Thepatient mentioned in the care plan suffered from sacrum cancer,tumors that are associated with sacrum are very rare, and metastaseshave been considered as the highly observable malignant tumors of thesacrum. These tumors can be derived from head, neck, prostate,kidney, breast lung, gastrointestinal cancer. Similarly, malignantand benign tumors of the sacrum originate from neural elements orbone, and sometimes they can emerge from bone marrow in situations ofhematological distortions. Similarly, almost 10% of pseudotumorsinvolve the sacrum comprising of cell tumors at 60%, osteoblastomas,and aneurysmal bone cysts at 45%. On the other hand, approximately6% of malignant bone tumors consist of the sacrum, and it includeschondrosarcomas in adults, Ewing’s sarcoma in children, multiplemyelomas chordomas, lymphomas, and asteosarcomas (Maiettini et al.,2016).
Theclinical manifestation of sacrum cancer when the patient was admittedto the hospital includes fever, hyponatremia, hypokalemia, andaltered mental status, secondary to chemotherapy and radiationtreatment. The clinical pattern is influenced by various factors suchas the anatomical position of the lesion inside the sacrum, thestretching and the impact it has on the adjacent structures such asinvasion and compression. In most occasions, clinical examination isalways deprived that is because sacral tumors remain silent for anextended period. Some of the symptom of the sacral tumor includeslocal pain that is caused by compression and mass effect (Maiettinietal.,2016).
Thepatient who has sacrum cancer and the medical management that can beapplied include palliative care that aims at pain control and salvageof neurologic functions. Moreover, during hospitalization, thepatient was subjected to occupational therapy, chemotherapy, andradiation that ended recently and they were administered to managethe patient condition (Maiettini etal.,2016).
Thepatient underwent various test, treatments, and interventions duringclinical daycares including stool being examined for clostridiumdifficile. Advance directives such as DPOA, Hospice, BHNR and livingwill be not recommended for the patient. Similarly, variousassessment and intervention were conducted on the patient such aspain, respiratory, neurosensory, cardiovascular, musculoskeletal,renal, skin and integument, gastrointestinal, endocrine,reproductive, vascular, safety post-operative and psychosocial,growth and development and spiritual assessment and intervention(Maiettini et al., 2016).
Moreimportantly, the patient will be subjected to various healthassessments after which professional directions together with variouseducation processes conducted in a bid to ensure that the health ofthe patient improves (Maiettini et al., 2016). In this case, thepatient’s pain will be assessed after every 2 hours using the 1-10pain rating scale and appropriate interventions provided. On top ofthat, other interventions that the sacrum cancer patient will besubjected to include respiratory, neurosensory, cardiovascular,musculoskeletal,renal, gastrointestinal, endocrine, safety, vascular access, growthand development, psychosocial, cultural and spiritual as well as skinand integument examinations. Nonetheless, the patient will not be putthrough post-operative/post-procedural assessments and interventions(Maiettiniet al., 2016).
Maiettini,D., De Angelis, V., Graziosi, L., Rebonato, S., Falcinelli, L.,Metro, G., & Rebonato, A. (2016). Sacrum colon-rectal cancermetastasis: microwave ablation for palliative pain treatment. RecentiProgressi in Medicina,107(12),673-676.