NURS 680A Advanced Health/Physical Assessment Week 4 Discussion Forum

NURS 680A Advanced Health/Physical Assessment Week 4 Discussion Forum NURS 680A Advanced Health/Physical Assessment Week 4 Discussion Forum Complete your weekly discussion prompt. Discuss a HEENT case on a topic of interest and post it for class discussion. The case can be a real patient you have actually cared for, or a patient you have heard of, read about, or made up. Suggested topics include: allergic rhinitis otitis media otitis externa conjunctivitis (viral and bacterial) sinusitis Bell’s palsy paroditis TMJ mononucleosis tonsillitis oral cancer strep throat Explain why you think this is a good topic for nursing graduate students to learn nurses. Indicate whether the case represents something you would expect to see in an outpatient or hospital setting. What guidelines would you use to develop a treatment plan? Respond to at least two (2) messages from your classmates or instructor. Your responses should include things like follow-up questions, further exploration of points raised in the original post, or requests for additional clarification or explanation of certain points raised. ORDER NOW ORIGINAL ARTICLES WITHOUT PLAGIARISM Sample Solution Oral Cancer The patient chosen for this discussion is a patient with oral cancer. This case is close to my heart because it concerns a member of my family. My stepfather Zaid was diagnosed with oral cancer at the age of 69. He was the father of 14 children. Her medical history included diabetes and hypertension, both of which were controlled with diet and natural herbs. He had a history of chewing tobacco in his young adult years, he quit chewing tobacco 20 years ago. No history of alcohol or drug use. Her cancer was diagnosed and metastasized to her lungs within 11 months, it spread like wildfire. According to Glass, CA (2021, March 30). “Oral cancer is mainly seen in the elderly. About 90% of oral cancers are diagnosed as squamous cell carcinomas. The male-female predominance is 2 to 1; oral cancer is higher in African Americans than in Caucasian adults. The mortality rate is quite high for oral cancer; it is secondary to cancer diagnosed in later stages of development. Patients diagnosed with oral cancer are at greater risk of developing cancer in another part of the body, such as the lungs, larynx, esophagus, or another site. Therefore, follow-up examinations are recommended for the rest of the patient’s life. The necessary elements of the care plan for a patient like him will be comfort care and family support. The social service involved in the hospital was not very supportive in this case. The family therefore needed a lot of support, especially since there were several siblings involved in the decision-making process. If I had gone out and acted as a practitioner, I would have provided the family with social support services and end-of-life education. As providers, this can be a difficult topic to talk about, but it’s important to be realistic while being informative and resourceful for clients and their families. Apart from the social support aspect, the oral cancer patient undergoing chemotherapy will have the following problems according to The Oral Cancer Foundation. (nd). “The most common oral problems occurring after radiotherapy and chemotherapy are mucositis (an inflammation of the lining of the mouth), infection, pain and bleeding. Other possible complications can include dehydration and malnutrition, often caused by difficulty swallowing (dysphagia). Radiation therapy to the head and neck can damage the glands that produce saliva (xerostomia) or damage the muscles and joints in the jaw and neck (trismus). These treatments can also cause hypervascularization (reduction of blood vessels and blood supply) of the bones of the maxilla or mandible (the bones of the mouth). In addition, treatments can affect other forms of dental disease (caries or soft tissue complications) or even cause bone death (osteonecrosis). As a practitioner, we must have the ability to provide comfort measures, while involving the patient in the decision-making process at the same time. In this case, once the first round of treatment did not respond, the patient did not want to continue and the family was upset, but the patient’s wishes had to be honored, it was hard for the family and the practitioners. , but in the end the wishes of the patients were honored and respected and he passed away peacefully under hospice services. References Cash, JC, Bruggemann, AC, & Glass, CA (2021, March 30). Atopic dermatitis. Springer Editions. Retrieved May 25, 2022, from https://connect.springerpub.com/content/reference-book/978-0-8261-5931-1/part/part01/toc-part/ch07/clinical-guideline/ch07C Complications of treatment . The Oral Cancer Foundation. (nd). Retrieved May 30, 2022, from https://oralcancerfoundation.org/complications/ Get 10% Off Order Over $100 Use Coupon Code: ORDER NOW