Review Mr
Subject:Health SciencePrice: Bought3
Review Mr. J. is an active 71-year-old Hispanic gentleman whose home health nurse calls you to tell you about his symptoms, which include an increase in lethargy, constipation, and questionable altered mental status. The patient is known to have widely metastatic prostate cancer, including bone metastasis. A recent MRI of his brain was positive for metastatic disease. He is a very proud and private man, she tells you, and he doesn't always listen to what the doctor tells him. As the nurse in the medical oncology clinic, you have cared for this patient and family for several months. He has been on long-acting morphine at 200- mg q 12 hours po with morphine sulfate immediate-release tablets 10mg to be taken q 2-3 hours po prn for pain. His pain has been well managed on this regimen for the last month. He has been on an effective. bowel regimen until the last week. The oncology nurse instructs the home care nurse to have the patient come to the clinic.
Initial Post Requirements
Discuss the physical assessment that would be conducted on Mr. J. . What laboratory or radiographic studies might be ordered? Why? . Discuss the differential diagnosis for these complaints and how might these be managed? . What education would you provide to the patient/family? . Describe the strategies you would review with the home care nurse in promoting a comprehensive plan of care for this patient. Each member of the group will discuss this case, respond to the questions, and participate in the initial post.
