GROUP 1

ooo. GROUP 1. CASE STUDY JONELTA FOUNDATION SCHOOL OF MEDICINE UNIVERSITY OF PERPETUAL HELP SYSTEM DALTA LAS PINAS.

GROUP MEMBERS. 1 . MEESALA SRAVANI 2. SNIGDHA 3. ALLA HEMANTH SAI PRUDHVI 4. VARUPULA HEMANJALI 5. DIVYA SRI KUKKALA 6. ROMPILLI NIKHITA 7. ARSHIYA UMMEY 8. MEDARI PRAGNA 9.GOPI USHAKUMARI AKUL KRISHNA 10.MODI CHELSEA STALIN 11.TAMARAPALLI HEMANTH.

PULMONARY ADENOCARCINOMA DISEASE. abstract.

OUTLINE. Index case profile The family Family wellness plan.

GENERAL DATA. Name : Mrs. Dipti Singh Age : 62 years old Gender : Female Marital status : Married nationality : Indian Religion : Hindu Occupation : Home maker Address : New Delhi, India Final diagnosis : Pulmonary adenocarcinoma.

CHIEF COMPLAINT. Patient presented with complaints of cough, shortness of breath and pleural effusion..

HISTORY OF PATIENT ILLNESS. DECEMBER 2021 : Pleural effusion, persistent cough. Did not respond to AKT JANUARY 2022 : Admitted to the hospital with the complaint of pleural effusion since 2 months. Shortness of breath. Pleural tapping and VATS Pleural biopsy done on 20.01.2022 PET CT Scan done. IHC Line of treatment : Palliative chemo with pemetrexate + cisplatin every 21.

INITIAL SYMPTOMS. Signs and symptoms of lung cancer are not always present until the disease advances. Coughing that does not improve Hoarseness Blood in phlegm or sputum that is expelled by coughing Weakness Wheezing Infections that return or will not clear Chest pain that gets worse with cough or laugh Advanced lung cancer symptoms include coughing, shortness of breath, chest pain, fatigue or unintentional weight loss. Signs and symptoms that might appear if the cancer has spread to other places include bone pain, headache, muscle weakness or eyelid drooping..

PAST MEDICAL HISTORY. At the age of 40 the patient, the patient experienced increased hunger, shortness of breath and frequent urination. When she approached doctor, she was detected with diabetes mellitus. Having a high blood sugar level of 200 mg/dl in fasting Mrs.Dipti singh is currently in a hypertensive state. She has never been diagnosed with hypertension but may have unknowingly had it for years. Hypertension causes hypertrophy of the myocardial cells which increases the myocardial need for coronary flow Past medical history is significant for coronary artery disease. No history of allergies to medication or environment triggers.

FAMILY MEDICAL HISTORY. Relation Name of the member Diseases Father of dipti O.P Sharma Hypertension , Arthritis Mother of dipti Radhika Sharma Cancer , Diabetes mellitus Brother of dipti Dinesh Diabetes mellitus Husband of dipti Vinay Not specified Brother of dipti Rohit Diabetes mellitus Sister of dipti Vibha Diabetes mellitus Son of dipti Shishir healthy Daughter of dipti Swati Pcod , hypertension.

PERSONAL AND SOCIAL HISTORY. Well established households Well furnished bedrooms Proper parking system and garden. Adequate sunlight throughout the house. Clean neighbourhood Well ventilated. Sewage tank is the mode of Excreta Disposal Mode of Sewerage Disposal: Pipeline Garbage Disposal : Taken care of by the Municipal Corporation Living in upscale community.

Menstrual/OB history. Menarche at age of 13 years Regular periods Menopause at the age of 52 years OB code G-2 P-2 (Term-2, Preterm-0, Abortion-0, Living-2).

Physical examination. Height:1.65m Weight:54kg Temperature:36.6Celsius Skin: no pallor, no cyanosis Heart: increased pulse rate Lungs: fluid is accumulated around lungs making it harder for the lungs to expand while inhaling Abdomen: pain in the belly Extremities: no edema.

Neurological examination. Awake oriented to time, place and person Cranial nerves CN I:-Can smell CN II:- (+) ROR, OU CN III:-EOM, Intact CN V :- Bicorneal reflex intact CN VII:- No facial asymmetry CN VIII:- Can hear CN IX/X:- Gag Intact CN XI:- Good shoulder shrug CN XII:-Tongue midline.

Pulmonary Adenocarcinoma Assessment.

DIAGNOSIS:- Adenocarcinoma right lung with pleural effusion and retroperitoneal Ln . THERAPEUTICS:- *Palliative chemotherapy with Pemetrexate + Cisplatin . NON-PHARMACOLOGICAL INTERVENTION:- * Low salt- Diabetic diet. * Breathing Exercise( Yoga- Pranayam ) *Follow up every 21 days for Chemotherapy & with CBC report..

Lung cancer - human pulmonary anatomy graphic with damage sign inside lungs. Medical vector illustration of disease in flat icon style - isolated cartoon clipart drawing:: موقع تصميمي.

Type of family. Structure: nuclear family Economic class: upper middle class Family set up: democratic.

Family identification. Dipti is the second daughter amongst four children. Dipti is mother of shishir and Swati . Vinay is the Husband of dipti and Father of shishir and Swati . Shishir is the First child of Dipti's family. Swati is the Second child of Dipti's family ..

Dipti and Vinay are in middle adulthood life stage. Dipti , she is in peaceful family ,where her family supports and take Care of her. She is suffering with Pulmonary Adenocarcinoma along with hypertension and diabetes. She tries to lead a healthy and peaceful diet by following well Balanced diet and meditation. Dipti’s daughter and son are well in settled USA & EUROPE. Both her Children take care of her. Dipti’s daughter - Swati " as the is Doctor monitors her health daily. MR. Vinay as a supportive husband, takes care of her from dawn to dusk and Helps Dipti in each and ever aspect..

FAMILY LIFELINE. . abstract. 1). 1959: Dipti's birth 1976: Marriage with Vinay 1980: First child was born. 1981: Second child was born, 2002: Family's economic condition substantially improved upon Vinay being placed in an IT company 2007: Dipti diagnosed with DM. 2012: Dipti's mother diagnosed with breast cancer. 2019: Dipti diagnosed with 2 VESSELS CAD. Underwent Angiography. 2022: Diagnosed with NSCLC..

FAMILY PSYCODYNAMICS.

FAMILY MAPPING. O.P SHARMA AND RADHIKA SHARMA FAMILY MAP.

FAMILY DYNAMICS. DEEPTHI’S FAMILY IS FUNCTIONAL. Deepthi Lives With Her husband. She Is Loved By All The Family Members & And Her Parents (Childhood). Deepthi has a stable financial status. They Have A Good Relationship With Each Other..

FAMILY PSYCHOSOCIAL DATA. communication pattern L eardership B readwinner A uthority P rimary caregiver F amily’s present priorities..

FAMILY PSYCHOSOCIAL DATA. . COMMUNICATION PATTERN High conversation oriented family. Communicates with each other frequently about their thoughts and activities..

PSYCHOSOCIAL DATA. LEADERSHIPFAMILY Mr. vinay ( deepthi’s husband) as he is the head of the family ..

FAMILY PSYCHOSOCIAL DATA. Breadwinner Mr. vinay : VP at power company (retired) Children are well settled in USA and Europe. They support Deepthi’s family financially.

FAMILY PSYCHOSOCIAL DATA. Authority authority is mainly conferred on dipti’s husband vinay Primary caregiver Dipti’s husband and a care taker. Family’s present priorities . Priorities are to give utmost care to dipti and her treatment..

Family APGAR. A- ADAPTATION P-PARTNERSHIP G-GROWTH A-AFFECTION R-RESOLVE.

Transparent Wrong Clipart - Transparent Background Green Tick Mark Png , Free Transparent Clipart - ClipartKey.

FAMILY APGAR 1 RESULT. SCORING ALMOST always = 2 Some of the time = 1 Hardly ever = 0 RESULT – HIGHLY FUNCTIONAL FAMILY TOTAL = 10.

Transparent Wrong Clipart - Transparent Background Green Tick Mark Png , Free Transparent Clipart - ClipartKey.

Transparent Wrong Clipart - Transparent Background Green Tick Mark Png , Free Transparent Clipart - ClipartKey.

Transparent Wrong Clipart - Transparent Background Green Tick Mark Png , Free Transparent Clipart - ClipartKey.

family wellness plan.

Screening: • daily personal hygiene • daily BP monitory, Spo2 • daily blood sugar level check up • for every 21 days cisplatin • pallitative chemo with pemetrexate • CBC, KFT for 21 day s.

Exercise: Frequently – 3 to 4 days per week Duration – 10 to 30 minutes Intensity – Moderate Type – Breathing Exercise.

Diet Prescription:. Type of Food Approximate Quantity (Specify Unit) Proteins 65 gm Carbohydrates 120 gm Fats 20 gm.

Thank you.