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BREAST CANCER (COMPLICATIONS OF CHEMOTHERAPY) Clinical Reasoning Case Study (Jan Leisner, 50 years old)

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BREAST CANCER (COMPLICATIONS OF CHEMOTHERAPY) Clinical Reasoning Case Study (Jan Leisner, 50 years old) History of Present Problem: Jan Leisner is a 50-year-old Caucasian woman who has been healthy ... with no previous medical history. One year ago, she noted a small palpable lump in her right breast about the size of an almond. Because she has been healthy, she assumed it was nothing and ignored it. Over the last month she has noted that this lump has been increasing in size. Her mammogram confirmed a 5 cm mass. An ultrasound biopsy confirmed the presence of cancer cells in the tumor as well as in three of her lymph nodes most proximal to the tumor. An MRI scan that followed revealed a 1 cm tumor on her lumbar spine. She is not a surgical candidate at this time, so an implanted venous access device (VAD) will be placed later this afternoon so that chemotherapy can be started as soon as possible. You are the nurse responsible for her care on the oncology unit of a community hospital. [Show More]

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