Lymphoma Case Study Essay

1409 Words Sep 22nd, 2013 6 Pages
Case Study
Hodgkin’s Disease

Setting: Outpatient clinic

Index Words: Hodgkin’s disease, cancer, assessment, radiation therapy, diagnostic tests, symptom management

Scenario

A.T. is a 21-year-old college student. He works part-time as a manual laborer, uses half a can of smokeless tobacco each week, and drinks a six-pack of beer on the weekend. A year ago in September, he discovered a small, painless lump in his lower left neck. Over the quarter, he experienced increasing fatigue and a 10-pound weight loss that he attributed to “working and studying too hard.” In the spring he saw a nurse practitioner at the student health center who immediately referred him to an oncologist. A lymph node biopsy revealed Hodgkin’s disease.
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I would encourage him to talk and express what is on his mind. I would ask him if he would like to talk to a counselor, and that I could make him an appointment if that was something that he was interested in. I would not sugar coat the situation but also not undermine his feelings. It’s important to listen. Try to hear and understand how they feel. I wouldn’t make light, judge, or try to change the way the person feels or acts. I’d try to put my own feelings and fears aside. Let him know that I are open to talking whenever he feels like it. Or, if he doesn’t feel like talking right now, that’s okay, too. I will offer to listen again later.

9. When A.T. checks in this week, he weighs 177 pounds. When you express concern, he tells you he just doesn’t have any appetite. How are you going to respond? List at least four interventions.

I would respond by explaining to him that his lack of appetite is one of the effects of cancer. Cancer cells divert all of the nutrition to the neoplastic cells and reduce your appetite. After radiation, the taste bud cells are altered in a negative way making food taste undesirable or metallic.

Four Interventions:

1. Offer food that sounds appealing

2. Offer small meals frequently (5-6 times a day)

3. Assess current eating patterns and identify factors that impair food intake and evaluate degree of malnutrition.

4. Look into medication that can increase appetite. E.g. Megace Reglan

5. Pre-medicate patient before they

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