Case study
background information
–
Rosiane
Mabweni
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Rosiane
is a 50-year-old Rwandan woman (born in the month of May) who arrived in Australia 18 years ago as refugee. She arrived with her husband (
Lonji
) and their 3
daughters (aged 12, 10 and 8 years) as refugees from
Cogo
where they had fled following The Rwandan crisis in 1994.
They have settled well into Australian life; their family has been very important to them and has now grown to include 2 grandchildren with another grandchild due in 6 months’ time
Rosiane
and
Lonji
are practising
Muslim’s (Sunni) and are both very active in the local African community.
Rosiane
is currently working 4 days per week in
Lonji’s
Home Cleaning business to help meet their financial needs however this has become increasingly challenging for her as she has recently become unwell.
She presented to her GP, Dr White, 2 months ago with increasing fatigue, shortness of breath, mild confusion and hardening of the Right Breast with ‘
peau
d’orange
’ (orange dimpling) causing pain and discomfort in her breast.
Dr White referred
Rosiane
to Mr
Sheal
, a Surgical Oncologist who completed a full physical examination and undertook the following investigations:
•
R) Breast ultrasound
•
R breast fine needle biopsy
•
Sentinel lymph node biopsy
•
CBC, LFT, GFR, HBV, HCV
•
IHC test (
ImmunoHistoChemistry
) for HER2 Gene
•
MRI L) and R) Breast, Chest and Head
•
Chest X-ray
On review of all the findings Mr
Sheal
confirms that
Rosiane
has
s
tage 4 Advanced R) Breast Cancer with lymph, lung + brain metastases. Mr
Sheal
discusses the diagnosis with
Rosiane
and
Lonji
and explains that approaches to treatment were now not curable but rather palliative in intent.
You are the GP Practice nurse assisting
Rosiane
through these early stages of diagnosis and follow-up tests.
Describe how you would complete a holistic assessment on
Rosiane
?
RTO 40049 | CRICOS Provider 03733E
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35817/01 Apply a palliative approach to nursing practice case study 1 – Dec 2019 v1.0
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