CLINICAL JOURNAL Clinical journal for nurse practitioner student

Clinical journal for nurse practitioner student

The case of the first patient

The most important approach to cancer control is prevention. When it fails to prevent cancer, it is important to establish a lump that is present in the earliest possible clinical stage. Currently there are modern diagnosis, treatment and rehabilitation of patients with known or suspected cancer. Patient evaluation should include a complete medical history, physical examination, laboratory tests, radiological studies and other non-invasive, as well as mental and emotional evaluation of the patient. After the cancer diagnosis should be established control of local or distant neo plastic disease, and seek to maintain a better quality of life and its extension. Progress in methods of cancer treatment has been relatively slow in recent decades, but a breakthrough has been the appreciation of the value of interdisciplinary and transdisciplinary on the management of cancer patients and this is from the family physician, or internist and surgeon in the early stages at diagnosis. Incorporating a range of medical specialists, nurses, social workers or nutritionists and other team members in the early stages of cancer patient management, the successful management of modern clinical oncology. In addition to individual consultants, interdisciplinary considerations may be provided by a medical board, where discussion and exchange of ideas can focus on a plan for diagnosis and treatment. To ensure the care and to provide consistent support for the treatment of primary medical patient coordination is needed during a prolonged medical management. (Saunders, 1982)

It is clear that the primary care physician or family doctor is often in the best position to establish an early diagnosis. There are key elements in taking a careful history, major symptom in children that let you view people with a cancer diagnosis. Even today remain through the history and physical examination; diagnostic tools for excellence are assisted with the diagnostic capacity of refined tests. The general philosophy of both the diagnosis and staging of cancer is that these efforts must be balanced in efficiency and cost benefit. A biopsy of any potential cancer should be performed early in the diagnostic process, rather than late because that allows you to set the basis for the stratification and the characteristics specific to the treatment planning. The establishment of the precise stage of neo plastic disease is extremely important. The main reason is to help provide an optimal choice of treatment also helps determine the inclusion of patients in clinical research studies. Staging is also important for the prognosis. Over the years we have created the guidelines to provide uniformity to the nomenclature system, and today are widely used in the world the TNM system. In the letter T provides information on local tumor size for each type of cancer. In the letter N establishing the regional lymph nodes and the letter M, distant spread. (Ellershaw, 1995)

Staging of neoplastic diseases is a science. In the early days was done entirely by clinical examination, but later imaging studies and ...