CASE STUDY 2 A 33-year-old woman with advanced-stage breast cancer has been admitted to the emergency room with cardiac arrest. She is not married and her boyfriend accompanies her in the ambulance. Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least three different references from current evidence-based literature.

Health Assessment-Case Study-33-Year-Old Woman

In the case scenario of a 33-year-old woman with advanced-stage breast cancer who has been admitted to the emergency room with cardiac arrest, a comprehensive health assessment is vital for accurate diagnosis and appropriate care. As an experienced nurse with specialized training, I would rely on empirically supported protocols and moral standards to optimize care for the patient.

First, I will accumulate a detailed medical background, zeroing in on her breast cancer diagnosis, previous treatments, continuous therapies, and any fresh changes in her well-being. Understanding her cancer progression is crucial as it could influence the cardiac event (Ball et al., 2019; Sullivan, 2019). On top of that, a broad analysis of her present state will be conducted, covering diverse disciplines like cardiology, pulmonology, and neuroscience. The knowledge may offer an understanding of the root causes of the sudden heart stop. After that, I will analyze her ECG readings to spot aberrant heart patterns or other underlying heart issues that may have contributed to the arrest. Laboratory tests, including troponin and BNP, can obtain valuable insights into myocardial harm and cardiac strain (Xu et al., 2020).

The patient’s love life and the inclusion of her boyfriend mandate a social examination (Sullivan, 2019). Comprehending the networks of individuals surrounding her, her residential circumstances, and any factors exacerbating her well-being is crucial. The emotional toll of her diagnosis and the ensuing cardiac episode demands close attention. Ethically speaking, these two components are crucial for effective communication. It is essential to consult with the patient’s partner and gather relevant advance medical instructions or preferences. It is imperative to coordinate with the oncologist to include the patient’s cancer therapy in their comprehensive care plan since specific remedies may affect the patient’s heart health.

In summary, a thorough health assessment should be performed on the 33-year-old patient diagnosed with advanced-stage breast cancer and experiencing cardiac arrest, covering aspects such as medical background, bodily examination, heart evaluation, and social appraisal. A systematic and morally responsible strategy could provide a comprehensive grasp of her health circumstances, enabling correct identification and treatment. This approach is supported by Kwame and Petrucka’s (2021) study, which emphasizes the importance of a patient-centered approach in complex clinical scenarios, integrating medical and psychosocial aspects for optimal outcomes.

 References

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

Kwame, A., & Petrucka, P. M. (2021). A literature-based study of patient-centered care and communication in nurse-patient interactions: Barriers, facilitators, and the way forward. BMC Nursing, 20(1), 1–10. https://doi.org/10.1186/s12912-021-00684-2