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Nursing Practice: Johns - Case Study Example

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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…
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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
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