Arden is a 37-year-old white male who is admitted to Oncology Unitfor management of side effects of

Arden is a 37-year-old white male who is admitted to Oncology Unitfor management of side effects of chemotherapy.  DX: gastroesophageal cancer.History Includes:  Heartburn for “a long time” and difficulty swallowing during the past 4 or 5 months. Occasionally food seems to “hang up” in his throat. He points to the upper portion of his neck, directly beneath his chin. Pain immediately below the sternum that feels like “a gnawing or burning.”   Weight loss of 33 pounds in the past 6 or 7 months, weakness, coughing at night. (Usual weight: 230 pounds).  Other information: Does not use tobacco; alcohol intake does not exceed 2 cans of beer per week. Has treated stomach pain with otc (over the counter) medications for acid stomach.  Fractured left leg age 14.  Wears glasses for myopia   Social History:  He is married and is employed as a carpenter.  Arden is self employed in the building industry. He does not have health insurance, but has $10,000 in life insurance. He married at age 36 and does not have a large support group because he was emancipated from his family of origin for a long time and developmentally is late in establishing a family.Appearance: Pale, malnourished, distressedVital signs: 132/92; 88Temperature: 99.4°Respirations: 14  Pulse Ox on RA: 94%Height: 6 feet (183 cm)Weight: 62 kg – Muscle WastingEpigastric tenderness on palpation                               WBC = 2500; RBC = 2.5                                         mouth sores – mucositis                                          Orders:         Protective Isolation                                                           Continuous tube feeding per PEG tube:  Jevity 1.2 Cal @ 30 mL/hr                                                                Bedrest with BRP                                                         Chemo Regimen: 5-FU, with cisplatin q week.                Zofram prn IVP;  Compazine prn IVP; Nystatin oral suspension 400,000 U (10 mL) 4 times daily for 10 days. Swish and spit; Acetaminophen prn for fever or mild pain; Demerol prn for moderate -severe pain;Reglan bid g-tube; Ativan bid g-tube; neupogen subcut; epogen subcut    Continuous IV of 1/2NS in D5WInitial posts should answer the following questions:1.    How would the nurse collaborate with other members of the health care team in the process of developing and implementing a plan of care in the above case study?Cite your textbooks and at least one outside reference to support your answers.Responses should consider the communication skills required by the nurse in collaboration. Health ScienceScienceNursing NUR 305 Share QuestionEmailCopy linkComments (0)

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