J.D. is a 70-year-old man with a history of prostate cancer, which was treated with palliative hormones and radiation. His admitting diagnosis is adenocarcinoma of the prostate with widespread bone metastasis. J.D. is married and has one grown daughter, who often helps with his care. His chief concern is severe back pain. The physician has ordered intrathecal morphine sulfate and aspirin 10 g for pain relief
The following questions will guide your development of a nursing care plan for this case study.
1. List symptoms typically seen in clients diagnosed with prostate cancer.
2. Identify the population most at risk for developing prostate cancer.
3. List three possible risk factors for prostate cancer.
4. Discuss the rationale for the physician’s orders including aspirin along with morphine sulfate.
5. Discuss the rationale for benzodiazepines not being used for pain relief.
6. List the subjective and objective data the nurse would want to obtain.
7. When you walk into J.D.’s room, he greets you with a smile and continues talking and joking with his daughter. While assessing him, you note that his vital signs are normal. You ask him to rate his pain on a scale of 0 to 10. He pauses to think about it, then rates the pain at 8. In the chart, you must record your nursing assessment by circling the appropriate number on the scale. Which number do you think you should circle?
8. Write three individualized nursing diagnoses and goals for J.D.
9. Discuss which oncological emergency J.D. is most likely to develop.