Mr. Jeremy Taylor, a 54-year-old widowed banker, was admitted to the hospital with a respiratory infection and lung cancer. He underwent successful surgery to remove a 2.5 cm tumor from his left lung. He then received 4 cycles of adjuvant chemotherapy to prevent relapse, which caused him to lose 5 kg. His discharge plan includes referrals to a dietician and psychotherapist to address weight loss and smoking cessation, a mild exercise regimen, continued cancer screening and hypertension medication, abstaining from alcohol, and living with one of his children.
Mr. Jeremy Taylor, a 54-year-old widowed banker, was admitted to the hospital with a respiratory infection and lung cancer. He underwent successful surgery to remove a 2.5 cm tumor from his left lung. He then received 4 cycles of adjuvant chemotherapy to prevent relapse, which caused him to lose 5 kg. His discharge plan includes referrals to a dietician and psychotherapist to address weight loss and smoking cessation, a mild exercise regimen, continued cancer screening and hypertension medication, abstaining from alcohol, and living with one of his children.
Mr. Jeremy Taylor, a 54-year-old widowed banker, was admitted to the hospital with a respiratory infection and lung cancer. He underwent successful surgery to remove a 2.5 cm tumor from his left lung. He then received 4 cycles of adjuvant chemotherapy to prevent relapse, which caused him to lose 5 kg. His discharge plan includes referrals to a dietician and psychotherapist to address weight loss and smoking cessation, a mild exercise regimen, continued cancer screening and hypertension medication, abstaining from alcohol, and living with one of his children.
Mr. Jeremy Taylor, a 54-year-old widowed banker, was admitted to the hospital with a respiratory infection and lung cancer. He underwent successful surgery to remove a 2.5 cm tumor from his left lung. He then received 4 cycles of adjuvant chemotherapy to prevent relapse, which caused him to lose 5 kg. His discharge plan includes referrals to a dietician and psychotherapist to address weight loss and smoking cessation, a mild exercise regimen, continued cancer screening and hypertension medication, abstaining from alcohol, and living with one of his children.
You are a charge nurse in the oncology ward looking after Mr Jeremy Taylor,a 54 –years-old patient.
Hospital: Clare Medical College Hospital,24 Harley Drive ,Brooksbank
Patient details
Name: Jeremy Taylor (Mr.)
DOB: 19.10.1964
Admission date : 05.03.2018
Treating doctor: Dr Meena Singh Moving to: Dr Gerald Jones
Social background Works as a banker Marital status :widower (wife died 3 years ago) Next of kin :daughter ,Julie (27 years, artist );son ,Brad(25 years ,dentist)-both single Stressful life ,works 13-15hrs/day ;lives alone so has takeaway food ;no exercise ;drinks socially; smokes 10 cigs/day since age 16 Previously tried nicotine patches +electric cigarettes unsuccessfully
Medical history
2010-diadnosed with hypertension (was not compliant with medication)
No family history of cancer
05.03.2018
Presenting complaints: respiratory infection and rust –colored sputum (patient was visiting daughter in Brooksbank) Temp ;38 degree C ;BP 128/83 Amoxicillin 500mg 2/day prescribed for five days
10.03.2018
Temp:37 degree C ; BP 125/84
Cough Tests revealed stage IIA non-small cell lung cancer CT scan revealed category TIC,N0, M0 (2.5 cm tumor) in left lung Bronchial branches not affected 15.03.2018
VATS procedure was successful in removing tumor -4 incisions
Tubes removed same day –dressing for incision site Percocet for breakthrough pain Vital signs: BP hypertensive (130/83)-others within normal limits –Ramipril 5 mg commenced
17.03.2018
Discharged (under daughter’s care)
20.03.2018 - 20.05.2018
Adjuvant chemotherapy in 4 cycles (once every two weeks)performed to prevent risk of relapse (Cisplatin and Docetaxel; Zofran administered for side effects of nausea ) lost 5 kg (now at 60 kg) Borderline leukopenia absolute neutrophil count (ANC) at 1000 (Filgrastim 325 mcg daily) – subcutaneous injection
Discharge plan
Needs referrals to a dietician to gain 5 kgs lost during chemo
Psychotherapist to help quit smoking Regular ,mild exercise needs to begin in 2 weeks Next CT scan after three months; thereafter annually and chest X-rays three times per year Continue Ramipril 5 mg for hypertension No alcohol Daughter and son to take turns living with father in his New Abbey flat Monitor complete blood count (CBC)weekly (2 months)
Assessment; weak from pain,but recovering well from side effects
Writing task
Mr. Jeremy Taylor is a 54-years-old patient in the oncology ward of a hospital in which you are Charge Nurse .He is transferring from Brooksbank back to New Abbey. Using the information in the case notes to provide a treatment summary and follow up care plan. Address your letter to oncologist Dr Gerald Jones,24 Sophia Avenue ,New Abbey.
