Clinical Integration Professional Practice

Running head: CLINICAL INTEGRATION PROFESSIONAL PRACTICE
CLINICAL INTEGRATION PROFESSIONAL PRACTICE
Name of the Student
Name of the University
Author Note

1CLINICAL INTEGRATION PROFESSIONAL PRACTICE
Introduction
Mrs. Zata Zata is 46 years old lady admitted to the hospital with compliant about the
bloody stool, cramping and also bloody diarrhea. Colonoscopy showed that she has an
obstructive lesion in the sigmoid colon. The doctor conducted a pathology biopsy which
highlighted that she has adenocarcinoma. Moreover, her vital signs highlighted that temperature
37.8, pulse 72, respiration rate 22 and blood pressure 166/85. Her family history showed that her
father died by cancer. Her medical history also showed that she has mild hypertension and
hyperlipidemia and appendectomy surgery at the age of 25. Doctor prescribed the intervention of
six cycles of chemotherapy followed by radiotherapy. However, the patient complaining severe
pain and nurse stated that the patient lost 5kg weight and also she has not been able to sleep in
nights and could not open bowel for four days. In the following section the problems of the
patient and based on the problems the reflection will be developed.
Problems
Problem 1
Based on the case study it has been seen that the patient has affected by the
adenocarcinoma and it can be heighted as the primary problem of the patient. The factor of the
family history shows that her father died of cancer. This can be highlighted as the cause of Mrs.
Zata’s adenocarcinoma as cancer is one of the diseases which can be inherited (Ying et al.,
2016). Moreover, the factor of medication and other chemical exposures also have a stake in the
development of this condition for the patient. On this context it can be stated that the medical
history of the hyperlipidemia can also have contributed in the development of the carcinogenic
reaction in the body and developed the adenocarcinoma. However, the cause of the
hyperlipidemia has not been mentioned in the medical history and the starting location of

2CLINICAL INTEGRATION PROFESSIONAL PRACTICE
adenocarcinoma has also not been identified. On this context it can be stated that the process of
the development of this disease can be dependent on multiple negative causes however, which is
the actual cause of this situation cannot be identified. Furthermore, her surgical history of the
appendectomy can also be contributed in the development of the chemical reaction in the colon
and thus lead to the adenocarcinoma (Tempero et al., 2017).
Problem 2
It has been seen that the patient has not been able to sleep or eat anything. This situation
can be delivered due to the effect of the bloody diarrhea, sever pain and also the reaction of the
radiotherapy and chemotherapy. The factor of inadequate sleep and nutritional intake leads to
weight loss in a drastic manner and the pain is getting higher (Medrzycka-Dabrowska et al.,
2018). However, the process of the development of the negative condition of the body such as
the bloody diarrhea, weight loss and other aspects should be assessed and controlled for the
betterment of the condition (Lin et al., 2017). Moreover, the negative reactions of the medicines
taken by the patient can also b stated as the causes of these ill conditions of the patient.
Problem 3
The patient has been found with another issue of neutropenia which is the condition of
the lower amount of neutrophils or the white blood cells. The blood test highlighted this issue of
the patient. The bloody diarrhea can be the cause of this condition as the loss of blood and the
immune system collapse of the patient can be cause of the condition. However, there is no
specific medical history that can be termed as the cause of the neutropenia of the patient. On this
context it can also be stated that the process of the neutropenia cannot be identified however, this
issue can be stated one of the most affecting condition for the patient (Anderegg et al., 2017).