CASE STUDY II
A.G. is a 45 yea-old divorced mother of four children ranging in age from 16-23. She was married at age 18 and had several sexual partners prior to marriage. She has had three sexual partners since her marriage ended. Last year she was treated with cryosurgery for venereal warts. The pap smear taken 2 weeks ago showed atypical cells, and she has come in for repeat test. The pap smear reveals squamous cell carcinoma of the cervix. Laparoscopy shows the disease to be widespread in the pelvic cavity.
Vitals: Bp 130/80, P 72, R 18, T 99.2 (37.3C). A.G. weight 142, approximately 15% over her ideal body weight. Examination of the cervix reveals a large necrotic lesion at the 7 o’clock position. She complains of back pain radiating down her back for several months and a foul vaginal discharge that increases after intercourse.
A CT scan and lymphangiography are orders. Radiation therapy to pelvic region 5 times/week for 6 weeks. Pain medication ; Percocet 2 tabs po every 4 hours prn for pain and Xanax 5 mg po prn qhs for increase anxiety.
During a home visit, Ms. A.G. tells the nurse that she has been tired since beginning radiation treatments and that all she can do is sit in her chair.
- Identify risk factors associated with cervical cancer.
- What health promotion activities could decrease the risk of cervical cancer?
- Develop a teaching plan to help Mrs. A.G. cope with the effects of radiation.
- Explain the purpose of the diagnostic procedures and instructions given to the patient.
5. Identify 4 Nursing Diagnoses and Expected Outcomes in the approved NANDA listing for Mrs.