You are a 2-year graduate of an accredited AGACNP master’s program. You are now a certified AGACNP practicing on a very busy inpatient oncology unit.

Your patient is s 45-year-old male with head/neck cancer. This is a new diagnosis, but the patient has lost over 60 pounds in the past 4 months due to dysphagia, malnutrition, and intractable pain. He is currently NPO due to risk of aspiration.

Explore the types of head and neck carcinomas that you will encounter as an AGACNP on this oncology unit. Describe the following and support your answer with two or three peer-reviewed resources.

1. Malignancy, cytology results, and type of cancer markers, if available.
2. How this is cancer diagnosed.
3. The key complications for which you must be watchful.
4. How you will manage this unique and very difficult patient with regard to pain management, airway, cosmetics, and psychological concerns.
5. Which nutritional interventions would be important for this patient?

1. Joe Smith, a 55-year-old patient, is admitted to the surgical unit after robotic-assisted laparoscopic radical prostatectomy with nerve sparring for early stage cancerous tumor confined to the prostate. The client has six small incisions in the abdomen with small 4×4 dressings with clear dressing dry and intact. The client has a JP drain in place with clear, red-colored drainage with 50 mL present and an indwelling urinary catheter draining clear, red-colored urine. The surgeon ordered ketorolac (Toradol) for pain management and belladonna and opiate (B&O) suppository every 8 hours, as needed, for bladder spasms. (Learning Objective #5) 

1. What nursing care should be provided to the patient in the immediate postoperative period?
2. For what potential complications should the nurse observe, and what actions should the nurse take if the complication develops?
3. The surgeon removes the JP drain the next day and discharges the patient with the indwelling urinary catheter to a leg bag. What discharge instructions should the nurse provide the patient? What follow-up care is anticipated for him?

2. Joe Smith, a 67-year-old man, is admitted with the diagnosis of adenocarcinoma of the penis. He presents with painless wartlike growth on the skin of the glans of the penis. (Learning Objective #7) 

1. Explain the pathophysiology of cancer of the penis.
2. What are the early and late manifestations of cancer of the penis?
3. What are the management goals for cancer of the penis?

Required Resources
Read/review the following resources for this activity:

• Textbook: Chapter 11
• Lesson
• Minimum of 2 scholarly sources

Instructions
Develop, in detail,  a situation in which a health care worker might be confronted with ethical problems related to patients and prescription drug use OR patients in a state of poverty.

• Your scenario must be original to you and this assignment. It cannot be from the discussion boards in this class or any other previous forum.
• Articulate (and then assess) the ethical solutions that can found using “care” (care-based ethics) and “rights” ethics to those problems.
• Assessment must ask if the solutions are flawed, practicable, persuasive, etc.
• What health care technology is involved in the situation?What moral guidelines for using that kind of healthcare technology should be used there? Explore such guidelines also using utilitarianism, Kantian deontology, ethical egoism, or social contract ethics.
• Say how social technologies such as blogs, crowdfunding, online encyclopedias can be used in either case. What moral guidelines for using that kind of healthcare technology should be used there? Develop such guidelines also using utilitarianism, Kantian deontology, ethical egoism, or social contract ethics.

You should not be using any text you used in a discussion board or assignment for this class or any previous class.

Cite the textbook and incorporate outside sources, including citations.

Writing Requirements (APA format)

• Length: 3-4 pages (not including title page or references page)
• 1-inch margins
• Double spaced
• 12-point Times New Roman font
• Title page
• References page (minimum of 2 scholarly sources)

You are the Case Coordinator. You have 300 patients that need to be scheduled for outside specialty appointments every month. You are tasked by the Administrator to develop a strategic plan organizing the out of the facility appointments without impairing internal services.

Prepare a memorandum targeting the following:

1. What staff arrangements are available to meet the needs of out of the facility appointments?

2. What staff arrangements are needed to:

-accommodate the out of the facility appointments(show the calculations);

-meet the needs of in-house appointments (show the calculations);

-reduce the number of out of the facility appointments (justify);

3.Organizational plan to accommodate scheduled appointments, emergency appointments, and preventive appointments. 

Make sure to use APA to cite credible evidence.