Nobody downloaded yet

Nursing Practice: Johns - Case Study Example

Comments (0) Cite this document
Summary
Nausea and vomiting are debilitating and common side effects resulting from exposure to chemotherapy. The nausea felt before or after chemotherapy is the sickly sensation experienced at the stomach area, which may end up in vomiting or emesis…
Download full paperFile format: .doc, available for editing
GRAB THE BEST PAPER93.2% of users find it useful
Nursing Practice: Johns Case
Read TextPreview

Extract of sample "Nursing Practice: Johns"

Download file to see previous pages On the other hand, the vomiting experienced before or after chemotherapy is the process, where the contents of the stomach are ejected through the mouth (O’Brien, 2008). The relationship between John’s chemotherapy exposure and the side effects of nausea and vomiting could be explained on the basis of the activation of chemical components that stimulate the areas of the brain, which are responsible for triggering vomiting (Jordan, Sippel, & Schmoll, 2007). The chemicals, whose production has been triggered by John’s exposure to chemotherapy, include the neurotransmitters that are used for the transmission of the messages developed at the stomach – to the respective brain area. These neurotransmitters that are triggering John’s nausea and vomiting include dopamine, neurokinin-1 and serotonin (O’Brien, 2008). This paper will explore the case of John, who has been undergoing chemotherapy, and is suffering from nausea and vomiting, which is a side effect of chemotherapy. The areas covered by the study include explaining the causes for his breakthrough and anticipatory nausea, give a nausea assessment, prescribe intervention 1 and 2 and offer conclusive inferences about John’s case. Breakthrough and anticipatory nausea In the case of John, his anticipatory CINV is triggered by the previous experiences that he had, during previous sessions of chemotherapy. This type of CINV is totally controlled and triggered by John’s psychological anticipation and the negative feelings related to the previous experiences (Liau, et al., 2005). Ordinarily, like in the case of John, it will start prior to chemotherapy sessions, mainly due to the adverse experiences he associates with the previous sessions of chemotherapy that he has gone through (Jordan, Sippel, & Schmoll, 2007; O’Brien, 2008). The effect is a conditioned reaction, mainly because John has had numerous cycles of the chemotherapy processes done, to manage his case. It can also be viewed as a learned, conditioned or psychological case of nausea which may end up in vomiting (Jordan, Sippel, & Schmoll, 2007). This is the case, because John has linked the adverse experiences of the previous rounds of chemotherapy to certain smells, tastes, thoughts or the sights. Following the association developed, between these smells, tastes thoughts or sights with the adverse feelings or the symptoms of previous cycles, John develops the nausea or vomiting (O’Brien, 2008). In the case of the breakthrough CINV, it is the one that he experiences, despite his use of drugs or other measures to counter or prevent the nausea and the vomiting that takes place during or after going through the cycles (Liau, et al., 2005). In the case of John, after the doctors learnt that his situation required rescue, he has been given different prescription drugs, which will help counter the nausea and the vomiting. The new prescription drugs to be taken by John are those containing anti-nausea and anti-vomiting treatment components or ingredients (Jordan, Sippel, & Schmoll, 2007). Nausea Assessment The Morrow Assessment of nausea and Emesis (MANE) The MANE nausea assessment is appropriate for the case of John, because taking him through the 17 questions of the MANE questionnaire will help the doctor in finding out the frequency, the duration and the severity of his nausea before and after undergoing chemotherapy (Halpin et al., 2010). Through the questions showing the level of nausea and vomiting, it will be easier to recommend the most effective medication. Through determining the duration of nausea and vomiting, it will be easy to develop anti-nausea medication, depending on its adversity (Crocker & Timmons, 2009). ...Download file to see next pagesRead More
Cite this document
  • APA
  • MLA
  • CHICAGO
(“Nursing Practice: Johns Case Study Example | Topics and Well Written Essays - 1500 words”, n.d.)
Retrieved from https://studentshare.org/nursing/1483904-nursing-practice-johns-case
(Nursing Practice: Johns Case Study Example | Topics and Well Written Essays - 1500 Words)
https://studentshare.org/nursing/1483904-nursing-practice-johns-case.
“Nursing Practice: Johns Case Study Example | Topics and Well Written Essays - 1500 Words”, n.d. https://studentshare.org/nursing/1483904-nursing-practice-johns-case.
  • Cited: 0 times
Comments (0)
Click to create a comment or rate a document

CHECK THESE SAMPLES OF Nursing Practice: Johns Case

Nursing practice

...?NSB025 Nursing Practice in Context 5 INTRODUCTION Colorectal cancer is caused by an abnormal separation of cells in the colon of a human being (Radtke, 2005). Due to the level of damage caused by this disease, both healthy and persons with the symptoms, require regular screening. An early diagnosis helps in removal of polyps way before they grow into cancerous cells. John’s medical history In the case study, John is diagnosed with colorectal cancer. In order to prevent further spread of this terminal disease, he agrees to undergo a surgery and later a chemotherapy treatment by fluorouracil. He therefore has to be educated on how the process of...
10 Pages(2500 words)Essay

Nursing theory in practice

...? Dorothea Orem Self-Care Deficit Nursing Theory Dorothea Orem Self-Care Deficit Nursing Theory The Dorothea Orem Self-Care Deficit Nursing Theory (SCDNT) was put forward by Dorothea Orem. The concept first started to take its root in the 1950s but it was in 1972 when the theory was first published. The intent behind the theory is to organize and put forth the structure of nursing knowledge and to explain the various aspects of nursing knowledge. A number of people have emphasized upon the complexity of the nursing profession. Orem herself observed once that if nursing is scrutinized under the lens of human...
4 Pages(1000 words)Essay

Good Nursing Practice

...?Table of Contents Table of Contents Good Nursing Practice 2 Leadership Skills 2 Communication 4 Team Work Skills 6 Team Reflection 7 Ensuring the Participation of All Members 7 Establishment of Ground Rules 8 Organization Skills 8 Prior Planning 9 Prioritize 9 Accessibility 10 Charting 10 Time Management 10 Conclusion 11 References 12 Good Nursing Practice Nursing is composed of collaborative and professional care of individuals spanning all ages, communities, groups and families, healthy and unhealthy at all settings (ICN, 2011). Nurses are crucial members of the health care fraternity. They serve in various settings such hospitals, nursing homes and doctors’ offices. In addition to the education and training requirements... , it is...
11 Pages(2750 words)Essay

PRINCIPLE OF NURSING PRACTICE

..., nurses have to perform personal hygiene tasks for the patients who are seriously ill and cannot do so for themselves. This can be a real test for a person that chooses to become a nurse just for the salary (Koubel and Bungay 2009). Sometimes, patients themselves refuse the available treatments for varied reasons. The nurse, in such a case, has to use counselling skills while also giving practical advice to her patient. The nurse can better comprehend the significance of the recommended treatment (Burns and Bulman 2000). The nurse would be blameworthy if she or he did not make considerable attempts at reconciling the...
8 Pages(2000 words)Essay

Nursing Practice

...of this assignment is that it would help in the preparation of analytical insight of the healthcare providers. Event description This paper will look into a case study especially related with nursing industry. It would also deal with the legal aspects involved. It shall endeavor to discuss, as to what ways are the professional duties of a nurse affected. There would be aspects of ethical issues involved in the case study as well. Introduction It is increasingly important for healthcare professionals to develop their knowledge in health care ethics and law, which are pertinent to their area of clinical practice and the delivery of patient care. This...
14 Pages(3500 words)Essay

Nursing Practice

...demands, several parameters must be set in order for the assessor to be guided. Several categories include, 1) Good Clinical Care 2) Maintaining Good Medical Practice 3) Relationships with patients and communication 4) Teaching and Training and 5) Professional Behavior (Cheater. F., Keane. M.1998 and http://www.nes.scot.nhs.uk). These are some of the parameters that are to be followed in order to ensure that the quality that the HealthCare personnel is in accordance with the expected kind of services from them. In this case, parameters that are set within hospitals along with the Doctors and Nurses should be properly observed. However, if the assessment is based within the bracket of a...
10 Pages(2500 words)Essay

Professional Practice Issues Nursing

...Running Head Professional Practice Issues Nursing Professional Practice Issues Nursing Recent years, there is lack of professional nursing staff in Australia. Unregulated care providers 'replace' professional nurses performing formal duties and secondary care fro wide number of patients. In considering the limits of authority, an obvious limitation is that action must conform with the policies and programs of healthcare. In many cases, specific limitations are made (e.g. not to take on more staff without the approval of a superior). Registered nurses pay a special attention to delegation and collaboration...
5 Pages(1250 words)Essay

Nursing: Code of Practice

...Nursing: of Practice Introduction Nursing literally means the work of caring for the needy, the sick, injured or infirm. This is a noble profession of fulfilling the medical needs of a person which provides the best care to him and helps in getting over the sense of pain and agony. While trying to pursue the career goals and their professional requirements, the nursing community in general is supposed to take care of some behavioural norms and ethics so that the personal ambitions do not come in the way of professional conduct. The Nursing and Midwifery Council has come out with a code of practice for the Nursing...
4 Pages(1000 words)Essay

Evidence-Based Nursing Practice

.... Sometimes, they lack the expertise to identify a patient’s need and have to rely on limited experience in the intervention program. Nursing diagnosis is a critical aspect of the nursing practice as it defines the initial step of identifying the needs of patients prior to any intervention measures. Failure of effective nursing diagnosis may compromise the quality of care that a patient receives (Westra, Martin, & Swan, 1996). Therefore, both categories of nurses consider nursing diagnosis as a critical aspect of their practice and struggle to overcome challenges in performing this role. Impact on Patients Ineffective...
3 Pages(750 words)Essay

Principles of nursing practice

...behavior (Bullock, Macleod Clark & Rycroft-Malone 2012, p. 223). The nursing team functions on their level of proficiency in the legally recognized range of practice. The nursing staff undertakes steps to promote the delivery of safe, and appropriate ethical care to patients. Safety They uphold the principle of safeguarding the health and safety of each patient. They enquire and get involved to address unsafe, corrupt, or incompetent practices that interfere with their ability to provide safe, ethical, compassionate, and competent care to the patients. They also take preventive measures to minimize harm that arises from adverse occurrences. They work as a team to reduce...
2 Pages(500 words)Essay
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.

Let us find you another Case Study on topic Nursing Practice: Johns Case for FREE!

Contact Us