Nursing Management 1 Running head: OVARIAN CANCER
Nursing Management of a Patient with Ovarian Cancer Jane A. Student Pasadena City College
Nursing Management 2
Nursing Management of Patient with Ovarian Cancer H.S., a 57 year old female with a medical history of hypertension and chronic kidney disease, was diagnosed with a Stage IIIB clear cell carcinoma of the ovary and had surgery in April of 2007. When the patient began to have physical discomfort, an exploratory lapartomy was performed. A pelvic mass had developed post peritoneal chemotherapy. The patient had surgery to remove the intraperitoneal port, pelvic mass fluid drainage and pelvic biopsy. Often patients with cancer ...view middle of the document...
Comment [CS4]: Shows what may cause the disease, and why that is relevant for the patient Comment [CS3]: Notice that all in-text citations use PAST TENSE (ex. “explained”) or PRESENT PERFECTIVE (ex. “has explained”) Comment [CS2]: Makes an argument for the paper: the most important thing to focus on for this patient is malnutrition Comment [CS1]: Introduces who the patient is (57 year old female) and what the problem is (cell carcinoma)
Nursing Management 3 History H.S., a 57 year old female, has a medical history of hypertension and chronic kidney disease. She was diagnosed with Stage IIIB clear cell carcinoma of the ovary and had surgery in April of 2007. The patient had 18 cycles of peritoneal and intravenous chemotherapy and had an excellent response with C-125 that reached a low of 10. After completion of chemotherapy, the patient was readmitted 11/15/2007 for removal of a pelvic mass status post peritoneal chemotherapy. The pelvic mass was simple cyst structure with displayed the bladder bilaterally. The patient elected for removal of the peritoneal port and a lapartomy with biopsies to ascertain the nature of the abdominal cyst, which was benign. Nursing Physical Assessment H.S. was alert and oriented to person, place and time. The patient’s temperature was 98.0 F, pulse rate was 74, respirations were 18, blood pressure was 126/66, oxygen saturation on room air was 98%, apical pulse was 74, lungs were clear, and the patient stated her pain level was 5. The patient has an IV heplock in her right jugular. The patient’s skin was warm and dry with a moderate bilateral hand grip. The patient’s surgical incision was from the umbilicus to suprapubic with staples and was intact with no erythema. The patient’s bowel sounds were hypoactive and stated no bowel movement today but had passed flatus. The urine output from 0600-0800 was 200ml. The patient was on a liquid diet starting 11/06/2007 and changed to a regular diet on 11/08/2007. The patient ate 70% of her breakfast and stated she did not have much of an appetite. H.S. appeared frail and thin with some general weakness. The patient’s height was 5’7” (1.70m) and her weight was 105 lbs (47.7 kg). The patient was ambulatory and was able to perform independent activities of daily living. The patient used the incentive spirometer ten times an hour as instructed by physician.
Comment [CS7]: Notice that past tense is used to describe the patient (NOT present tense) Comment [CS6]: Lists the numbers for each health measurement Comment [CS5]: Gives specific dates and treatment information
Nursing Management 4 Related treatments The patient has no allergies to latex, iodine, or adhesives and is using an abdominal binder for support. The patient has an IV heplock in her right jugular vein due to chemotherapy. As Ignatavicius (2006) has noted, insertion sites must be chosen carefully after consideration of skin integrity, vein condition, and activities of daily living. Ignatavicius (2006) also...