Reference no: EM133700589

Question

A forty-five-year-old lady visited a local healthcare facility, noticing lumps on her left breast and feeling tired. The facility had few nurse practitioners with minimal diagnostic tools and few medications available. Upon examination, the nurse suspected breast cancer and recommended referring the patient to a tertiary care hospital in the nearest city, several hours away by road. However, the patient refused further testing due to financial constraints and the need to care for her family. She had also heard from other women in her community that cancer treatment was useless or even harmful. The patient questioned the importance of screening and preferred traditional healing methods. The nurse inquired about what the patient knew about cancer screening and treatment only to realize that they have low awareness of the disease and they significantly believed that cancer treatment was harmful, as informed by other community members. The nurse practitioner, serving as the community nurse for Al-Ula, tried to convince the woman of the significance of early breast cancer detection, explaining that early discovery and treatment lead to improved outcomes in breast cancer patients. However, this did not persuade the patient, and she refused the referral for further evaluation. The community nurse was concerned about the patient's poor prognosis but felt limited in her ability to change the diagnosis or provide effective cancer care within the constraints of the underdeveloped healthcare institution. In the following months, the patient's condition progressed, and she developed advanced signs like lymphedema and skin ulceration, indicating widespread disease involving the breasts. She returned to the hospital seeking pain relief, where the community nurse once again provided support and persuaded them to accept a referral to tertiary healthcare, which they refused. The nurse unsuccessfully tried to educate the patient on the dangers of untimely treatment. The nurse practitioner serves as a community nurse in Al-Ula, attempting to educate patients about the importance of early breast cancer detection and treatment. Despite the limitations of the underdeveloped healthcare institution, the community nurse provides support and palliative care to the patient throughout her cancer journey. From theis case I need help about: Introduction: We need to have an introduction related to the selected issue . ( Ignorance and prevention of receiving treatment due to customs and traditions, as well as their presence in a remote area ) You can touch on what we know in general and prevalence based on recent evidence. In the introduction, you can describe the importance and seriousness of the issue. Also, describe why this could challenging. Each time you refer to a previous piece of evidence, you cite the reference. Suggest solutions You need to focus on how we can solve this issue using existing evidence (citations).