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Patient-Centered Care: Facing Chemotherapy
C. D. a 48-year-old married mother of two teenage daughter, has been diagnosed with breast cancer. She has undergone lumpectomy to remove the tumor and is about to start adjuvant chemotherapy. She states that she has “faced the facts” about her disease and the threat to her life but says, “I know this is silly, but I hate the thought of losing my hair to this disease.”
1. What measures can be taken to help C. D. deal with her hair loss?
1. Ten days after the chemotherapy, C.D.’S neutrophil count drops to 2000 cells/mm. She has been hospitalized because she has developed a cough, and several of her friends have come to visit her with a fresh fruit basket. What actions will be taken to protect her from infection?
2. During rounds, the nurse finds C.D. curled up in the bed and sobbing. C.D. says that she feels “so afraid” and is worried about who will care for her family if she dies. What actions will the nurse take at this time?
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