ADULT/PEDIATRIC – CANCER TREATMENT You are working
ADULT/PEDIATRIC – CANCER TREATMENT You are working 7PM-730AM on an oncology service of a university medical center with a Pediatric/adolescent/adult population. The staff working with you includes an experienced oncology RN, an experienced RN who has completed orientation to oncology, 3 PCTs (Patient Care Technicians) and a nursing student. Interns and residents (oncology) are on call. The patient assignment is as follows: K.J. 20 yr old female Adm. Dx: Non-Hodgkin’s Lymphoma Stage III. Hosp day 1 PMH: Infectious mononucleosis, all immunizations complete Soc. Hx: Lives with parents, college freshman, no siblings, non-smoker, occasional marijuana use, sexually active, under parents medical insurance Report: Starting chemo today: Hyper CVAD A (Adriamycin, Vincristine, Cyclophosphamide, prednisone) PICC line insertion scheduled for 0900 PLTs 60, needs 1 unit platelets prior to PICC insertion Diet as tolerated 1. Identify probable discharge day (hospital day #) or indicate the length of stay (LOS) and place. Include at least two sources, the references must be properly identified 2. List 2 priority measurable outcomes with timeframe (provide rationale using EBP) include references. Barriers to meeting Expected Outcomes 3. Identify at least 3 possible complications related to primary diagnosis that could delay discharge. Discuss evidence based preventative strategies utilized to prevent these complications. Include references. 4. Identify at least 3 other possible complications (co-morbid conditions, support systems, environmental factors, etc.) that could delay discharge. Discuss evidence based preventative strategies utilized to prevent these complications. Include references. 5. A. Multidisciplinary Plan of Care (post discharge) List in priority order referrals for this patient including rationale for anticipated discharge needs, i.e., Home PT, VNA. (Use references)
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