CheckPoint-Mary�s Battle-week#8-Gabrielle Jeffcoat

CheckPoint-Mary�s Battle-week#8-Gabrielle Jeffcoat -...

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Axia College Material Appendix F Mary’s Battle Directions: Base your answers for this week’s CheckPoint on this case study. Mary is a 42-year-old African-American female. Five of her six siblings are still living. When she was a child, her oldest sibling was killed along with her parents in a tragic car accident. She still does not talk about this catastrophic event. Her other siblings are scattered around the U.S., but stay in touch with one another and get together for the holidays. Mary is divorced, and her two children are attending college away from home. Her ex- husband lives in the same town, and has remarried. She has worked as a full-time medical transcriptionist for the past 15 years. Mary’s employer provides her with excellent health insurance benefits. In 2001, Mary was diagnosed with ductal breast carcinoma. She underwent a mastectomy and reconstructive surgery, followed by chemotherapy. She was declared cancer-free in 2002. Last year, she had a recurrence of breast cancer in her other breast. In spite of another mastectomy and chemotherapy, the cancer had metastasized to her right lung and spine. She again received more chemotherapy and radiation therapy. These therapies not only caused her to lose her hair, but to lose weight and become greatly fatigued. She had to stay home with limited visitors to reduce her chances of becoming more ill while recovering from the therapies. Lately, Mary has been experiencing pain in her back, preventing her from sleeping. Her doctor performed a computed tomography (CT) scan yesterday. Today, Mary has just returned home from her follow-up clinic visit. Her doctor told her that there was metastasis to her brain. Once cancer spreads to the brain, it becomes very difficult to treat. The doctors can offer her more radiation to help control tumor growth, and oral medications for her increasing pain. She has been offered the services of the community hospice provider. She is going to check online for alternative therapies that might buy her more time. A social worker has talked to Mary about the importance of a will and advanced
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This note was uploaded on 06/10/2010 for the course HCA 250 hca 250 taught by Professor Axiacollege during the Spring '10 term at University of Phoenix.

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CheckPoint-Mary�s Battle-week#8-Gabrielle Jeffcoat -...

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