Write an essay on the topic: PLEASE ANSWER THIS STUDENT DISCUSSION POST FOR ME
The patient has neutropenia (ANC 800), which increases her risk of infection, according to the scenario 3 cues I saw. She is tired, has lost eight pounds, has mucositis, nausea, and lives alone. Her care manager is worried about her. In light of these worries, the patient's lab results revealed evidence of dehydration.
Following an analysis of the patient's worrisome behaviors, it was concluded that the patient is immunocompromised, malnourished, dehydrated, and overburdened by her care. The indications collectively imply that the patient is incapable of taking care of herself and meeting her basic needs.
Prioritize Hypothesis
Poor nutrition
Lack of support
Risk for infection
Decline in ability to do things due to fatigue and weightloss
Generate Solutions
a. Help with poor nutrition
b. Address neutropenia and risk for infection
c. Addresses fatigue and lack of support
d. Manage oral mucositis which effects eating
e. Mouth rinse protocol that helps to support healing and improves oral intake, hydration, and nutrition
f. Help relieve the side effects such as the weight loss and fatigue and ignore the dehydration and the need to help manage care.
Take Action - 1st Interventions
B. Educate the patient on infection symptoms and start neutropenic precautions. This would be a top priority because she is neutropenic, which increases her susceptibility to infections, and it is critical to teach her self-defense techniques and warning signs in order to stop the infection from getting worse.
E. Use the mouthwash protocol to treat mucositis. The cause of the pain, poor eating, and dehydration is probably mucositis. Beginning to manage that mucositis will probably make it easier for her to eat and drink, which will support staying hydrated and getting enough nutrition ae two things that are crucial for the body to have energy to fight infections.
Evaluate Outcomes
For B :Following instruction, the patient is able to describe important infection prevention practices like washing her hands properly, staying away from crowds, and taking her temperature every day. She is aware of which symptoms, such as a fever, chills, or sore throat, should be reported right away. She shows no symptoms of infection over the next few days, and her white blood cell count is regularly checked. We lessen the likelihood that she will become gravely ill while her immune system is compromised by taking preventative measures early.
For E : The patient reports less mouth pain and redness a few days after beginning the mouth rinse regimen. Her appetite slightly improves, and she starts to tolerate soft foods and liquids better. Her symptoms of dehydration, such as fatigue, dry lips, and poor skin turgor, also begin to improve as she consumes more fluids. In addition to improving nutrition and boosting her energy levels, increased oral intake aids in her body's recovery and strength throughout treatment. Overall Treating this early supports better eating and drinking, improving both hydration and nutrition.
Reference
Overbaugh, J.L.H.K.H.C. K. (2021). Lippincott CoursePoint Enhanced for Brunner & Suddarth's Textbook of Medical-Surgical Nursing (15th ed.). Wolters Kluwer Health. https://coursepoint.vitalsource.com/books/978197518672. The text must be written at the level of the University. The text must be written in the English language. The text must be written in 100 words. The style of the text should be: Descriptive.
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