Below is a summary of Rob’s EHR activity during his five day stay in the hospital. As the health coach, you will recommend lifestyle changes to prevent symptoms from recurring and decrease the need for future emergency care or hospitalization. Rob’s lungs have been permanently damaged and he will need to understand to what extent and what lifestyle changes he will need to make. You will provide the education he needs to understand his diagnosis and the risk factors that may have caused his condition. Using his EHR and Internet research, answer the questions and be prepared to discuss the responses with the rest of Rob’s healthcare team.
On Your Own: At an average national cost of $8.39 per pack of cigarettes if Rob quits smoking, as advised, how much could he save each year?
Internet Research: There are two main types of lung cancer associated with tobacco use – small cell lung cancer (SCLC) and non-small cell lung cancer (NSCLC). NSCLC is subdivided into squamous cell carcinomas, adenocarcinomas and large-cell carcinomas. Explain these type of cancers to Rob – what they are and which is the most common?
Squamous cell carcinoma
Review Rob’s Inpatient EHR: Besides educating Rob about his lung cancer, you also want to help him make other lifestyle choices that can impact life expectancy. In his EHR you notice a few areas in his Vital Signs and, Measurements and Weights sections that are borderline high and could be improved. What are those areas and his results?