Answer the case study below in 200 words using American psychological association referencing only.
Patient with Breast Cancer
Elizabeth Thompson, 34, was recently diagnosed with invasive ductal carcinoma (breast cancer) in her
left breast. She has two children, both of whom she breastfed for approximately twelve months. Mrs.
Thompson's oldest sister died of breast cancer. The lump was detected when she attended her general
practitioner for a routine biannual check up, including a Pap smear. “a fixed round lump with irregular
borders palpated in the upper outer quadrant of left breast at 2cm in measurement. Left axillary edema
noted. There is symmetry of the breasts with no puckering or nipple discharge. The client denies pain.”
Mrs. Thompson has a diagnostic mammogram and a fine-needle aspiration biopsy. It is determined that
she has stage II breast cancer.
Mrs Thompson is likely to be feeling shocked, She will be wanting to ask her surgeon about the extent
of the disease and what further information she can have to help her cope with her diagnosis.
Mrs. Thompson will have a lumpectomy with lymph node dissection (partial mastectomy). A Jackson-
Pratt (JP) drain will be in place postoperatively. Following surgery, tamoxifen is prescribed.
What is the incidence of Breast cancer in Australia and how are patients in the rural sector supported
by the Health system.
Define and discuss the grading system for breast cancer, its relevance to medical management and
survival for Mrs Thompson’s.
Identify postoperative nursing diagnoses (risk and actual) and collaborative problems to consider for
Mrs. Thompson. Present the diagnoses in order of priority Identify nursing interventions and support
these with evidence based literature
Elizabeth indicated she is scared about loosing her hair. She will also have other body image changes
after the surgery. What strategies and support can be implemented to help her cope with her change in
Mrs. Thompson asks about the adverse effects of tamoxifen. Discuss the possible common and
potentially life-threatening adverse effects of this medication. What instructions should you include
regarding sexual activity?
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