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Competency
Explain principles of care for clients with oncological disorders.
Scenario
Anna is a 45-year-old female that presented to her physician’s office for her annual check-up. Anna has a history of diabetes, obesity, and noncompliance with diet and medications to control her diabetes. She a single mother of three teenagers and smokes regularly. During the history review, Anna shares with you that she has not been feeling like herself for the past six months, she has been unusually tired and thought that she felt a lump in her right breast during a self-breast exam around that same time. She stated, “I am very busy with my children; I haven’t had time to get it checked out.” She has recently been experiencing right nipple pain. Anna has a positive family history of breast cancer; both her mother and grandmother have been treated for breast cancer. Anna has never had a mammogram. During the breast examination, the practitioner palpated a lump in Anna’s right breast. No discharge from the nipple was observed. Anna’s right breast was tender upon palpation. No abnormalities were found in the left breast. Based on the physical findings Anna will undergo a diagnostic mammogram.
Instructions
In a 2-page paper, describe the care that Anna would require and address the questions below.
What risk factors does Anna have that could predispose her to the development of cancer?
What signs and symptoms could indicate that Anna has developed cancer?
Based on Anna’s risk factors and presenting problems, identify three care strategies that you would use to provide quality care to Anna. Provide rationale to explain why you chose these strategies.
Risk Factors
25% of total grade
Mastery: Advanced or exceeds achievement
Thoroughly identified all of the risk factors of the patient.
10
Proficiency: Clear/effective achievement
Accurately identified most of the risk factors of the patient.
9.3
Competence: Adequate/basic achievement
Identified some of the risk factors of the patient.
8.4
Emerging: Limited or growing achievement
Attempted to identify the risk factors of the patient.
6.5
Signs and Symptoms
25% of total grade
Mastery: Advanced or exceeds achievement
Comprehensively identified the signs and symptoms of the patient and stated how these could indicate the presences of cancer.
10
Proficiency: Clear/effective achievement
Completely and accurately identified the signs and symptoms of cancer.
9.3
Competence: Adequate/basic achievement
Identified most of the signs and symptoms of cancer based on the information provided.
8.4
Emerging: Limited or growing achievement
Partially identified the patient’s signs and symptoms.
6.5
Nursing Strategies
40% of total grade
Mastery: Advanced or exceeds achievement
Thoroughly provided three strategies a nurse use to ensure quality, multidimensional care is given to the patient. Each strategy had substantial rationale to explain why it was selected. Connected the strategies to the disease symptoms and risk factors of the patient.
16
Proficiency: Clear/effective achievement
Detailed three care strategies a nurse could provide to ensure quality care is provided to the patient. Each strategy had substantial rationale to explain why it was selected.
14.88
Competence: Adequate/basic achievement
Identified three reasonable care strategies that could be provided by the nurse to ensure the patient receives quality care. Each strategy had some rationale to explain why it was selected.
13.44
Emerging: Limited or growing achievement
Vague care strategies nurses could provide with limited rationale.
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