Professional Documents
Culture Documents
MODEL
Introduction
Mr. AS, a 73 years old, Muslim, male patient admitted in ---ward of ---Hospital with a diagnosis of prostate cancer. Data regarding
psychosocial aspects of his life and illness were collected through interview. He was cooperative and interactive with me for most part. But
later he was found to be reluctant to talk ...as he was frequently expressing his financial troubles which could not be helped by anyone
related to him
Cancer Prostate
Prostate cancer is the fifth most common type of cancer in men and its incidence rises with advancing years. It occurs in 1 in 10 in the men
living to the age of 70 years. Early clinical features are indistinguishable from those of BPH and the gland may feel normal on digital
examination. The PSA may be elevated (>4 ng/ml). As the tumour grows locally it may produce bladder neck obstruction, obstruct the ureters
and rapidly lead to renal impairment. In late disease rectal examination shows the prostate to be large, hard and irregular. Rectal ultrasound
may show the spread of the cancer and this should also be used for directing needle or aspiration biopsy. Prostatic biopsy is important in
giving prognostic information- prognosis being poorer with poorly differentiated tumours.
Therapy depends on staging. Early disease is treated with local radiotherapy and more advanced disease by orchidectomy and hormone
therapy with oestrogen. It has been suggested that all men over the age of 50 years should be screened by rectal examination, transrectal
ultrasound and PSA measurement.
General information
Name
: Mr. AS
Age
: 73 years
Gender
: Male
Marital status
: Married
Place
: ---/ ----
Hosp. No.
: ------
Date of admission
: 1-4-08
Ward/Unit
: --------
Education
: No formal education
Religion
Food habits
Socioeconomic condition
Needs arising from present illness and the I have pain at genital region
consequent response to cope with
I have problem of passing urine without
control, that is why tube is inserted
I want to get this urine tube removed
Who will pay my hospital bill of
Rs.50,000?
Patient complains that he is not getting
adequate sleep during night
He sleeps during daytime
He is a non-vegetarian
But he not getting any non-veg food in
the hospital
Experience of illness
Coping with the illness and its outcome What will we do?
(Patient and family)
We have to suffer everything
He looks depressed and tries to avoid
visitors
I dont have money pay here, I dont
know what to do
Conclusion
Mr. AS has been suffering form Prostate cancer for the last 1 year. But his symptoms started about 4 years back. For about 3 years he tried
folk remedies based on the advice of other people. He approached medical advice when his symptoms aggravated. He is currently
undergoing radiotherapy for prostate cancer and medications for diabetes and other symptoms. This case study helps to understand the
psychosocial aspects of illness development and application illness behaviour model in nursing practice.
References
1.
Guptha MC, Mahajan B. Text book of Social Medicine, 3rd Edn. JayPee, ND,2003
2.