Compare and contrast the priorities for care

Compare and contrast the priorities for care you identified with those of the other case. How would the nurse’s communication be different in each of the client situations? My case on a Pediatric client: What are the relevant findings in the case presentation? Subjective fatigue and leg pain in addition to observations of pallor, easy bruising, nosebleeds, and enlarged lymph nodes indicate a diagnosis of Leukemia. Looking at the CBC, we see each of his values are low, even by pediatric standards (I believe the reference ranges provided are actually adult ranges). This also supports a diagnosis of Leukemia (Hinkle, et al., 2021). 2. What are your expectations from the collaboration with the? Dietitian – A dietician would be involved to provide patient/family education and medical team consultation regarding the nutritional needs of a patient undergoing treatment for Leukemia. Low-microbial diets may be prescribed to limit introduction of potential pathogens (Hinkle, et al., 2021). Nutritional supplements or parenteral nutrition may be required to maintain adequate nutrition (Hinkle, et al., 2021). Case manager – a case manager can assist the patient and his family to coordinate communication between the patient, the various members of the healthcare team, and insurance companies, as well as coordinating the treatment plan. Because this is a pediatric patient, a case manager may also be able to offer support services to the parent(s) as they may encounter difficulties with travel, lodging, and work absences related to the child’s hospitalization and treatment (Hinkle et al., 2021). Oncologist – The oncologist would order testing to confirm the diagnosis as well as the necessary treatments. This patient would likely receive a diagnosis of Acute Myeloid Leukemia, and treatment would be geared toward complete remission (Hinkle et al., 2021). Pharmacist – The pharmacist would be involved obtaining the correct chemotherapeutic agents as well medications to manage symptoms and any infections or conditions which arise as a result of treatment (Hinkle et al., 2021). Other Case on an Adult client: 1. What are the relevant findings in the case presentation? I Information provided was pertinent and relevant. 57-year-old female arrived in the Emergency Room complaining of chills and fever. PMHX of stage 2 adenocarcinoma of the descending colon, bowel resection and a colostomy 10 weeks ago. Her last IV administration of chemotherapy was 12 days ago. She has a left implanted port to left chest was in which she was receiving her chemotherapy. Unable to eat much due to the sores in her mouth and nausea. sensations. Upon admission to the medical floor, she is tearful and voiced concerns about her dog,”Pookie” who is home alone. She did not realize she would have to have to stay at the hospital. Upon assessment, client is very pale, with dry mucous membranes. Upon inspection of her oral cavity, there were scattered open lesions throughout the oral cavity. The implanted port to the left chest wall is not currently accessed, lung sounds are diminished bilaterally, and the client has a persistent cough. Abdomen is soft with hypoactive bowel sounds. The stoma is pink and moist, and a lack of stool in the colostomy bag. Vital signs, elevated oral temperature of 102.1, pulse 122, respirations 22, and normal blood pressure of 122/71. Abnormal labs; hemoglobin 8.7, hematocrit, 28, WBC 0.1, and platelets 110. 2. What are your expectations from the collaboration with the dietitian, case manager, oncologist, and pharmacist in your case study? Dietitian: Since Ms. Hall was experiencing nausea sensations, decreased appetite due to sores in her mouth, it is important for the dietitian to assess her eating habits, and the foods she likes to eat. Assess her nutritional status and the ability for her to chew and swallow, and to assess her gag reflex. Educate the patient and family on food hygiene, and of safe food handling. Educate patient on the importance of reporting any oral pain and burning sensations while eating. Educate and encourage the patient on the importance of maintaining good oral hygiene before and after meals. To promote comfort and to prevent local trauma, encourage the patient to avoid foods that are spicy, hard to chew, hot foods, or foods that are irritating. Encourage patient to avoid the using mouthwash with alcohol base. Encourage patient to use a soft toothbrush when rendering oral care. Encourage patient to keep a log of foods she was not able to tolerate. Offer oral nutritional supplements to maintain nutritional needs, improve adequate weight gain and physical functioning (Hinkle, et. al., 2022). Case Manager: To provides extensive education and support for the patient and their families, to determine medical necessity, complete assessments to determine patient needs, educate patients on their condition, treatment options and benefits, collaborate with providers, review treatment plans, achieve managed savings and negotiated rate reductions, and to provide follow-up and reporting clients. Oncologist: A doctors who specializes in diagnosing and treating cancer based upon the pathology report, and the stage of the cancer. To discuss treatment options, provide compassionate and quality of care to the patient and their families. To relieve the pain associated with cancer and to control the symptoms. Pharmacist: Providing safe, effective and cost-effective drug therapy. Special knowledge to prevent, identify, and to manage any drug related problem that includes drug choice, dosage, interactions, administration and side effects of medication use in care of patients with cancer. SCIENCE HEALTH SCIENCE NURSING NURSING NUR211

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