Testicular Cancer Case Studies 

A 21-year-old male noted pain in his right testicle while studying hard for his midterm college examinations. On self-examination, he noted a “grape sized” mass in the right testicle. This finding was corroborated by his healthcare provider. This young man had a history of delayed descent of his right testicle until the age of 1 year old. Studies Results Routine laboratory studies Within normal limits (WNL) Ultrasound the testicle Solid mass, right testicle associated with calcifications HCG (human chorionic gonadotropin) 550mIU/mL (normal: <5) CT scan of the abdomen Enlarged retroperitoneal lymph nodes CT scan of the chest Multiple pulmonary nodules Diagnostic Analysis At semester break, this young man underwent right orchiectomy. Pathology was compatible with embryonal cell carcinoma. CT directed biopsy of the most prominent pulmonary nodule indicated embryonal cell carcinoma, compatible with metastatic testicular carcinoma. During a leave of absence from college, and after banking his sperm, this young man underwent aggressive chemotherapy. Repeat testing 12 weeks after chemotherapy showed complete resolution of the pulmonary nodules and enlarged retroperitoneal lymph nodes. 

Critical Thinking Questions 

 1. What impact did an undescended testicle have on this young man’s risk for   developing testicular cancer?

 2. What might be the side effects of cytotoxic chemotherapy? 

 3. What was the purpose of preserving his sperm before chemotherapy?

 4. Is this young man’s age typical for the development of testicular carcinoma? 

Before starting with our week 1 discussion topic, please introduce yourself to the class, and carefully respond to the below questions:

• What is your name?
• Why do you want to be a nurse?
• What do you hope to learn in this class?
• What questions do you have on the course syllabus or the first live Instructors session?

Then discuss how poverty (i.e., “being poor”) and other social factors affect cumulative risk, susceptibility, resiliency, and vulnerability.

 Your reading describes four major problems with the U.S. healthcare system: escalating costs due to technology, fragmentation of services, limited access to care, and quality of care. Which of these do you see as the primary problem? Why? What can be done to address the issues described? 

Reference your sources using apa format.

In a short essay (500-750 words), answer the Question at the end of Case Study 2. Cite references to support your positions.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to LopesWrite.

Teaching Experience

1. Purpose: To document and evaluate teaching skills necessary to provide teaching to an individual client with a demonstrated need. With the completion of this assignment the student will be able to achieve the following objectives.

1. Demonstrate ability to thoroughly assess the learning styles of an individual or family using given developmental or cultural models.
2. Demonstrate ability to anticipate learning needs based on developmental or cultural assessments.
3. Identify and utilize teaching/learning principles to facilitate achievement of learning goals and outcomes.
4. Select and prioritize learning strategies based on the developmental or cultural assessment to achieve learning goals and outcomes.
5. Support rationales for teaching plan using teaching and learning theories from required readings with references

2. Nursing Competencies:

1. Assessing and identifying developmental, cultural, and socioeconomic factors affecting a client.
2. Providing evidence-based health information and teaching based on developmental, cultural, and socioeconomic factors affecting a client or family
3. Integrating teaching/learning activities into client interactions based on developmental, cultural, and socioeconomic factors affecting a client or family.
4. Incorporating health promotion and teaching into the plan of care based on developmental, cultural, and socioeconomic factors affecting a family or client.

3. Plan: submitted to the clinical instructor during the teaching experience. Your clinical instructor must approve the topic.

1. Develop nursing diagnosis (NANDA)
2. Develop two (2) learning objectives
3. State methodology (teaching methods)
4. Provide and utilize teaching aids
5. State needed resources

4. This write-up should be 2 pages to follow the Teaching Experience Rubric.