Background: A 36year old Caucasian male who is a construction worker presented to his physician's office complaining of several moles on his scalp and face that were “changing.” The client noticed a color change on the moles and states "they've increased in size". The borders on the facial moles are irregular. In addition; he states "the mole on his scalp is the worst". One half does not look equal to the other half. The client states "the moles are very bothersome and they itch a lot".
Social History: Client did not finish high school; he has worked mediocre jobs since dropping out of school. The client is a poor historian and he can't say with certainty if he has a family cancer history. The client thinks that cancer means a death sentence when his physician shared his diagnosis of melanoma.
Patient/ Family Centered Goals: I. Patient/ Family will have understanding of the treatments given for the disease by being able to recognize the complications that may occur II. Patient/ Family will be able decide on strategies that will aid in coping with anxiety/stress that may occur when being diagnosed/ or being close to someone diagnosed with cancer III. Patient/ Family will understand the importance of maintaining a balanced diet IV. Patient/ Family will be able to recognize the signs & symptoms of infection
Teaching Plan: 1. Patient teaching will take place when the patient is most awake and free of any medications that may affect their ability to learn/ observe the information being given. Patient will also express willingness to learn. 2. Family members that are going to be assisting in caring for the patient will be notified of the teaching ahead of time so they may be available to attend. 3. Patient/ Family will demonstrate their understanding by performing any techniques taught 4. Patient/ Family will be given a pretest and posttest to help demonstrate their understanding of the knowledge given as well as