{"id":172,"date":"2017-06-22T00:10:54","date_gmt":"2017-06-22T04:10:54","guid":{"rendered":"https:\/\/pressbooks.bccampus.ca\/healthcasestudies\/?post_type=chapter&p=172"},"modified":"2017-07-27T17:23:34","modified_gmt":"2017-07-27T21:23:34","slug":"4-days-post-op","status":"publish","type":"chapter","link":"https:\/\/pressbooks.bccampus.ca\/healthcasestudies\/chapter\/4-days-post-op\/","title":{"raw":"Surgical Ward","rendered":"Surgical Ward"},"content":{"raw":"
Day: 4<\/h5>\r\n
Time: 08h00<\/h5>\r\n
Place: Surgical Ward<\/h5>\r\n\u201cDr. Baker, can we speak?\u201d\r\n\r\nDr. Baker turns to see the social worker for the Surgical Department standing behind him with her arms crossed. \u201cOk, Nancy. You look serious.\u201d\r\n\r\n\u201cI am. I believe we need to meet with Fred Johnson and discuss the next steps for his treatment<\/a> and how best to support everyone.\u00a0His partner, Eric,\u00a0says\u00a0they haven\u2019t had an update from you since surgery.\u201d\r\n\r\n\u201cThat is correct. I\u2019m waiting for the specimen results. Let\u2019s check together for the results, and if they\u2019re back, plan to meet with them both\u00a0later today.\u201d\r\n\r\nDr. Baker signs into one of the nursing station computers and quickly navigates to Fred Johnson\u2019s results, \u201cOk, they\u2019re back. Now, let\u2019s see...\u201d\r\n\r\nDr. Baker looks through the results and sees that Fred\u00a0has a terminal diagnosis with the spread of his cancer.\r\n\r\n\u201cOk, Nancy. This is not good. I knew it would be pretty bad, but not terminal.\u201d\r\n\r\n\u201cOh. That makes it very important for us to talk with\u00a0him\u00a0today. What are his options?\u201d\r\n\r\n\u201cI'm thinking that we could offer radiation to a couple of the areas, along with chemo. All this would be palliative and could extend his life another six months to even a year. No treatment, he probably has less than a year. So the pain of chemo may be worth it, but it\u2019s up to them to decide.\u201d\r\n\r\n\u201cI agree that it\u2019s their choice, and I'll support them to make this decision. Is there a rush on this decision?\u201d asks Nancy.\r\n\r\n\u201cNo, I don\u2019t believe so. A few days here or there is not going to make a big difference. I do need to consult with the Cancer Agency to make sure that I\u2019m correct. I\u2019ll call them now. Can you set up a meeting for later today with the Johnsons\u00a0and the nursing staff caring for him?\u201d\r\n\r\n\u201cYes, I\u2019ll talk to the charge nurse now and get things set up. Say 3pm?\u201d\r\n\r\n\u201cGood. I will have more answers then. Thank you.\u201d\r\n
Time: 15h00<\/h5>\r\nFred and Eric\u00a0meet with Dr. Baker and the nursing staff, along with Nancy, to discuss goals of care and the next steps in treatment.\u00a0Fred\u2019s\u00a0children attend by speaker phone so that everyone can hear firsthand the results of the tests and the suggested treatments and outcome.","rendered":"
Day: 4<\/h5>\n
Time: 08h00<\/h5>\n
Place: Surgical Ward<\/h5>\n

\u201cDr. Baker, can we speak?\u201d<\/p>\n

Dr. Baker turns to see the social worker for the Surgical Department standing behind him with her arms crossed. \u201cOk, Nancy. You look serious.\u201d<\/p>\n

\u201cI am. I believe we need to meet with Fred Johnson and discuss the next steps for his treatment<\/a> and how best to support everyone.\u00a0His partner, Eric,\u00a0says\u00a0they haven\u2019t had an update from you since surgery.\u201d<\/p>\n

\u201cThat is correct. I\u2019m waiting for the specimen results. Let\u2019s check together for the results, and if they\u2019re back, plan to meet with them both\u00a0later today.\u201d<\/p>\n

Dr. Baker signs into one of the nursing station computers and quickly navigates to Fred Johnson\u2019s results, \u201cOk, they\u2019re back. Now, let\u2019s see…\u201d<\/p>\n

Dr. Baker looks through the results and sees that Fred\u00a0has a terminal diagnosis with the spread of his cancer.<\/p>\n

\u201cOk, Nancy. This is not good. I knew it would be pretty bad, but not terminal.\u201d<\/p>\n

\u201cOh. That makes it very important for us to talk with\u00a0him\u00a0today. What are his options?\u201d<\/p>\n

\u201cI’m thinking that we could offer radiation to a couple of the areas, along with chemo. All this would be palliative and could extend his life another six months to even a year. No treatment, he probably has less than a year. So the pain of chemo may be worth it, but it\u2019s up to them to decide.\u201d<\/p>\n

\u201cI agree that it\u2019s their choice, and I’ll support them to make this decision. Is there a rush on this decision?\u201d asks Nancy.<\/p>\n

\u201cNo, I don\u2019t believe so. A few days here or there is not going to make a big difference. I do need to consult with the Cancer Agency to make sure that I\u2019m correct. I\u2019ll call them now. Can you set up a meeting for later today with the Johnsons\u00a0and the nursing staff caring for him?\u201d<\/p>\n

\u201cYes, I\u2019ll talk to the charge nurse now and get things set up. Say 3pm?\u201d<\/p>\n

\u201cGood. I will have more answers then. Thank you.\u201d<\/p>\n

Time: 15h00<\/h5>\n

Fred and Eric\u00a0meet with Dr. Baker and the nursing staff, along with Nancy, to discuss goals of care and the next steps in treatment.\u00a0Fred\u2019s\u00a0children attend by speaker phone so that everyone can hear firsthand the results of the tests and the suggested treatments and outcome.<\/p>\n","protected":false},"author":60,"menu_order":6,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-172","chapter","type-chapter","status-publish","hentry"],"part":152,"_links":{"self":[{"href":"https:\/\/pressbooks.bccampus.ca\/healthcasestudies\/wp-json\/pressbooks\/v2\/chapters\/172","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.bccampus.ca\/healthcasestudies\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.bccampus.ca\/healthcasestudies\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/healthcasestudies\/wp-json\/wp\/v2\/users\/60"}],"version-history":[{"count":10,"href":"https:\/\/pressbooks.bccampus.ca\/healthcasestudies\/wp-json\/pressbooks\/v2\/chapters\/172\/revisions"}],"predecessor-version":[{"id":932,"href":"https:\/\/pressbooks.bccampus.ca\/healthcasestudies\/wp-json\/pressbooks\/v2\/chapters\/172\/revisions\/932"}],"part":[{"href":"https:\/\/pressbooks.bccampus.ca\/healthcasestudies\/wp-json\/pressbooks\/v2\/parts\/152"}],"metadata":[{"href":"https:\/\/pressbooks.bccampus.ca\/healthcasestudies\/wp-json\/pressbooks\/v2\/chapters\/172\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.bccampus.ca\/healthcasestudies\/wp-json\/wp\/v2\/media?parent=172"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/healthcasestudies\/wp-json\/pressbooks\/v2\/chapter-type?post=172"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/healthcasestudies\/wp-json\/wp\/v2\/contributor?post=172"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/healthcasestudies\/wp-json\/wp\/v2\/license?post=172"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}