Lymphoma Case Study Essay
Setting: Outpatient clinic
Index Words: Hodgkin’s disease, cancer, assessment, radiation therapy, diagnostic tests, symptom management
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. …show more content…
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.
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