Nursing Care for Patient with Penile Carcinoma
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Nursing Care for Patient with Penile Carcinoma
Cancer is a life altering diagnosis for any individual to go through. The diagnosis has a lot of weight on the patient and it takes time before they transition from diagnosis to acceptance for them to begin medication. Nursing care is a patient centred practice and therefore it is essential for the nurse handling the patient to be aware that cultural differences between communities play a big role in creating disparities that hinder quality service delivery to the patients. For that reason, the nurse has to learn about the patient’s culture to reduce the disparity and deliver efficiently.
Therefore, when handling the patient, the approach is critical. The nurse has to give the patient time to process the diagnosis before they jump in to give them further guidance and care. Allow the patient to feel the emotions without insisting on need to move on to te next step in patient care. When the patient is emotionally at a better condition, the nurse should then ask them for permission to inform them on what next and if the patient is alright then with caution and respect to the patient feelings and culture the nurse should give priority to information.
During the approach stage, the nurse should be sensitive about culture and respect whatever the patient believes in. During the approach stage the health care provider should establish rapport and trust with patient to allow for effective communication that will help bridge the barrier between them and with these elements in place the health assessment and history taking will be effective. During the assessment the nurse should not make assumptions because of the cultural difference and they should be more active listeners to understand where the patient is coming from. The patient uses English as a second language and therefore, the health care provider should ensure that they are comfortable with the language or find a way of bridging the barrier and have an interpreter to assist.
Information to a cancer patient about the stage of diagnosis, prognosis and treatment plan to better their lives is important and it should be prioritized. Information is a powerful tool and it will be helpful in making the patient process the life altering finding and try to transition and cope. The health care provider should give priority to quality of life the patient leads after diagnosis and that will ensure they are able to carry on with their lives normally despite the terminal illness. Another priority should be the survival period, the period is what most patients are anxious about and any measure taken should ensure a patient does not panic. Priority to giving patients information is key in preparing them psychologically for what they are about to undergo and that is helpful in patient centred nursing care.
There are other physical symptoms during assessments that are suggestive of penile carcinoma but to start treatment depending on the stage and extent of metastasis then other techniques have to be used for further assessment of the lesions. Cancer. There are several techniques that are used to assess the two factors before deciding on which treatment plan to pursue but preferably, a minimally invasive technique should be used to assess the penile carcinoma before commencing the treatment. A biopsy is collected and viewed under a microscope to stage and determine the type of cancer so as to tailor the medication to the diagnosed type. Other techniques used for assessment of the cancer are a CT scan to tell if the cancer has spread to other body organs. An MRI to tell the extent of damage done to the penile tissue will also be essential. Another technique is an ultra sound to determine how deeply the cancer has spread and also identify any lymph nodes that have swollen in the groin area.
After completing the assessment, the health care provider has to find out cultural beliefs of the patient in regards to medication because there are communities against medication and if the patients chooses not to receive treatment on cultural basis they should be allowed without insisting and that in nursing care is the right thing to do because the services are patient care. The treatment should first focus on symptomatic relief for example pain to ensure the patient’s quality of life is improved and then late look into medications that will help manage the disease and prolong the patient’s life.
In conclusion, what is prioritized, the approach used and techniques applied when handling the patient should be chosen taking into consideration the patient culture. Culture plays a big role in influencing health care service provision and therefore it is the duty of the nurse to find out about the patient’s culture. Once aware, the nurse has to learn and be conversant with the culture and that will minimize the disparity that exists hence quality healthcare services are provided. Finally, education to the patient is key and it is a compulsory approach in patient care, therefore the patient should be taught on how to use the medication to ensure they adherence and proper use for efficacy.