FATIGUE CASE STUDY is a 34-year-old mother of two children: a 10-year-old and a lively 6-year-old. Her husband is very supportive. J. was diagnosed with colon cancer 4 years ago and was treated with resection, colostomy, and radiation treatments. Unfortunately an abdominal CT scan performed 1 year ago revealed liver metastases. Chemotherapy failed to help, and J. knows that her time is limited. She is determined to be at home for as long as possible. Problems with pain and nausea are under reasonable control. The clinician visits J. at home one afternoon. Her husband has taken the children out to a movie and J. begins by saying that she is feeling “exhausted.” She adds that she has not been sleeping at night or, rather, has to wake up to take her pain medication every 4 hours.   WHAT ARE YOUR PHYSICAL FINDINGS? WHY DOES J HAVE FATIGUE? WHAT ARE THE INFLUENCING FACTORS? WHAT ARE YOUR NURSING PROBLEMS AND WHAT WOULD YOU DO TO HELP CORRECT J’S SIGNS OF FATIGUE? MEDS? INTERVENTIONS? WHAT IS YOUR PLAN FOR FOLLOW-UP?

Surgical Tech For Surgical Tech Pos Care
5th Edition
ISBN:9781337648868
Author:Association
Publisher:Association
Chapter7: Preventing Perioperative Disease Transmission
Section: Chapter Questions
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FATIGUE CASE STUDY

  1. is a 34-year-old mother of two children: a 10-year-old and a lively 6-year-old. Her husband is very supportive. J. was diagnosed with colon cancer 4 years ago and was treated with resection, colostomy, and radiation treatments. Unfortunately an abdominal CT scan performed 1 year ago revealed liver metastases. Chemotherapy failed to help, and J. knows that her time is limited. She is determined to be at home for as long as possible. Problems with pain and nausea are under reasonable control. The clinician visits J. at home one afternoon. Her husband has taken the children out to a movie and J. begins by saying that she is feeling “exhausted.” She adds that she has not been sleeping at night or, rather, has to wake up to take her pain medication every 4 hours.

 

WHAT ARE YOUR PHYSICAL FINDINGS?

WHY DOES J HAVE FATIGUE? WHAT ARE THE INFLUENCING FACTORS?

WHAT ARE YOUR NURSING PROBLEMS AND WHAT WOULD YOU DO TO HELP CORRECT J’S SIGNS OF FATIGUE? MEDS? INTERVENTIONS?

WHAT IS YOUR PLAN FOR FOLLOW-UP?

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