HA Week 8 Discussion 2

HA Week 8 Discussion 2

HA Week 8 Discussion 2

PSA

 

Mr. P has a questionable PSA and the healthcare teams are at a disagreement as to what to tell the patient.  If it’s his first PSA drawn, I would suggest re-testing. Depending on the numbers on the second test, the physician will either recommend a biopsy or prescribe medication for an enlarged prostate.  If his biopsy returns with a diagnosis of cancer then he would be encouraged the patient to see an oncologist.  Two of the questions he should ask would be:

1. What stage is my cancer and what is the Gleason score- The physician will go into detail as to how aggressive it is and how that relates to prognosis, though that may be a bit difficult to determine at the time it is first diagnosed.
2. What are my treatment option? What can I expect as far as side effects?- Today a diagnosis of cancer is not necessarily a death sentence. There are many treatment options available out there, from radiation, IV chemotherapy, hormone therapy, oral chemotherapy, surgery etc.

The possibility of having cancer can be very scary for a patient to deal with.  Mr. P should get written instructions for everything he needs to do and have the appropriate referrals, not just for specialists but also for social work.  Insurance and the cost of these cancer medications places a lot of stress on the patient.

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References

Prostate cancer. Fort Washington, Pa.: National Comprehensive Cancer Network. http://www.nccn.org/professionals/physician_gls/f_guidelines.asp.

Right documentation

• Document administration AFTER giving the ordered medication.
• Chart the time, route, and any other specific information as necessary. For example, the site of an injection or any laboratory value or vital sign that needed to be checked before giving the drug.

7. Right reason

• Confirm the rationale for the ordered medication.  What is the patient’s history?