This essay is based on a case study of a patient with colorectal cancer, discussing symptoms, care plan, discharge planning, and self-management. It emphasizes the importance of follow-up checkups and collaborative approaches to education.
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1 CONSUMER CASE STUDY ESSAY Title:Consumer Case Study Essay Assignment Name: Student Name: College Id: Course name and Number: Instructors Name: Date:
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2 Consumer Case Study Essay Table of Contents Introduction..............................................................3 Discharge Planning..................................................3 Collaborative approaches to education and planning for self-management................................................5 Conclusion...............................................................8 Reference List..........................................................9
3 Consumer Case Study Essay Introduction The essay is generally based on the case study that is related to John who was having the treatment of colorectal cancer. The case study generally portrays about colorectal cancer and its different kinds of symptoms and care plan that are highlighted in the case study, in order to prevent John from getting affected by the diseases, John and his wife Carol metthedoctorabouttheissueandthedoctor prescribed the ways of treatment. Now, John has goneofffromtheoperationandiscurrently receiving his last cycle of chemotherapy. I am the Cancer Care Coordinator at the hospital where John is receiving the chemotherapy. I will meet him to provide detail information about the discharge and self-management planning with a follow up of the active treatment. Discharge Planning The diagnosis and the identification of the disease are generally done through a bowel cancer test. John was actually ignorant about the issue and his wife Carol pushed him to visit the doctor and the doctor assured him about the existence of colorectal cancer in him. There are different discussions done on the basis of surgery, postoperative plans and
4 Consumer Case Study Essay postoperative plans that can make John sustain the disease (Maliket al.2018). PTFU is generally acceptable to the patient with colorectalcancer.Thiscanbeconsideredasa reality with the alternative to the OPFU for the patients that are clinically in a sustainable state. Thisbearstosomehigherinitialcostwitha provision of self-management program (SM) with proper remote surveillance.There should be an intensive follow up after the curative resection of colorectal cancer which is associated with a specific approach to survival (Geer, 2016). This generally benefits the regimens which employ cross-sectional imaging and also with the carcinoembryonic antigen determination.Therearerisksadaptedinthe approach of the follow up which are intensively makingthepatientswithahigherriskofthe recurrence (Worrall-Carteret al.2016). It also increases the overall efficacy and the cost- effectiveness which are related to the disease. It can besaidthatongoingimprovementsinthe stratification of risks, detection of diseases and the overalltreatmentwillgenerallyincreasethe surveillanceofthepostoperativestatetoJohn. There is generally a need for large and randomized control trials for the determining of the optimal surveillance regimen. This will include with it a quality of survival analysis, life with quality and a properandcost-effectivenesstowardsthe
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5 Consumer Case Study Essay assessment of the efficacy (Moodie, Tolhurst & Martin, 2016). Theevaluation,diagnosis,planofcareand prognosis should be documented with a date which is authenticated by the therapist who is associated with the performing of the service. There is an intervention provided by the doctor on the basis of the treatment and physical condition. This can also be given by the assistant doctor, but all should be dated and documented and authenticated by the permissiblelaw.Thereareseparateflowcharts which are also considered as the component of documents or record for self-evaluation as well as to carryontheongoingtreatmentprocess.The symptoms related to the recurrence of colorectal cancer are the same as being faced in the first instance.Thisgenerallyincludesweightloss, diarrhea, and constipation. This also comes with back or pelvic pain and at times trouble in breathing (Sahleet al.2016). Collaborativeapproachestoeducationand planning for self-management The number of long term survivors of cancer is generally 5 years. The cancer survivors generally returninthenormalfunctioningafterthe completion of the treatment. This results in a wide rangeofphysicalandpsychologicalproblems which recede with the time of association. These
6 Consumer Case Study Essay problemsarerelatedtotheemergenceofthe treatment of cancer and other chorionic diseases that are long term in nature. There are psychological long term effects and often late effects which are generally associated with the deficit in the overall physicalandemotionalfunctioning.Thereare emergencies of public health initiatives which are on the basis of large scale. There should be an increased awareness of the follow-up plans of care which are allowed in order to allow a proper and an adequate surveillance rate. There is prevention in the management of the long term effects of cancer that is needed to be taken up by John in order to stop the recurrence of the disease further (Maiorino, Bellastella & Esposito, 2015). John needs to stay under active checkups in order to survive.This is because active checkups will keep the doctors updated about the disease. They will understand that there is a chance of recurrence or patient is totally out of the danger.In case of recurrence, then there should be radiation therapy applied to John as per requirements (Billietet al. 2018).This will provide a proper care plan and active identification process. This is because such diseases take a lot of time to cure and it never gets fully cured up. Therefore follow up treatment is a must in case of John. There are several ignorance’s whichhavebeenshownbyJohnatthefirst instance. This ignorance has led to such a situation.
7 Consumer Case Study Essay The symptoms which took place like back pain or stomach pain or indigestion was not at all looked carefully. Therefore after the active treatment which is going on, John needs to be more careful about the diet he is in taking (Lawrenceet al. 2016). He should abide by all the rules related to health thatarebeingprescribedtohimduringthe discharge time. The physiological impact and the uncontrolled anxiety leads to a reduction in the quality of life, the rate of suicide attempts increases, reduction in the adherence of the recommended surveillance and also in the reduction of the health engagementthatisrelatedtohealth-promoting activities (Tamagawaet al. 2015). There is a need fordevelopmentinthetherapeuticactivities, elicitation of the unmet needs, proving of proper information, and in the expressing of the empathy that is active towards the listening. There are some strategieswhichcanleadtoovercomingsuch diseases;theyarelikepsychotherapy,an antidepressant medication which contains with or without anxiolytics. There should be referral given to social work that is considered as counseling and chaplaincy (Hafekostet al.2016). These actions can reduce stress and make the patients feel stress less. These kinds of medicine canalsoreducethechancesofhavingsuicidal attempts. Therefore it can be said that a patient should continuously stay in touch with the doctors
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8 Consumer Case Study Essay so that slight problems that arises can be cured. Therearedifferentmentalhealthcareplansin Australian Cancer society which deals with such problems effectively. Cancer treatment causes hair loss,nausea,vomitingwhichisasocialand emotional problem and often can make John feel low. Spirituality can also be considered in the broad sense with the lives of the patient during stress, illness and dying (Dunnet al.2017). There are different existential issues which trigger at such point of time when a patient is suffering form cancer. Therefore there are spiritual diagnosis done on the basis of the mental condition and other clinical symptoms ascertained with (Carlsonet al. 2016). These strengthen and also make a positive impact on the recovery of the patient. Therefore it can be said that John can go through such problems when he will take rest in his home. As aCancer Care Coordinator at this hospital, I would solely suggest Carol to look after her husband carefully. If thementalconditionbecomesunbalanced,they should positively visit for a checkup, otherwise, it can lead to different other problems (Dobsonet al. 2015). Thesearesomeof theessentialsymptomsand identificationaccordingtothesituationwhich should never be ignored. The patient should be kept under proper follow-up checkups. This will also increase the rate of survival and the issues regarding
9 Consumer Case Study Essay the survival strategies will also be solved (Carlson etal.2015).Thisistheonlyintentionofthe identification and discussion of the issues prior to its happening. So that there are no problems faced further regarding the mental or physical imbalance ofthepatients.Thisisbecauseattimessuch imbalancescanleadtoaseriousinjurytothe survival of the patient (Andersonet al.2016). Conclusion It can be said that there should be a proper follow up of treatments required, in order to make John survive for at least 5 years. Because, after treatment of such cancers the sustainability rate is hardly 5 years. There is a need of proper checkups so that the disease does not get spread to the other parts of the bodyanddisturbsanyotherassociatedorgan. AdjuvantChemotherapygenerallyhelpsinthe prevention of the recurrence to the disease. This is particularlyaddressedwithdistancerecurrence. Looking to the current situation, these are discharge planning and collaborative approaches to education and planning for better self-management.
10 Consumer Case Study Essay Reference List Journals Anderson, I., Robson, B., Connolly, M., Al-Yaman, F., Bjertness, E., King, A., ... & Pesantes, M. A. (2016). Indigenous and tribal peoples' health (The Lancet–Lowitja Institute Global Collaboration):apopulationstudy.The Lancet,388(10040),131-157.Retrieved from: https://portal.findresearcher.sdu.dk/en/public ations/indigenous-and-tribal-peoples-health- the-lancet-lowitja-institute Billiet, T., Emsell, L., Vandenbulcke, M., Peeters, R.,Christiaens,D.,Leemans,A.,...& Deprez,S.(2018).Recoveryfrom chemotherapy-induced white matter changes inyoungbreastcancersurvivors?.Brain imagingandbehavior,12(1),64-77. Retrievedon: https://www.researchgate.net/profile/Alexan der_Leemans/publication/ 31274926_Recovery_from_chemotherapy- inuced_white_matter_changes_in_young_br east_cancer_survivors/links/ 59d5e7c9aca2725954c78c15/Recovery-
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11 Consumer Case Study Essay from-chemotherapy-induced-white-matter- changes-in-young-breast-cancer- survivors.pdf Carlson, L. E., Beattie, T. L., Giese‐Davis, J., Faris, P., Tamagawa, R., Fick, L. J., ... & Speca, M.(2015).Mindfulness‐basedcancer recovery and supportive‐expressive therapy maintain telomere length relative to controls indistressedbreastcancer survivors.Cancer,121(3),476-484. Retrievedon: https://onlinelibrary.wiley.com/doi/pdf/10.1 002/cncr.29063 Carlson,L.E.,Tamagawa,R.,Stephen,J., Drysdale,E.,Zhong,L.,&Speca,M. (2016).Randomized‐controlledtrialof mindfulness‐basedcancerrecoveryversus supportive expressive group therapy among distressedbreastcancersurvivors (MINDSET):long‐termfollow‐up results.Psycho ‐Oncology,25(7),750-759. Retrievedon: https://onlinelibrary.wily.com/doi/pdf/10.10 02/pon.4150 Dobson, A. J., Hockey, R., Brown, W. J., Byles, J. E., Loxton, D. J., McLaughlin, D., ... & Mishra, G. D. (2015). Cohort profile update: Australian longitudinal study on women’s
12 Consumer Case Study Essay health.Internationaljournalof epidemiology,44(5), 1547-1547f. Retrieved from: https://academic.oup.com/ije/article/44/5/15 47/2594558 Dunn, J., Garvey, G., Valery, P. C., Ball, D., Fong, K. M., Vinod, S., ... & Chambers, S. K. (2017). Barriers to lung cancer care: health professionals’ perspectives.Supportive Care in Cancer,25(2), 497-504. Retrieved from: https://link.springer.com/article/10.1007/s00 520-016-3428-3 Geer, K. M. (2016).The Role of Social Media in CancerRecovery(Doctoraldissertation, Johns Hopkins University). Retrievedon: https://jscholarship.library.jhu.edu/bitstream /handle/1774.2/58740/GER-THESIS- 2016.pdf?sequence=1&isAllowed=y Hafekost, J., Lawrence, D., Boterhoven de Haan, K., Johnson, S. E., Saw, S., Buckingham, W. J.,...&Zubrick,S.R.(2016).The methodology of young minds matters The secondAustralianchildandadolescent surveyofmentalhealthandwellbeing. Australian&NewZealandJournalof Psychiatry,50(9), 866-875. Retrieved from: https://www.researchgate.net/profile/Sarah_ Johnson17/publication/288001867_Methodo
13 Consumer Case Study Essay logy_of_Young_Minds_Matter_The_second _Australian_Child_and_Adolescent_Survey _of_Mental_Health_and_Wellbeing/links/ 568b42b508ae1975839dc8fe/Methodology- of-Young-Minds-Matter-The-second- Australian-Child-and-Adolescent-Survey-of- Mental-Health-and-Wellbeing.pdf Lawrence, D., Hafekost, J., Johnson, S. E., Saw, S., Buckingham, W. J., Sawyer, M. G., ... & Zubrick, S. R. (2016). Key findings from the secondAustralianchildandadolescent surveyofmentalhealthand wellbeing.Australian&NewZealand JournalofPsychiatry,50(9),876-886. Retrievedfrom: https://www.researchgate.net/profile/Sarah_ Johnson17/publication/286376581_Key_fin dings_from_the_second_Australian_Child_a nd_Adolescent_Survey_of_Mental_Health_ and_Wellbeing/links/ 566fd21708aec0bb67c051ee/Key-findings- from-the-second-Australian-Child-and- Adolescent-Survey-of-Mental-Health-and- Wellbeing.pdf Maiorino, M. I., Bellastella, G., & Esposito, K. (2015). Lifestyle modifications and erectile dysfunction: what can be expected?.Asian Journal of Andrology,17(1), 5. Retrieved