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End-Stage Cancer Case Study

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Main Question Post -- Week 11: Discussion Scenario case study
Scenario 1:
The parents of a 5-year-old boy have accompanied their son for his required physical examination before starting kindergarten. His parents are opposed to him receiving any vaccines.
In this scenario, the presents present with his 5-year-old for compulsory physical analysis, knowing that the parents dissented to immunization does indicate that the 5-year-old boy never received any immunization since natal which could position the child health at peril. As an advanced nurse practitioner, I would like to find out from the parents where the principle came from; if it was a family concern or related to any religious belief, or attained knowledge from something read or …show more content…

Conversely, school immunizations remain as sensitive and debatable subject amid parentages and need to be judiciously handled by the advanced nurse practitioner for effective patient and provider rapport.
Scenario 2:
Scenario #2: A 49-year-old woman with advanced stage cancer has been admitted to the emergency room with cardiac arrest. Her husband and one of her children accompanied the ambulance.
In this scenario, the patient is a 49-year-old woman with end-stage cancer. End of life snags are always poignant for the healthcare provider and family mutually, I would need to comprehend the extent of the cancer proliferation, the maximum period given to live; if the patient has an advanced directive in place. According to American Cancer Society (2017), advanced directive usage emerges when the patient is incapable of making the decision for themselves. I would need to understand the patient and family wish in event whereby the patient in incapable to make a decision, the ethics committee will be contacted because the end of life issues can be arduous. It is vital that the family and patient while alert and oriented to have every necessary information to make an informed decision because several might desire quality over quantity and vice-versa. Further, I would encourage the family to be at bedside with life-saving procedures to allow the family to comprehend the practicality of the condition and to eyewitness extend of the life-saving procedures and to

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