Discussion: Lung cancer
Ann and Michael have been married for 55 years. Ann is 80 years-old, and suffers from lung cancer and advanced Alzheimer’s disease. She currently resides in a nursing home, and often does not recognize Michael when he visits. Last night she was admitted to the hospital with difficulty breathing. Today, you are the nurse caring for Ann, and her physician is suggesting surgery to remove part of her lung to potentially slow the progression of her cancer. Michael is feeling unsure about this course of treatment, and asks for your advice and guidance.
How would you respond to Michael and serve as advocate for your patient?
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Share with your classmates a time when you cared for a patient at the end of their life. This may be a time when you assisted the patient (or their support system) with decisions related to end of life care; or a time when you were present for the death of a patient.
What were your observations related to this experience? Do you believe it was a peaceful death? What went well? Can you think of anything that could have made the experience better for the patient and/or family?
Cancer causes certain mutations in otherwise healthy cells.
Typically, the body programs cells to die at a certain stage in their life cycle to avoid overgrowth. Cancer overrides this instruction, causing cells to grow and multiply when they should not.
The overgrowth of cells leads to the development of tumors and the harmful effects of cancer.
In lung cancer, this pattern of cell overgrowth occurs in the lungs, which are vital organs for breathing and gas exchange.
Doctors typically diagnose two lung cancer types, small cell and non-small cell, depending on how they appear under a microscope. A person is more likely to have non-small cell lung cancer than small cell.
While anyone can develop lung cancer, cigarette smoking and exposure to smoke can increase the likelihood that a person will experience the condition. Lung cancer can develop if a person has a history of exposure to inhaled chemicals or other toxins.
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