Case Study

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BULACAN STATE UNIVERSITY
College of Nursing
City of Malolos, Bulacan

A case study of a 60 years old female client who had a:

Left Breast Carcinoma

Submitted by:
BSN 3C Group 1

Agustin, Katherine G.
Alejo, Arlene
Azul, Emmanuel
Balingit, Sharmaine Crizza C.
Bantug, Ann Gene
Batongbacal, Roxette Joy C.
Buiza, Angelica Mae C.
Cabildo, Lady Lee DS.
Castillo, Sharmaine D.
Chavez, Kathleen C.
Chico, Rizzamae
Gumabon, Jerry Ann B.

Submitted to:
Clinical Instructors

I.Introduction

This is a case of client ER with an initial diagnosis of Left Breast Carcinoma. A 60 years old girl from Sto. Niño, Paombong, Bulacan who admitted at Emilio G. Perez Memorial Hospital last March 14,2012 at 3:00pm with a chief complaint “may makirot na bukol sa kaliwang dibdib ko” as verbalized by the client.

Breast cancer (malignant breast neoplasm) is a type of cancer originating from breast tissue, most commonly from the inner lining of milk ducts or the lobules that supply the ducts with milk. Cancers originating from ducts are known as ductal carcinomas; those originating from lobules are known as lobular carcinomas. Breast cancer is a disease of humans and other mammals; while the overwhelming majority of cases in humans are women, men can sometimes also develop breast cancer. The size, stage, rate of growth, and other characteristics of the tumor determine the kinds of treatment. Treatment may include surgery, drugs (hormonal therapyand chemotherapy), radiation and/or immunotherapy. Surgical removal of the tumor provides the single largest benefit, with surgery alone being capable of producing a cure in many cases. To somewhat increase the likelihood of long-term disease-free survival, several chemotherapy regimens are commonly given in addition to surgery. Most forms of chemotherapy kill cells that are dividing rapidly anywhere in the body, and as a result cause temporary hair loss and digestive disturbances. Radiation is indicated especially after breast conserving surgery and substantially improves local relapse rates and in many circumstances also overall survival. Some breast cancers are sensitive to hormones such as estrogen and/or progesterone, which make it possible to treat them by blocking the effects of these hormones.

Worldwide, breast cancer comprises 22.9% of all cancers (excluding non-melanoma skin cancers) in women. In 2008, breast cancer caused 458,503 deaths worldwide (13.7% of cancer deaths in women). Breast cancer is more than 100 times more common in women than breast cancer in men, although males tend to have poorer outcomes due to delays in diagnosis. Prognosis and survival rates vary greatly depending on cancer type, staging and treatment. However, survival rates across the world are generally good. Overall more than 8 out of 10 women (84%) in England that are diagnosed with the disease survive it for at least 5 years. In the Philippines, seventy-five percent (75%) of all cancers here occur after age 50 years, and only about three percent (3%) occur at age 14 years and below. Most Filipino cancer patients wait until the last hour before consulting and at this point, the cancer is most often at an advanced stage. In Asia, the Philippines has the highest reported incidence rate of breast cancer. From 43.2 in 1993-1995, the age-standardized incidence rate (ASR) is now 47.7 per 100,000 females, and this figure exceeds the rate reported for several Western countries, including Spain, Italy, and most Eastern European countries.

II.Objectives:

General Objectives:
To be able to acquired knowledge and awareness to the nursing students who chance or might have handled cases of breast carcinoma.

Student- centered

Knowledge:

To be able to nurture knowledge about this type of disease •To be able to understand the disease on how, where and when it starts •To be able to learn the facts on this disease

Skills:

To be able to assess causative factors on this...
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