Year Woman Being Explained for Students (Easy Guide)

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What This Question Is About

This question relates to year woman being and requires a structured academic response.

How to Approach This Question

Break the problem into smaller parts and analyze each logically.

Key Explanation

This topic involves year woman being. A strong answer should include explanation, application, and examples.

Original Question

C. E., a 54-year old woman, is being admitted to your unit with a tentative diagnosis of liver tumor. She has experienced increasing fatigue, anorexia, and a steady weight loss of 18 kg over the last 3 months. Her current weight is 52 kg; she is 5′ 6″; she is 5′ 6″ tall. She bruised easily, has mild to moderate jaundice, experiences a “heavy fullness” in the middle of the epigastric region of the abdomen c/o a persistent dull ache in the epigastric area that radiates to her back. She describes the pain as constant but not severe and reports that the fullness never goes away, not even when she hasn’t eaten for a long time. As an afterthought she adds, “Its strange that I have lost weight and yet my skirts are too tight at the waist.” Current VS are 102/60, 84, 28, 38.0oC. The abnormal laboratory results are WBC 12 mm3, K 3.4 mEq/L, protein 4.8 g/dL, albumin 2.9 g/dL, total bilirubin 2.5 mg/dL, Alkaline phos 215 U/L, GGT 665 U/L, LDH 225 U/L, AST 130 U/L, ALT 168 U/L, AFP 9.5 mg/mL. 1) Which labs indicate possible liver tumor? 2) Which of the above labs relate(s) to liver cancer? 3) How would you assess C. E. to evaluate her fluid and electrolyte status? 4) What is the significance of assessing abdominal girth? How would you do this? 5) Based on the information above, you would want to complete a respiratory and a neurologic assessment. Why are these 2 systems important? 6) What diagnostic tests might be used to determine if C. E. has a liver tumor? 7) C. E. is to go for an MRI. What will you do to prepare her for this test? 8) The radiologist informs the physician that C. E.’s MRI shows many lesions in the R lobe of the liver. The physician comes to the floor to biopsy C. E.’s liver. How will you assist during the biopsy? 9) What can be done to minimize bleeding from the biopsy? 10) The oncologist, C. E. and her husband discuss risks and options for treatment. List 4 general types of treatments used for solid tumors. C. E. decides to have surgery. She has a difficult time waking up after surgery so she is sent to ICU overnight. Her doctor tells you, “We basically opened her up and closed her – the liver was a mass of tumors and the intestines were also heavily involved. The frozen specimens were malignant. The tumor had invaded the major blood vessels so we couldn’t resect anything. Her prognosis is less than 6 months.” 11) How will you approach C. E. when you readmit her to the unit later that day? You are present when C. E. and her husband discuss the surgical findings with the physician. Both C. E. and her husband are stunned – “You couldn’t take it out?” Solemnly the surgeon shakes his head and says he is sorry but there is nothing he can do. He turns and leaves the room. You ask if they’d like to be alone for a while and quietly leave. 12) When you return to care for C. E., you are rebuffed by an angry woman. “Just leave me alone! I don’t need your help! What use is all this anyway?” 13) How would you interpret C. E.’s response? Before C. E. leaves the hospital, you introduce C. E. and her husband to the idea of hospice care. Tell them that C. E. will require home health nurses when she goes home but eventually she will deteriorate and may want hospice nurses to support them both. Give them the hospice card and write the name of a contact person on it.

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