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This case study is based on interactions with a 66 year old woman who was presented to the emergency department and had complaints of excessive vaginal bleeding and passing of large clots with abdominal pain of severity 8 out of 10.
The patient underwent a cystoscopy and was diagnosed with cervical cancer. The doctor recommended daily pelvic radiation therapy and weekly cisplation at 30 mg/m^2.The patient has reported reduced abdominal pain; however she reports increased fatigue and shortness of breath and exertion. As she is also a very aged woman she frequently loses temper with the doctors and starts shouting and throwing things about. Nurses consider her as a very difficult patient and are afraid of being put on her duty. She is also reported to have serious lifestyle issues. She has been reported to smoke 1 pack of cigarettes daily and also drinks 4 beers on an average per day. She gets very irritated these days as she is not allowed to smoke inside the hospital complex. I was put on her duty after she had been at the hospital for about one week. When I went to meet her she was very irritated and started shouting at me. I decided to act nicely and patiently handled her tantrums. I never tried to shout back and didn’t ask any other nurse to take duty in my place. She warmed up to me after 3 days and asked my name. I took this opportunity to have a chat with her and ask her about her health. After winning her confidence my first step was to educate her about cervical cancer. She was completely unaware as to why she was admitted to the hospital. ...
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