J.F. is a pleasant 54-year-old woman who was diagnosed as ha
J.F. is a pleasant 54-year-old woman who was diagnosed as having… J.F. is a pleasant 54-year-old woman who was diagnosed as having stage IV Non-small cell lung cancer (NSCLC) with pleural involvement in June 2010. Before diagnosis, she had been experiencing mild shortness ofbreath and fatigue. Her oncologist gave her two treatment options: (1) chemotherapy or (2) monitoring the growth of the disease, with initiation of treatment only if she became progressively symptomatic. J.F. chose the latter((2) monitoring the growth of the disease), and follow-up computed tomography (CT) in October 2010 demonstrated no significant changes. Additional follow-up CT imaging was scheduled for 4 months later, and the patient was informed that chemotherapy would most likely be started at that time. J.F. then pursued naturopathic treatment to improve her symptoms and to delay the onset of chemotherapy.In late 2010, J.F. was seen at the Robert Schad Naturopathic Clinic (Toronto, Ontario, Canada) with chief complaints of low energy, a mild cough, shortness of breath on exertion, and pain at the site of a biopsy incision. Her family history is significant with melanoma in her father. He had smoked cigarettes throughout J.F.’s childhood, so she was likely exposed to smoke for several years. J.F. has a personal 20-pack per year smoking history. She had quit smoking immediately on being diagnosed with NSCLC.On examination, J.F. reported tenderness with light palpation and deep inspiration around the right lateral mid to lower lung field. This was the location of the incision for the lung biopsy specimen obtained before diagnosis. A small area of dullness was noted on percussion and auscultation in the posterior right upper lung field. J.F. reported also Sharp pain soring 7from 10 at posterior right upper lung (site of lung biopsy ) vital signs Temp: 37.1 °C, HR: 92 p/min, RR: 28 B/min, Blood pressure: 135/ 87 mmHg, O2 sat: 92%.. She weighed 51 kg, Hight 168cm BMI 18. In relevant laboratory tests, her glucose-6-phosphate dehydrogenasescreen was normal, and her 25-hydroxyvitamin D level was low at 16 ng/mL (40 nmol/L).Treatment PlanGoals for J.F. included improving her fatigue, reducing pain and shortness of breath, and delaying the onset of chemotherapy. In addition to the treatments listed herein, acupuncture and massage therapy were included to relieve the pain that J.F. was experiencing.J.F. was prescribed vitamin D3 (10 000 IU) once daily for 3 months, followed by a reduction in the dosage to 4000 IU once daily.melatonin (20 mg) once daily 30 minutes before bed.curcumin (2 g) once daily.green tea extract (1500 mg) once daily cum cibo.eicosapentaenoic acid-docosahexaenoic acid (4 g) once daily cum cibo.Astragalus membranaceus(2 g) once daily cum cibo.started at a dose of 25 g of intravenous vitamin C. This was increased to 75 g by the fourth treatment, and she was maintained at that dose. J.F. tolerated all treatments well and experienced no significant adverse effects.Diet :Great emphasis was placed on incorporating good-quality fats and sources of protein into J.F.’s diet. To achieve optimal protein and caloric adequacy, a whey isolate protein shake was recommended 2 times per day. She also began juicing carrots, beets, ginger, and dark green leafy vegetables daily. All sources of caffeine, alcohol, and refined sugar were removed from her diet. Can you write comprehensive Teaching care plan /Education plan based in Scenario and diagnosed as having stage IV Non-small cell lung cancer (NSCLC) ? Thank you Health Science Science Nursing NURSING RE NUR500
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