Colorectal Cancer

(A)

End of life care Vignette: Mrs Kapoor and her family.

Case scenario:

Mrs Kapoor is a 67-year-old British Asian lady who was diagnosed with colorectal cancer 2 years ago, and has undergone surgery (with stoma formation) followed by chemotherapy, which has helped to control the disease. Her most recent scans indicate that the cancer has recurred, and has spread. The treatment options have been discussed with her and her family, and she has decided that due to the extent of the disease, and the likely benefit of the treatment she would prefer to have a more palliative approach in managing the disease. Mrs Kapoor and her family are aware that she is nearing the end of her life.

Mrs Kapoor lives with her husband, daughter and mother at home. She also has a married son who lives nearby and a grandaughter.
Mrs Kapoor has family in India, and her Hindu faith is important to her.

You are part of the inter-discilplinary team caring for Mrs Kapoor, and it is your role to ensure her nursing needs are met.

• CHOSEN PRINCIPLE WITH BRIEF EXPLANATION (200 WORDS)

• CHOSEN CARE NEED FROM THE VIGNETTE, WITH AN EXPLANATION ON HOW THIS MAY AFFECT MRS KAPOOR AND HER FAMILY. (400 WORDS)

• Demonstrate how your chosen principle could be applied in order to support Mrs Kapoor and her family in relation to the care need identified. (650 words)

• REFERENCES

(Examples of care needs)

Symptom control
Psychosocial care
Spiritual and cultural care
Care of the family

(Examples of Principles.)
Active holistic care
Inter disciplinary team approach
Open communication
Person centred care
Quality of life

(B)

MODELS OF HEALTH PROMOTION. (MARCUS JONES SMOKING CESSATION )

Case scenario:

Marcus Jones is a 43 years old married man with 2 children and expecting a third one with his pregnant wife. The wife wants him to stop smoking as this is not good for their children and the unborn child. Marcus is trying to quit, but reluctant to stop .

The wife takes a serious stand on the issue and Marcus does not want the situation to escalate as it is already affecting their relationship. He seeks medical help by attending quit smoking sessions at the hospital . Health care professional has had series of health promotion sessions with him and he is making efforts to quit smoking. So far he has cut back on the number of cigarettes he smokes and he is attending motivational interviews and session to help him quit smoking for good.

* CHOSEN MODEL
* BRIEF DESCRIPTION (150 words max.)
* EXPLANATION OF MODEL (400 WORDS)
* RELEVANCE TO SCENARIO (650 WORDS)
* REFERENCES