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Client with Stage IV Colorectal Cancer

Marianne Driscoll, a 72-year-old client with Stage IV colorectal cancer, has undergone multiple rounds of aggressive chemotherapy, which have been unsuccessful. Despite her diagnosis, Mary has been in denial about the severity of her condition and has previously avoided discussions about advance care planning. Recently, she has expressed a desire to stop aggressive treatments due to overwhelming fatigue and the negative impact on her quality of life. Her spouse, who is her primary caregiver, is exhausted and experiencing anticipatory grief, struggling to cope with the impending loss. The couple’s other family members live out of state and cannot assist with care. Mary is currently on Medicare and does have supplemental private insurance.

client with Stage IV colorectal cancer

Step 1: Review the client’s case, considering the foundational concepts and principles of caring for aging and maturing individuals from this week’s Explore pages.

Step 2: Answer the discussion prompts below with explanation and detail.

Step 3: Reply to two peers with different assigned clients.

  1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
    1. Describe your assigned client’s situation. What holistic assessment data concerns you?
    2. Review the 5M framework elements from this week’s lesson. How does the 5M framework apply to your particular client?
    3. Consider the client’s current presentation. What plan of care would you recommend and why?
    4. Consider the provider’s role in delivering culturally sensitive care, eliminating health disparities, fostering health promotion and disease prevention, and preventing polypharmacy. What strategies will you use to address at least one of these concerns in your client’s situation?
  1. Professionalism in Communication: Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.

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