Case Study Situation Helena is a 42-year old woman diagnosed with breast cancer who lives in rural Queensland with her husband Stefan and three…

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Question Case Study Situation Helena is a 42-year old woman diagnosed with breast cancer who lives in rural Queensland with her husband Stefan and three children [Jane 15, Tom 12, Lucy 10]. Stefan works away, and they struggle with her treatment and her need to be closer to the hospital. They share family concerns with you about coping and maintaining support for the children.  Background Helena had a total mastectomy and removal of axillary nodes 10 weeks ago and is now receiving chemotherapy. Her treatment involves six cycles of chemotherapy, which comprises two days of treatment followed by two weeks for recovery. During the treatment weeks, Helena stays for two days at the Cancer Council hostel close to the treating hospital. After her third cycle of chemotherapy, Helena returns home and notices a marked increase in her level of fatigue and is finding it very hard to cope with family demands. Helena subsequently contracts a common cold from one of her children, and she becomes quite unwell. She goes to the emergency department of her local hospital, febrile and generally unwell. In view of her complex underlying medical condition, the doctor recommends Helena be transferred to the treating hospital’s oncology unit for further assessment and treatment. Helena is transferred to Brisbane via an air evacuation with Stefan. The children are left in the care of a close friend. Helena’s Mother and Father live in Brisbane. Assessment Helena is admitted to the oncology unit for treatment and assessment of her neutropenia. The nurse completes a family assessment to identify how the family is functioning with this immediate illness and Helena’s breast cancer diagnosis and treatment regime and seeing if any additional support or assistance is needed. Identified issues Poor communication between family members Limited understanding of the treatment Challenges with changes in family roles Challenges related to accepting help Lack of acknowledgement of the role of spirituality Different coping strategies across family members Challenges with support and inclusion of the children Lack of acceptance of support within the extended family  1)Outline a recommendation for an existing online resource or appropriate referral for the family for EACH nursing strategy. 2) Propose an evidence-based evaluation of the strategy to meet the nursing care goals. Specifically, explain how the strategy can be evaluated by the nurse.  Health Science Science Nursing NURSING 2810 Share QuestionEmailCopy link Comments (0)

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