NR 601 Week 7 Case Study Discussion Health Protection
NR 601 Week 7 Case Study Discussion Health Protection
Discussion Part One (graded)
C.G. is a 69-year-old male with a history of right head and neck cancer that you have been following for one year. The carcinoma was initially localized to the head and neck-specifically at the left lingual tonsil region and went on to complete a total of 6 weeks of radiation and chemotherapy. NR 601 Week 7 Case Study Discussion Health Protection
Recently, the last PET scan indicated some metabolic activity in the left lymph node area along with other regions of abnormal metabolic activity in the body-particularly the liver and the lungs indicating metastasis. C.G. indicates that he is tired of the effects of chemotherapy and radiation and does not want to pursue any more treatment for cancer.
Background:
Right head and neck cancer with metastasis to liver and lungs; patient is refusing further treatment.
PMH:
Hypertension
Hyperlipidemia
Stomatitis
Anemia
Neutropenia
Current medications:
Carvedilol 12.5 mg po 1 daily
Furosemide 40 mg po daily
Surgeries:
2012: right radical neck dissection
Allergies:
None
Vaccination History:
Influenza vaccine last received 1 year ago
Received pneumovax at age 65
Received Tdap 5 years ago
Has not had the herpes zoster vaccine
Social history and Risk Factors:
Former smoker-stopped smoking at the time his cancer was diagnosed-2 years ago NR 601 Week 7 Case Study Discussion Health Protection
Negative for alcohol intake or drug use
Patient does not have an advanced directive or living will. He is refusing further treatment for his cancer and his wife and children are in disagreement with him. The patient wants to know what his options are for the remainder of his life.
Family history:
Negative
Discussion Part One:
Provide differential diagnoses (DD) with rationale.
Further ROS questions needed to develop DD.
Identify the legal/ethical issues involved with the patient and describe your approach to addressing end-of-life care for this patient. NR 601 Week 7 Case Study Discussion Health Protection
Description
According to the British King and bureaucracy, the colonists were acting like spoiled children. According to the colonists, the British were overbearing, over-taxing, and ignoring their grievances. Take the perspective of American colonists, and explain why the British colonies in North America revolted.
Below are some of the items to consider:
- The colonial relationship to the British before/after the French and Indian War
- The acts passed by the British government
- The grievances stated in the Declaration of Independence
- The events that escalated the division between the Crown and the Colonists. NR 601 Week 7 Case Study Discussion Health Protection
Complete a 2-3 page paper according to APA Requirements. Each paper should include at least four paragraphs: an introduction, a body with at least two fully developed paragraphs, and a conclusion.
Description
According to the British King and bureaucracy, the colonists were acting like spoiled children. According to the colonists, the British were overbearing, over-taxing, and ignoring their grievances. Take the perspective of American colonists, and explain why the British colonies in North America revolted. NR 601 Week 7 Case Study Discussion Health Protection
Below are some of the items to consider:
- The colonial relationship to the British before/after the French and Indian War
- The acts passed by the British government
- The grievances stated in the Declaration of Independence
- The events that escalated the division between the Crown and the Colonists.
Complete a 2-3 page paper according to APA Requirements. Each paper should include at least four paragraphs: an introduction, a body with at least two fully developed paragraphs, and a conclusion. NR 601 Week 7 Case Study Discussion Health Protection