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Patient’s labs values are stable with Hgb of 12.6, and Hct 39.1. Platelets have improved from previous visit from 312 to 371. White blood cell count continues to improve as well up from 7.52 to 8.0. Lymphocytes and monocytes are stable at 14 and 9 prospectively. Explanations are given to DH and her husband regarding the possibility of further chemo and radiation therapies pending biopsy results. Patient and husband verbalize understanding and agree to plan of care. Biopsy is scheduled with PCP in two days. Patient scheduled for follow up visit with oncologist in two weeks. References Brashers, V. (2006). Alterations of Pulmonary Function (pp.1237-1243). In McCance, Pathophysiology The Biologic Basis for Disease in Adults and Children (5th ed.)St. Louis, Mosby Elsevier. National Cancer Institute (2009). Small Cell Lung Cancer Treatment (PDQ), Retrieved April 13, 2009 from: meb.uni-bonn.de/cancer.gov. Roman, J., & Brigham, K., (2007) Neoplastic Disorders of the Lung (pp259-263), Andreoli and Carpenter’s: Cecil Essentials of Medicine (7th ed.), Philadelphia, W.B. Sanders Company. Swierzewski, S. (2007). Chemotherapy. Retrieved April 13, 2009 from: oncologychannel.com. Wikipedia (2009). Lung Cancer, Retrieved April 22, 2009 from: wikipedia.org.
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Relationships among the Elderly: The Effects on One’s Health and Psychosocial Well Being
Advances in medicine are allowing many adults to live longer lives than previous generations. In fact, the elderly population is becoming one of the largest growing sectors of the present ...
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Nurse’s Legal Plight
A poem...!
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Looks Can Be Deceiving
I asked his family to step out for a moment so I could empty his JP drains. I emptied them into a basin and I noticed that they were very dark. I inspected them a little closer and I noticed it had a ...
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Culturally Competent Nursing in Homecare
Homecare nurses must be culturally aware in order to appropriately care for homecare patients. Culture plays a part in the care of all types of patients but it plays a more important role in homecare.
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The Importance of Supporting Mothers Who Breastfeed
There are many health benefits to breastfeeding children such as lower mortality rates, ideal nutritional values, and long term benefits such as healthy weights and higher intelligence later in life. ...
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Maximizing Pain Relief in Pediatric Patients
Pain management is a complex issue that has become increasingly significant in the nursing profession; so much so that the assessment of pain has become known as the fifth vital sign. This issue ...
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TO GOWN OR NOT TO GOWN?
The Center for Disease Control (CDC) states that standard precautions should be used for all patients and should be enough to prevent the spread of most MRSA cases. However, in acute-care settings ...
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Family Presence During CPR in the Emergency Department
A descriptive survey conducted in 2000 (Myers, et al 2000) investigated attitudes and beliefs of patients’ families and ER staff members about FWR. The survey reported that 98% of patients’ ...
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Keeping a Positive Outlook: My Clinical Experience as a Student Nurse
My experience in my senior year clinical preceptorship was without a doubt unique but I feel its uniqueness was in what I made of it, something every nursing student can do for themselves. If there ...
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Managing Diabetic Patients on Dialysis: The Nurse and Practitioners Role in Multidisciplinary Team Essentials
The chronic state of diabetes mellitus (DM) mainly type II, is an increasingly common cause of end stage renal disease (ESRD) in all countries, accounting for 51% of dialysis patients in the U.S. and ...
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A Solution for Solving the Nursing Shortage? Advantages and Disadvantages of Recruitment of Foreign-Trained Nurses
The Nursing shortage is not only an American dilemma but a phenomenon threatening the entire global community. Developed, as well as undeveloped, countries are experiencing an increasing number of ...
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Memories from a Haitian Cholera Treatment Center
In January and February of this year I worked in Haiti with United States NDMS DMAT and ImSurt teams providing medical and surgical care to the victims of the January 12th earthquake. What I ...
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