Question

Read the following article:

Weaver, L. C., Jessup, A., & Mayer, D. K. (2013). Cancer survivorship care: Implications for primary care advanced practice nurses. The Nurse Practitioner, 38(11), 1-11. doi:10.1097/01.NPR.0000435784.40143.62

Initial Discussion Post:

For this discussion, your instructor will assign you to Patient A or Patient B.

Patient A is a 22-year-old female survivor of Stage II Hodgkin lymphoma treated with radiation and chemotherapy.

Patient B is a 60-year-old male survivor of colon cancer treated with a colon resection and sigmoid colostomy, chemotherapy, and radiation therapy.

For your assigned patient:

Identify 2 interventions the nurse will include on the survivorship plan of care that will address health promotion and management of comorbid conditions. Provide a rationale for each intervention.

Identify another member of the interprofessional team that could play a role in the cancer survivorship care for this patient. Explain the role of this interprofessional team member.

Answer 1

1. Survivorship plan of Care for both patient A and B

Identify side effects of chemotherapy and radiation therapy eg., pain, alopecia, diarrhoea, loss of appetite, nausea, vomiting, weight loss etc., and take necessary action to reduce that-To improve the quality of life.

Identify psychological distress, anxiety and depression and make stratergies to overcome that- To increase the sense of wellbeing.

Teach life style modifications like cessation of smoking and alchocol, change in diet, regular exercise, maintain body mass inde-To improve quality of life.

Insist for regular check-up-To identify reoccurrence of cancer colon and manage co morbid conditions like diabetes etc.,

2. Another member of interprofessional team

Psychologist

He will find out psychological distress and arrange counselling session for the patient to improve their coping skills by that ensuring active participation of patients in their plan of care.