FAMILY LIFELINE

2014- Mother died due to stroke.

August 2017- Diagnosed with Stage IV Colon Cancer with liver

metastasis, S/P Biopsy, with colostomy done in San Juan De Dios
Hospital.

November 4, 2018 – Admitted in Pasay General Hospital for Abdominal

pain.

November 7, 2018 – Discharge from the Hospital and advice for

abdominal CT scan.

May 2019 – undergone 2 cycles of chemotherapy.

June 26, 2019 – referred for Hospice from Medical Ward 1

August 5, 2019 – Follow-up check up care of Dr. Lucero, current status

under observation from pain management.
 GENOGRAM
STROKE STROKE
HYPERTENSION HYPERTENSION

_________________________________

HPN ASTHMA
CA

LEGEND:

DECEASED

FEMALE

MALE
 SCREEM- RES
RESOURCES (3) (2) (1) (0)

SOCIAL 2
CULTURAL 0
RELIGIOUS 1
ECONOMIC 2
EDUCATIONAL 1
MEDICAL 1

TOTAL: 7
FAMILY RESOURCE: MODERATELY DYSFUNCTIONAL
 WILMS TUMOR

- It is a embryonal cancer of the kidney, composed of blasternal,

stromal and epithelial elements.
- Also known as “neproblastoma”.
- Usually manifest in children 25 years but occasionally in older
children and rarely in adults.
- Accounts for about 6% of concerns in children 45 years old
- Bilateral synchronous tumors occurs in about 5% of patients.
SIGNS AND SYMPTOMS
- Frequent findings is a painless, palpable abdominal mass. Less
frequent findings include abdominal pain, hematuria, fever,
anorexia, nausea and vomiting.
DIAGNOSIS
-Abdominal ultrasonography, CT, MRI
PROGNOSIS
-It depends on histology favorable or unfavorable), stage of
diagnosis and patient’s age (older age is associated with a worse
prognosis). The outcome for children with wilm’s Tumor is
excellent. Cure rates for lower stage disease (localized to the
kidney) range from 85% to 95%. Even children with more advanced
disease fare well.Cure rates ranges from 60% to 90%. The cancer
may recur, typically within 2 years of diagnosis cure is possible in
children with recurrent cancer treatment.
- Surgery and chemotherapy
- Radiation therapy