Patient Case Study
The University of Hong Kong
LI KA SHING FACULTY OF MEDICINE
SCHOOL OF NURSING
POST-REGISTRATION CERTIFICATE COURSE IN ADVANCED SURGICAL NURSING JOINTLY ORGANIZED WITH THE INSTITUTE OF ADVANCED NURSING STUDIES
MANAGING CLIENTS WITH COMPLEX SURGICAL AND HEALTH PROBLEMS
INDIVIDUAL WRITTEN CASE REPORT
NAME: NG YIU MO
HOSPITAL: PMH SURGICAL
Introduction
Hepatocellular cancer (HCC) is defined as the primary malignancy of hepatocyte. The cause of HCC is usually because of the scarring of liver, which means liver cirrhosis. Liver cirrhosis may be caused by alcohol abuse, autoimmune diseases of the liver, hepatitis B or C virus infection, chronic inflammation of the liver or iron overload within the body. The incidence of HCC is especially high all over Asia pacific region than Western countries is because of the prevalence of hepatitis B in Asia. It is estimated that 1 out of 10 population in Hong Kong is a hepatitis B carrier, and 25 % of them will eventually progress into liver cirrhosis and further into HCC.
HCC affects men more than women. Amongst the male inhabitants, it has an incidence of 33 per 100000 cases whilst woman has 10 per 100000 cases each year (Hopital Authority, 2006). Although a lot of surveillance works have been carried out in current health care services all over the world, the rate the tumour is being detected at a late stage of HCC is still very high. This can account for a high death rate over all other types of cancer and becomes the third most common cause of cancer deaths in Hong Kong (Hong Kong Cancer Registry, 2011).
Treatment modalities of HCC depend on the size, number and location of tumours. Liver resection and liver transplantation still remain the best curative modalities for HCC. Other treatments are available such as transarterial chemo-ebolization (TACE), radiofrequency ablation (RFA), High intensity focused ultrasound (HIFU) ablation or systemic chemotherapy.
Case Study
Mr. Leung is a 37 years old male
LI KA SHING FACULTY OF MEDICINE
SCHOOL OF NURSING
POST-REGISTRATION CERTIFICATE COURSE IN ADVANCED SURGICAL NURSING JOINTLY ORGANIZED WITH THE INSTITUTE OF ADVANCED NURSING STUDIES
MANAGING CLIENTS WITH COMPLEX SURGICAL AND HEALTH PROBLEMS
INDIVIDUAL WRITTEN CASE REPORT
NAME: NG YIU MO
HOSPITAL: PMH SURGICAL
Introduction
Hepatocellular cancer (HCC) is defined as the primary malignancy of hepatocyte. The cause of HCC is usually because of the scarring of liver, which means liver cirrhosis. Liver cirrhosis may be caused by alcohol abuse, autoimmune diseases of the liver, hepatitis B or C virus infection, chronic inflammation of the liver or iron overload within the body. The incidence of HCC is especially high all over Asia pacific region than Western countries is because of the prevalence of hepatitis B in Asia. It is estimated that 1 out of 10 population in Hong Kong is a hepatitis B carrier, and 25 % of them will eventually progress into liver cirrhosis and further into HCC.
HCC affects men more than women. Amongst the male inhabitants, it has an incidence of 33 per 100000 cases whilst woman has 10 per 100000 cases each year (Hopital Authority, 2006). Although a lot of surveillance works have been carried out in current health care services all over the world, the rate the tumour is being detected at a late stage of HCC is still very high. This can account for a high death rate over all other types of cancer and becomes the third most common cause of cancer deaths in Hong Kong (Hong Kong Cancer Registry, 2011).
Treatment modalities of HCC depend on the size, number and location of tumours. Liver resection and liver transplantation still remain the best curative modalities for HCC. Other treatments are available such as transarterial chemo-ebolization (TACE), radiofrequency ablation (RFA), High intensity focused ultrasound (HIFU) ablation or systemic chemotherapy.
Case Study
Mr. Leung is a 37 years old male
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