Sandra Williams Case Study

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Evolve Case Study Breast Cancer - Patient: Sandra Williams
1) "Select whatever day you can best remember to perform BSE consistently every month."
2)  "When lying down, your arm should be positioned over your head."
3) The combination of yearly CBE and monthly BSE is the best approach for early detection."
4) Teach Barb that even women with no identified risk factors are at risk
5) "You may experience some discomfort, but only for a few minutes."
6) "It's hard to believe that this is happening, isn't it?"
7)  "Are you saying that you do not want to have surgery?"
8)  Anticipatory grieving
9)  "To ensure your safety, I need to notify the surgeon of the snack you ate."
10) Nonmaleficence
11)     Notify the surgeon that further explanation of the procedure is necessary
12) Observe the Jackson-Pratt drainage device, Administer a PRN dose of prescribed analgesic, Monitor vital signs and pulse oximetry
13)     Encourage Sandra to continue performing these exercises
14) Advise the UAP to immediately stop and obtain a larger cuff so the BP reading can be taken in the leg
15) Both the GN and UAP are at fault for the incorrect action of the UAP.
16)  Ask Sandra to clarify how she learned this information so that a plan for further teaching can be developed
17) Blood clots
18) "The medication decreases estrogen levels, which is what also causes the symptoms of menopause
19) Diarrhea,  Alopecia
20) Label the two lumens as non-functional, and use one of the remaining lumens
21) Oral temperature of 99.5° F
22) Altered tissue perfusion
23) Apply a sequential compression device, Elevate the affected arm.
24) Fifteen minutes prior to administration of the next dose of the drug.
25) 63
26) Candida superinfection
27) A 65-year-old woman, who is a retired teacher and who never married or had children.
28) Younger sister
29) Unusual skin texture.
30) Hard, irregular, and does not move freely

Contributors Pam Bechtel, The Ohio State University, Columbus, OH Christine Bell, Riverside Elementary School, Dublin, OH John Blaine, Central Hills Elementary School, Powell, OH Luz Cruz, SUNY College at Brockport, Brockport, NY Nell Faucette, University of South Florida, St. Pete Beach, FL Roberta E. Faust, The Ohio State University, Columbus, OH Kimerly R.Gall, Calvin College, Grand Rapids, MI Samuel Hodge, The Ohio State University, Columbus, OH Helene Hughes, Adams Middle School, Tampa, FL Gayle E. Hutchinson, California State University-Chico, Chico, CA Noriyuki Ito, Hokkaido Univ. of Education, JAPAN Carol Jones, McVay Elementary School, Westerville, OH David Kahan, University of New Mexico, Albuquerque, NM Gary D. Kinchin, Illinois State University, Normal, IL Mensah Kutame, Illinois State University, Normal, IL Kathy LaMaster, San Diego State University, San Diego, CA Monica Lounsbery, Utah State University, Logan, UT Susan K. Lynn, Florida State University, Tallahassee, FL Claudia McKnight, Rosedale Elementary School, Deadwood, OR Deborah McMillan-Ito, Tsurui Junior High School, JAPAN Bobby Moore, Jonathan Alder High School, Plain City, OH Lori Nevin, Chiles High School, Tallahassee, FL Marian Nielsen, Mt. Logan Middle School, Logan, UT Peg Nugent, National-Louis University, St. Pete Beach, FL Reggie Oliver, Eastland Academy, Columbus, OH Mary O'Sullivan, The Ohio State University, Columbus, OH Lynn Schincariol, The Ohio State University, Columbus, OH M. B. Seasons, Harrison High School, Columbus, OH Tom Sharpe, Purdue University, West Lafayette, IN Sheba Stevens, Mt. Logan Middle School. Logan, UT Albert Stohrer, Centennial High School, Columbus, OH Sandra A. Stroot, The Ohio State University, Columbus, OH

Ann-Catherine Sullivan, The Ohio State University, Columbus, OH Sharon A. Varni, Indian Orchard Elementary School, Springfield, MA Kristie L. Walsdorf, Valdosta State University, Tallahassee, FL Emyr W. Williams, CSU-Long Beach, Huntington Beach, CA Tracey Wright Shaun M. Wuthrich, Springwood Elementary School, Havana, FL --This text refers to an out of print or unavailable edition of this title.

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