Care of the Patient with a Human Papillomavirus

Document Type:Research Paper

Subject Area:Nursing

Document 1

S. (Haddad et al. Etiology of the cancer According to Haddad et al. (2010), HPV-16 genotype of HPV is a most common causative agent of HPV infections. Also, high-risk HPV genotypes for example, HPV-18, 31, and 33 are less common causative agents of oropharyngeal squamous cell carcinoma (Taberna et al. The ENT then referred Mr. Atkins for a CT scan of the neck to evaluate the lymph nodes in neck region where a metastatic squamous cell carcinoma originating from the left tonsil was discovered. After the HPV testing and the ENT having received test results from CT scan, Mr. Atkins was then referred to a radiation and medical oncologists for further evaluation and treatment directives. Surgical procedures Upon confirmation of metastatic squamous cell carcinoma, Mr.

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However, since Mr. Atkins experienced severe mucositis and tinnitus it can only be speculated that Adrucil and Docetaxel drugs were administered in his chemotherapy as they are associated with the aforementioned adverse effects (McKiernan & Thom, 2016). Psychosocial issues related to his diagnosis After Mr. Atkins was diagnosed with metastatic squamous cell carcinoma, he immediately started to experience psycho-social issues such as anxiety, loneliness, embarrassment, depression, surprise to name but a few. Prognosis HPV-related head and neck cancers respond better to treatment than head and neck cancers associated with tobacco and alcohol exposure. • Remain with the patient at all times especially when he is too anxious as well reassuring him of his safety and security since patient’s safety is utmost priority. Evaluation: • Patient is feeling anxiety over his medical condition and is unable to think far ahead as well as consider the implications of his current and future choices.

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However, he would significantly benefit from home health and education. Impaired Physical Mobility Related to: • neck and shoulder pain Evidenced by: • difficulty to lift left arm Short-term goal: • patient perform his neck exercise daily Long-term goal: • patients range of motion is intact Intervention: • Assess for impediments to Mobility • assess patients ability to perform ADL’s effectively and safely on a daily basis • monitor intake and output • allow patient to perform tasks at his own rate • Keep mouth moist. Evaluation: • Checking for shoulder dysfunction and ability to lift the left arm without pain as well as reduction of neck-related pains. , Fried, M. P. , & Ross, M. E. Human papillomavirus-associated head and neck cancer. , Gillison, M. L. , & Mesía, R. Human papillomavirus-related oropharyngeal cancer.

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