highly aggressive cancer

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highly aggressive cancer

5. AB is a 16-year-old female who was diagnosed with a rare, highly aggressive cancer last year. She has been undergoing intensive chemotherapy for several months and seems to be in remission. But the treatment has left her overwhelmed and depressed. It will take the insurance company 6 weeks to approve visits to a psychiatrist. In the meantime, she is feeling worse and falling into a deep funk. Her parents ask you for help and suggest that Prozac might help her. They tell you they have seen this advertised in magazines. You, however, are aware of the controversy with SSRIs and need to carefully review the evidence before responding to her parents.highly aggressive cancer

6. You are assessing a 27-year-old female who has trouble with migraines. She has daily headaches and is known to overuse pain medications. She currently uses ibuprofen and if that doesn’t work she uses Imitrex. She has tried nortriptyline 25mg before bedtime for the past month without success for prevention. She has no other medical problems and is not taking other medications & is not pregnant. Her vital signs are normal. highly aggressive cancer

7. You are a recent graduate of the School of Nursing and are being oriented to your new position on a cardiothoracic stepdown unit at another hospital. In hopes of improving patient outcomes, bringing down postoperative complication and mortality rates, and decreasing length of stay in the hospital, the unit is investigating changing its practices in order to improve glycemic control in cardiac surgery patients. There has been growing concern among nurses and physicians over the association between poor glycemic control and poor outcomes following cardiac surgery (in non-diabetic as well as diabetic patients). The nurse manager has asked you to do a literature search on the topic and give a presentation at the next in-service conference. highly aggressive cancer

8. A healthy 50-year-old woman comes to her primary care physician’s office. She has early osteoarthritis in her knees, hips, and feet. She has been taking ibuprofen with some relief, but is reluctant to be on long-term medication. She asks if acupuncture could be an effective treatment for her arthritis. Her primary care physician asks you to research this and let him know what you find before the patient’s next appointment. highly aggressive cancer