Case Studies CASE STUDY 1 Lourdes Austen arrives at the offices of Drs. Lewis an
ID: 134388 • Letter: C
Question
Case Studies CASE STUDY 1 Lourdes Austen arrives at the offices of Drs. Lewis and King for her annual plysical examination. It has been 1 year since Lourdes had surgery to remove a tumor in her breast b·lumpectomy with axillary hmph n de dissection, followed by a course of radiation. Lourdes's 1-year mammogram and follow-up examination with her surgeon and radiologist find her late 30s. As Dr. King begins the routine physical examination, assisted by Anna Preciado. RMA (AMT Lourdes begins to cry. "T'm so happy to be alive. Lourdes says. "And so afraid of the cancer coming back. But no evidence of a recurrence of the cancer. Lourdes is a single woman in te life. I've talked to my boyfriend about it and we want to get pregnant. What should I do" Dr. King takes Lourdes's hand. I know that living with cancer is hard. You are doing well. There are many things to consider.... CASE STUDY REVIEW QUESTIONS 1. What bioethical dilemma exists in Lourdes's situation? In your opinion, is Lourdes's choice to become pregnant an ethical one 2. How do deeply held beliefs and attitudes about parenthood and the role of women in our society have an impact on the patient's decision? How could these beliefs have an impact on the health care teams response to LourdesiExplanation / Answer
Ans1) As the reports of Louders, say she has no further appearence of cancer symptoms developing so far. She should be really thankfull for getting a life back. As , she has undergone lymphectomy of the tumor in her breast, and has the physical examination taking place, there is a possibility for her to decide to get pregnant on careful observation of the reports. The idea of becoming pregnant acorrding to me is right, as she has the right move on in life with a hope to live happily.
Ans 2)As it is a dream of every woman to enjoy her best time of life the "motherhood", Loureder, is absolutely on the right path to carry her womanhood to motherhood. But, the role of her health plays a major role as she has suffered from the lymphectomy at the mammary gland which is a vital organ for a pregnant woman. Hence, a serious suggestion of the doctors after complete examination of her health and her mental condition is advisible for her better future.
Ans 3) I feel firstly, before Lourder becomes pregnant, she must undergo several counsellings for her both physical and mental health conditions periodically. And this will help her, for a stable development physical and mentally for planning pregnancy. The health care team should also counsell her boyfriend to support her in every condition possible like she may have a rise of the lymh in some other body part, she can undergo hormonal imbalances,and also mental disturbances, etc.