is a 37-year old, married housewife, with a 35 pack/year history of smoking. She says she ‘just can’t quit.’ She denies ETOH use. 67′ Wt. 115 lbs….

Question Answered step-by-step A. V. is a 37-year old, married housewife, with a 35 pack/year historyof smoking. She says she “just can’t quit.” She denies ETOH use. Ht. 67″ Wt. 115 lbs. Her PMH includes C-sections for all 3 children ages 6, 14, and 18. She does not have insurance. She noticed a “canker sore” on the anterior lateral aspect of her L tongue several months ago. Over time, she developed a sore throat and ear pain. The family nurse practitioner at the low-income clinic sent her to a specialist who performed a biopsy of her anterior tongue. The diagnosis was squamous cell carcinoma – poorly differentiated – T2N0. Before her surgery she had complete Panorex views of her mandible; fluoride trays were made followed by a partial glossectomy and excision of the floor of her mouth. Three weeks after surgery, multiple teeth are scheduled to be extracted. Afterward, she will be schedule for 8 weeks of radiation therapy in your outpatient clinic. -Describe the rational for this prophylactic treatment: teeth extraction, Panorex views, fluoride trays. -Identify and describe pre-op nursing care for partial glossectomy. -Identify and describe potential post-op care for partial glossectomy. -Identify and describe potential post-op complications resulting from a partial glossectomy. Plan appropriate nursing interventions and patient teaching strategies to manage these complications. -When she returns for her first post-op visit to your clinic, she appears to be quite distressed to hear about the radiation therapy. Although she still has considerable trouble speaking, she explains she really didn’t think much about it before surgery. She seems quite embarrassed as she tells you her family has no insurance, and they were barely making it earlier. Now she says she is getting “nasty letters” from the hospital demanding payment. What can you do” -As she sits by you, she keeps her hand over her mouth and jaw. She is wearing her hair so it hangs down over her face. Her jaw and neck still are swollen from the surgery and tooth extraction. She avoids eye contact with you. How will you respond? Health Science Science Nursing NURSING 150 Share QuestionEmailCopy link Comments (0)