Topic 5 DQ 3

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qnyvnan1984

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Please write a paragraph with your opinion based on the power point bellow. Please include citations and references in case you need to used.

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MOVIE CHARACTER PRESENTATION: “MY SISTER’S KEEPER” BY: JAMIE FALLIGAN AUGUST 19, 2018 NRS-434VN OVERVIEW OF PRESENTATION ➢Summary of the disease Acute Promyelocytic Leukemia ➢Functional Health Pattern Assessment (FHP) of the client; movie character “Kate” ➢Observed health patterns of the client ➢Nursing diagnosis including interventions ➢Available resources MEET THE CLIENT ➢Name: Kate Fitzgerald ➢Age: 15 ➢Diagnosed with acute promyelocytic leukemia at age 2. ➢Sister, Anna, was conceived with the intent of becoming a genetic match for Kate. FUNCTIONAL ASSESSMENTS ➢ Health Perception/Health Management • Client is aware she has APL that will eventual result in her death • Current health issues include frequent epistaxis, bruising, vomiting, anemia, neutropenia, and fatigue • To maintain health, client takes prescribed medications and avoids those with acute illnesses due her immunocompromised state ➢ Nutrition/Metabolic • Client is underweight • Intake is less than recommended requirements due to decreased appetite and nausea caused by chemotherapy treatments ➢ Pattern of Elimination • Reports diarrhea due to current chemotherapy treatment • Current renal failure resulting in minimal urination ASSESSMENT CONTINUED ➢ Pattern of Activity/Exercise • No active exercise program and minimal activity due to fatigue, shortness of breath, and bone pain ➢ Conceptual/Perceptual Pattern • Client is currently in the 9th grade • Normal mental and sensory functions • Experiences joint and bone pain with activity ➢ Pattern of Sleep and Rest • Sleeps >8 hours each night • Takes frequent naps and rest periods frequently throughout the day ASSESSMENT COMPLETE ➢Pattern of Coping and Stress Tolerance • Client copes by keeping a daily diary and discussing feelings with her parents • Discusses illness with other cancer patients during her chemotherapy sessions, which helps her cope ➢Pattern of Values and Beliefs • Feels that everyone should live life to their fullest • No religious affiliation • Supportive family and friends ANALYSIS OF HEALTH ASSESSMENT ➢Normal assessment findings • Role/Relationship Pattern • Pattern of Coping and Stress Tolerance ➢Abnormal or risk-based findings • Nutrition/Metabolic Pattern • Pattern of Elimination ADDITIONAL OBSERVATIONS ➢ Cultural • American ➢ Geographical • Lives with her family in Rhode Island ➢ Religious • No specific religious affiliation ➢ Ethnic • Caucasian ➢ Spiritual • Shows alleviation of fear and loneliness during her last days of life. NURSING CONSIDERATIONS ➢ Nursing Diagnosis • Risk for Infection related to Neutropenia Secondary to Chemotherapy ➢ Interventions • Encourage a well-balanced diet • Teach measures for prevention of infection, such as proper hand washing and avoiding those with infectious illnesses • Educate patient and family members on signs of infection, including elevated temperature, cough, sore throat, mouth sores, and any area that appears to be infected ➢ Resources • CancerCare • Leukemia Research Foundation CONCLUSION ➢Acute promyelocytic leukemia (APL) presents similarly in children and adults. ➢Previously considered a highly lethal form of leukemia, APL is now the most curable subtype of adult acute myeloid leukemia (AML). ➢Rapid treatment is key to a positive outcome. ➢Today, cure rates can be as high as 98% if diagnosed and treated rapidly. REFERENCES ➢CancerCare. 2012. About us. Retrieved from http://www.cancercare.org/about ➢Clark, P. A., Drain, M., & Malone, M. P. (2003). Addressing patients’ emotional and spiritual needs. Joint Commission Journal on Quality and Safety, 29(12), 659-670. Retrieved from https://doi.org/10.1016/S1549-3741(03)29078-X ➢Colón, Y. (2017). Ethnic diversity and cultural competency in cancer care. Oncology Issues, 22(5), 28-31. Retrieved from https://doi.org/10.1080/10463356.2007.11883357 REFERENCES ➢ Leukemia Research Foundation. 2018. About us. Retrieved from http://leukemia-research.org/ ➢ St. Jude Children’s Research Hospital. (2018). Leukemias: Acute promyelocytic leukemia (APL). Retrieved from https://www.stjude.org/disease/acute-promyelocyticleukemia.html?vgnextoid=9c0c061585f70110VgnVCM1000001e0215acRC ➢ Walker, D., & Held-Warmkessel, J. (2010). Acute promyelocytic leukemia: An overview with implications for oncology nurses. Clinical Journal Of Oncology Nursing, 14(6), 747-759. doi:10.1188/10.CJON.747-759.
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Running head: TOPIC 5 DQ 3

1

Topic 5 DQ 3
Student’s Name
Institutional Affiliation

TOPIC 5 DQ 3

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Topic 5 DQ 3
The student/author selects “My Sister’s Keeper” movie character Katie as the client,
Katie is diagnosed with Acute promyelocytic leukemia (APL). The author explains the APL
condition in details including the statistics associated with prevalence and...


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