucose 155 (H). If any one could help me i would appreciate it. I already have a few such as impaired physical mobility, activity intolerance, pain, risk for falls, and risk for infection. Thanks!!