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Consider pros and cons: is this solution realistic?

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Case Study and Nurse Theorist Discussion
1. Read and examine the case thoroughly. Take notes, highlight relevant facts, underline key problems. Review course readings, discussions, research, professional resources and your experience
2. Focus your analysis
• What is the clinical problem?
• How does the problem impact the individual/ family/ community?
• Identify two to five relevant theoretical concepts specific to your theory that help describe the clinical problem.
3. Uncover possible solutions within the framework of your selected nursing theory
4. Suggest a solution(s) consistent with your theory. Consider pros and cons: is this solution realistic?
Case Study: Young Woman with Cancer
Debbie is a 29-year-old woman who was recently admitted to the oncology nursing unit for surgery. Ten months prior to admission Debbie had experienced a sense of pelvic “fullness” and noticed a watery, foul-smelling vaginal discharge. A Pap smear revealed a class V cervical cancer. She was found to have a stage II squamous cell carcinoma of the cervix and underwent a radical hysterectomy with bilateral salpingooophorectomy.
Her past health history revealed that physical examinations had been infrequent.
She is 5 feet 4 inches tall, weighs 89 pounds, with usual weight of 110,
Smokes two packs of cigarettes a day for 16 years.
Gravida 2, Para 2. First pregnancy at age 16, second at age 18.
Taking oral contraceptives consistently since the birth of her 2nd child.
Debbie completed the eight grade; married and lives with her husband and two children in her mother’s home, which she describes as less than sanitary.
Her husband is unemployed, and is described as emotionally distant and abusive at times. Debbie has no religious affiliation.
She has done well post operatively except for being unable to completely empty her bladder, continued pain and nausea.
Discharge plan includes:
Intermittent self-catheterization
Medications: antibiotics, analgesic, antiemetic
Radiation therapy on an outpatient basis
Debbie is extremely tearful. She expresses great concern over her future and the future of her two children. She believes that this illness is a punishment for her past life.

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