For
this clinical study assignment, answer the following questions in complete
sentences. Be thorough with your responses and please cite your research in APA
format.
1.A patient enters the
hospital complaining of pain when eating. During your initial exam, the
patient indicates he has lost a lot of weight and find it difficult to digest
food.
The following exams were
given:
(i)Barium swallow also known
as esophagram
(ii)Endoscopic ultrasound
(iii)Biopsy
The diagnosis is esophageal
cancer. The patient is now being placed on a feeding tube to be inserted
surgically into the jejunum. How would you explain inserting the
feeding tube into this part of the stomach to the family?
2.Your best friend’s brother
is rushed to the emergency room exhibiting the following symptoms. Severe pain
in the middle of the abdomen between the xiphoid process and his naval. While
waiting to see the doctor, his severe pain is now moving to the lower right abdominal
quadrant of the abdomen and he has rebound tenderness on examination meaning it
hurts when palpating the RLQ but is worse when you let go, this is known as
“rebound tenderness.” He has a fever and an elevated WBC with neutrophils
predominant. Which digestive organ do you suspect is causing the problem? WHY?
Criteria
1. Did the student discuss the case study in detail and apply the correct
diagnosis.
2. Did the student accurately
describe their justification for the case study diagnosis.
3. Did the student discuss in detail the prognosis with accurate information.
4. Did the student presented the case study in detailed according to APA
guidelines and utilizing outside peer review articles as supplemental material.
Response1;When it comes to family care regarding the
insertion of a tube suitable for feeding into the jejunum in a patient
diagnosed with esophageal cancer, there is much needed to emphasize that this
procedure is necessary because of swallowing anomaly due as an effect. The tube
will be placed in the jejunum as a feeding support and inserted into it, which
is part of the small digestive system hoping to ensure that the patient get
necessary nutrition directly. In the anesthesia- assisted procedure, a small
abdominal incision is made for performing the surgery. Emphasize the many
benefits of jejunum arrangement for the optimal nutrient assimilation. Ensure
the group of evolving clinical monitoring; highlight risks and stress the
importance to follow care recommendations. Provide empowering questions,
provide the support and emphasize the collaborative effort between medical
professionals and the family on behalf of the patient.