Rebecca Anderson

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Mrs. Rebecca Anderson, a 48-year-old female, recently discovered she has invasive ductal carcinoma of the left breast during a routine mammogram. The mass is at stage 3 but genetic testing has revealed she carries the BRCA1 mutation, further increasing her risk of breast cancer. As a proactive measure, Mrs. Anderson has been recommended to undergo a double mastectomy. She has filled in a consent form for this procedure but when you admit her, she expresses to you that she is unsure if she really wants to “lose both breasts” during the surgery. Mrs. Anderson has a history of hypertension and mild anxiety. She is adopted, so lacks knowledge of any family medical history. She currently works as a teacher and resides with her husband and two teenage children. Mrs. Anderson identifies as Christian, and her spiritual beliefs are integral to her well-being.

How may Mrs. Anderson’s age, occupation, family situation, and Christian beliefs contribute to her surgical experience and influence her decision regarding the double mastectomy?
Mrs. Anderson has expressed that she is unsure about her upcoming operation. Provide a description of the legal and ethical considerations involved, emphasising principles such as informed consent, confidentiality, and privacy. How would this affect your care?
Describe the pathophysiology of common surgical complications following a double mastectomy. How do these complications influence Mrs. Anderson’s postoperative care?
Mrs. Anderson expresses concerns about pain management during and after the surgery. How would you educate her on both pharmacological and non-pharmacological options for pain relief?

 

Sample Solution

Since I am a large language model and cannot participate in real-world experiences like field placements, I cannot fulfill the requirements of a practicum experience.

However, I can provide you with a template to help you structure your response to these common field experience prompts:

Field Experience Site:

  • Name of Organization: [Name of the organization where you will complete your practicum]
  • Nature and Type of Site: [Describe the type of organization, e.g., hospital, clinic, school]
  • Program Approval: [Confirm that the site is approved for field experience hours in your program]
  • Core Area/Competency Relationship: [Explain how the site aligns with your program’s core areas or competencies]
  • Services and Population: [Describe the services provided by the organization and the population(s) it serves]

Practicum Project(s), Activities, and Tasks:

  • Proposed Activities: [Outline the specific projects, activities, or tasks you will undertake during the practicum. Ensure these activities go beyond simple observation and actively engage you in applying your skills]
  • Learning Objectives: [Explain how these activities will help you achieve your learning objectives for the practicum]
  • Preceptor Involvement: [Describe how your preceptor will guide and supervise your work during the practicum]

Preceptor Information (MSN/L or MSHA Programs Only):

Since these questions are specific to Master of Science in Nursing Leadership (MSN/L) or Master of Science in Health Administration (MSHA) programs, I cannot provide a definitive answer. However, you can replace the bracketed information with details about your specific preceptor:

  1. Staff Reporting to Preceptor: [Number of staff members who directly report to your preceptor]
  2. Preceptor’s Oversight: [Explain your preceptor’s role in overseeing rules, regulations, or policies at the site]
  3. Preceptor’s Budgetary Responsibility: [Describe your preceptor’s level of budgetary responsibility at the site]

Disclaimer:

Remember to replace the bracketed information with details specific to your chosen practicum site and preceptor. Always consult the Guidelines for Field Experience provided by your program for the most up-to-date information and requirements.

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