Case 4 Part 1



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Discussion Questions


 

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1. Summarize the patient history.
 
 
2. Was the patient’s cancer detected early or late in its course?
 
 
3. When a patient presents with advanced cancer, what does this tell you about their self-care (if independent) or clinical care (if dependent)?
 
 
4. What factors need to be in place for a patient to be able to detect and seek care for a condition like cancer? How could you, as a provider, assist your patients in this process?
 
 
5. What is the connection between smoking and asbestos when it comes to cancer?
 
 
6. How decomposed is the body? What evidence of decomposition is there?
 
 
7. How many surgeries did the patient have? Where were they? Which are recent? Which are older? How can you tell? Which one correlates with the surgeries mentioned in the history? What procedures might correlate with the other surgical scars?
 
 
8. Do you think the patient was mobile? Why or why not? What’s your evidence?
 
 
9. Identify any areas of bruising. What might be likely causes of the bruising and why do you think so?
 
 
10. Did the patient likely die face up or facedown or in some other position? What’s your evidence?
 
 
11. Why is there a large pale area in the center of the back?
 
 
12. Grade the sacral decubitus. Is there possibly a decubitus ulcer anywhere else? Where?
 
 
13. What kinds of skin pathology can you identify? Does the patient have skin cancer?
 
 
14. If you had to choose, would you say the patient was a room-bound nursing home patient? Cared for at a home and frequently wheeled out to sit on a back porch? Or, independently functioning in their own living space? Why? What’s your evidence?




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