NRS-410V-0L191 Pathophisiology and Nursing Management of Client Health.

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Nursing Management of Client Health..docx

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Running head: NURSING PROCESS: APPROACH TO CARE 1

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Pathophysiology and Nursing Management of Client Health

Cancer is a disease characterized by the development of abnormal cells that divide and

Pathophysiology and Nursing Management of Client Health

Name

Institution

proliferate uncontrollably. This disease can infiltrate and destroy normal tissues in the body.

Cancer spreads throughout the body, eliminating the normal cells. It is classified as the second

largest cause of death in the world. However, cancer screening and treatment improvements have

increased survival rates (Mayo Clinic Staff, 2018). Cancer symptoms include fatigue, lumps

under the skin, unexplained bleeding, and breathing difficulties. Gene mutation instructs healthy

cells to allow rapid growth that creates many cells with the same mutation. The risk factors for

cancer include a person's habit, family history, environment, underlying health conditions and

age. This paper provides a comprehensive view of cancer and care approach based on the nursing

process's utilization.

Describe the diagnosis and staging of cancer.

Cancer Diagnosis

Cancer causes many symptoms that result from benign tumors or other complications. If

a person has symptoms that last for a couple of weeks, a doctor does a physical examination and

may also order other tests to determine the cause of the symptoms. Physicians involved in the

care of cancer patients understand that it is a prerequisite to assess an individual patient's

prognosis to determine the best treatment ( Brierley, Gospodarowicz & O'Sullivan, 2016). Early

diagnosis of cancer provides the best chances for treatment and cure. Research findings suggest

that screening tests can save lives because the diagnosis will be done early enough. When

carrying out a cancer diagnosis, physicians may conduct several tests to determine the symptoms'

cause.

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Physicians may conduct a physical examination to feel the body's areas with lumps that

suggest the growth of tumors. During the examination, doctors look for abnormalities, such as

the enlargement of organs or skin color changes that could suggest cancer presence (Mayo Clinic

Staff, 2018). Also, laboratory tests such as urine and blood tests can help identify abnormalities

resulting from cancer. A complete blood count is done to determine an unusual number and type

of white blood cells for leukemia individuals.

Elsewhere, physicians conduct imaging tests to determine the bones and internal organs'

conditions in a non-invasive way. Imaging tests done in cancer diagnosis include computerized

tomography scans, bone scans, ultrasound, x-ray, and magnetic resonance imaging (Mayo Clinic

Staff, 2018). Also, doctors do a biopsy to collect cell samples for laboratory tests. Several ways

are employed to collect cell samples. Elsewhere, the type of cancer and its location determine

which biopsy procedure is suitable for a patient. In most cases, doctors conduct biopsy tests as

the only definitive way to diagnose cancer.

Staging of Cancer

Once doctors diagnose a patient with cancer, they work to determine the cancer staging.

Doctors use cancer staging to determine the appropriate treatment options and the chances of

survival (Mayo Clinic Staff, 2018). Doctors cannot determine the best treatment option unless

they know how much cancer is in the body and its location. Also, cancer staging helps to predict

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the likely course it will take and the likelihood that the treatment will be successful. Cancer

staging is also a way that doctors describe the extent of cancer when talking with each other

concerning a person's cancer. Cancer is staged when it is first diagnosed and before any

treatment.

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The first cancer staging is the clinical staging, where the extent of the cancer is estimated

based on the results of imaging tests, biopsy, physical examinations, computerized tomography

scan, and endoscopy examination. In some types of cancer, the results of blood tests are also

used in the clinical staging of cancer (American Cancer Society, n.d). The clinical staging is

often the determinant of a suitable treatment option. It is also used to get an idea of what the

patient's prognosis will be. The second stage is the pathological staging, where surgery is done to

remove cancer. This stage relies on the previous tests' results before surgery and what doctors

learn about cancer during surgery. The pathological stage provides more precise information that

doctors can use to determine what other treatments might be needed and the prognosis's

prediction.

The third cancer staging is post-neoadjuvant therapy staging. For certain types of cancer,

chemo and drug therapy are done first to shrink the tumor before surgery is done. This is

described as neoadjuvant therapy that doctors opt for if it is not clear that surgery is the best

option (American Cancer Society, n.d). This staging is done to determine the patient's response

to cancer treatment. It is done in the same way as clinical staging to determine the patient's

appropriate type of surgery. The fourth cancer staging is the recurrence or retreatment staging.

This is done at some point if cancer comes back or progresses. This information obtained from

this staging helps in guiding the decisions about any further treatment.

Describe at least three complications of cancer, the side effects of treatment, and methods

to lessen physical and psychological effects.

Cancer is associated with several complications that adversely affect the body. One of the

complications is chemical changes in the body. This occurs when cancer upsets the normal

chemical balance in a cancer patient's body to increase the risk of several other serious

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complications (Mayo Clinic Staff, 2018). Also, cancer causes brain and nervous system

problems. In most cases, cancer presses nearby nerves, causing one part of the body to lose its

functions. Elsewhere, brain cancer causes severe headache and stroke-like signs such as

weakness in one side of the body. Another complication is an unusual immune system reaction to

cancer. The body's immune system reacts to the presence of cancer by attacking healthy cells.

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This causes difficulties in walking and seizures.

There are several side effects associated with the treatment of cancer. For instance,

research suggests that chemotherapy and radiation cause cardiotoxicity, increasing the risk of

developing cardiovascular diseases (Gegechkori, Haines & Lin, 2017). Cardiovascular

complications include coronary artery disease, hypertension, valvular disease, and stroke.

Another complication associated with cancer treatment is lymphedema. This complication occurs

in about twenty percent of women who undergo surgery or radiation. Studies show that regional

lymph nodes increase the risk of developing lymphedema. Elsewhere, experts assert that

chemotherapy causes the impairment of cognitive function. The risk of developing this condition

increases based on age and genetic factors.

Several methods are employed to lessen the physical and psychological burden of cancer.

For example, doctors use chemotherapy drugs to kill the cancerous cells in the body. In some

cases, surgical procedures are recommended to remove cancer from the body and lessen the

physical pain (Mayo Clinic Staff, 2018). Elsewhere, physicians use immunotherapy to help the

body's immune system recognize cancer and attack it. Also, healthcare practitioners recommend

using cognitive-behavioral therapy to help cancer patients respond to pain with a shift in their

thoughts. CBT helps cancer patients focus on reframing pain-related thoughts such as I will die,

or this pain is killing me.

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Discuss what factors contribute to the yearly incidence and mortality rates of various

cancers in Americans.

Research shows that lifestyle behaviors contribute to the yearly incidence and the burden

of various types of cancer in America. For example, tobacco use is cited as the leading cause of

lung cancer. Lung cancer is among the leading causes of death in men and women in America.

Elsewhere, a sedentary lifestyle increases the risks of colon cancer in America and across the

world. Also, environmental exposure, such as ultraviolet radiation, contributes to all types of

cancer in America yearly. Besides, studies suggest that some plastic chemicals such as vinyl

chloride continued to increase cases of cancers of all types in America and elsewhere.

Several factors cause mortality rates of various types of cancer. For example, chronic

comorbid conditions such as cardiovascular disease are among the leading causes of death

among cancer patients. Elsewhere late screening that causes late detection of various cancer

types is cited as one of the leading causes of cancer patients' deaths. Late detection causes

patients to start their treatment when it is already too late, which does not help them as

anticipated. Also, the high cost of treatment and disparity in healthcare contributes to death

among cancer patients.

Explain how the American Cancer Society (ACS) might provide education and support.

What ACS services would you recommend, and why?

The American Cancer Society has several programs and services that help people living

with cancer to understand the disease, manage it through treatment and find the needed

emotional support. Therefore, ACS can provide education and support by publishing brochures

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that promote healthy lifestyles and teach cancer patients about managing the disease. Also, ACS

provided education and support through accurate and updated information about cancer and how

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to manage it. Besides, it provides support to cancer patients by helping them locate resources that

can help them cope with the disease. Elsewhere, ACS services I would recommend are

community programs and services. This enables ACS to access cancer patients that are

diagnosed each year and provide them with emotional support.

Explain how the nursing process is utilized to provide safe and effective care for cancer

patients across the life span.

The nursing process utilizes five phases of nursing to provide holistic and patient-focused

care to cancer patients. The nursing process provides a systematic guide to client-centered care

(Toney-Butler & Thayer, 2020 ). The nursing process begins by assessing the cancer patient or

the caregiver to provide accurate information about how the patient feels. Once the healthcare

practitioner gathers information about the patient, they make the diagnosis by employing clinical

judgment. The diagnosis is based on Maslow's hierarchy of needs to prioritize and plan care

based on the outcome.

Once the medical staff and the cancer patient agree on the diagnosis, the former plans a

treatment course that considers the short-term and long-term goals of treatment. After the

medical staff determines and plans the patient's appropriate treatment, they implement the plan

by performing the required medical interventions. The healthcare practitioner then asks the

patient to adhere to the treatment plan for optimum recovery. After the cancer patient has been

treated, the healthcare practitioners evaluate the treatment's effectiveness to determine what

worked and what did not.

Discuss how undergraduate education in liberal arts and science studies contributes to the

foundation of nursing knowledge and prepares nurses to work with patients utilizing the

nursing process.

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Liberal arts and nursing constitute a significant component of the educational discipline

in the nursing field. They bolster the ability to think critically, creatively and provide holistic

care. The nursing profession recognizes that liberal arts such as social science improve the

nursing students' communication skills and enable them to navigate diversity and make decisions

that help them improve their human selves ( Kooken & Kerr, 2018 ). Elsewhere, physical sciences

enable those in the nursing profession to assume a disease focus instead of a person focus. They

help the nurses to understand the diagnosis, treatment, outcome and the side effects of different

treatment options. Elsewhere, mathematics contributes to nursing's foundation since it dictates

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the efficiency of treatments that healthcare practitioners administer. This is because healthcare

professionals use mathematics to write prescriptions. Also, mathematics is used to draw

statistical graphs of diseases and the success rates of treatments.

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References

American Cancer Society. (n.d). Cancer staging. American Cancer Society.

https://www.cancer.org/treatment/understanding-your-diagnosis/staging.html

Brierley, J., Gospodarowicz, M., & O'Sullivan, B. (2016). The principles of cancer

staging. Ecancermedicalscience, 10, ed61. https://doi.org/10.3332/ecancer.2016.ed61

Gegechkori, N., Haines, L., & Lin, J. J. (2017). Long-term and latent side effects of specific

cancer types. The Medical clinics of North America , 101(6), 1053–1073.

https://doi.org/10.1016/j.mcna.2017.06.003

Kooken, W. C., & Kerr, N. (2018). Blending the liberal arts and nursing: Creating a portrait for

the 21st century. Journal of Professional Nursing, 34(1), 60-64.

Mayo Clinic Staff. (2018). Cancer diagnosis. Mayo Clinic Staff.

https://www.mayoclinic.org/diseases-conditions/cancer/diagnosis-treatment/drc-

20370594

Mayo Clinic Staff. (2018). Cancer. Mayo Clinic. https://www.mayoclinic.org/diseases-

conditions/cancer/symptoms-causes/syc-20370588

Toney-Butler, T. J., & Thayer, J. M. (2020). Nursing Process. In: StatPearls [Internet]. Treasure

Island (FL): StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK499937/

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