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I just recently treated a new diagnosed 21 year old male with stage 3-4 nonseminoma testicular cancer. I was blessed to have been apart of this families realm so positive and humble and caring. This young man will never be able to have kids and is still so positive about life so much so he gives you the zest and makes you appreciate life. He began Chemotherapy right away, his mom had not noticed he lost weight and wasn't eating and he complained of back pain.

"Nonseminoma-Nonseminoma tumors tend to develop earlier in life and grow and spread rapidly. Several different types of nonseminoma tumors exist, including choriocarcinoma, embryonal carcinoma, teratoma and yolk sac tumor. Nonseminomas are sensitive to radiation therapy, but not as sensitive as seminomas are. Chemotherapy is often very effective for nonseminomas, even if the cancer has spread" (Mayo Clinic, 2010).

Testicular Cancer. (2010) retrieved on October 31, 2010 from http://www.mayoclinic.com/health/testicular-cancer/DS00046

Identification of a vulnerable or diverse population is done after I do the initial assessment, meaning laying my eyes on the individual and talking with them about there socio-cultural status. I take into account there access to the healthcare system, insurance or lack there of, race, poverty, lack of social support, and any personal limitations the individual may have. According to Aday (2001), vulnerable

populations are those at risk for poor physical, psychological, or social health.

Anyone can be vulnerable at any given point in time as a result of life circumstances or

response to illness or events.

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Vulnerable populations are those with a greater than average risk of developing health problems (Aday, 2001; Sebastian, 1996) by virtue of their marginalized sociocultural status, their limited access to economic resources, or personal characteristics such as age and gender.

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AIDS epidemic,

welfare reform, passage of the Americans with Disabihties Act, broad-scale federal

efforts to address AIDS and homelessness, concerns about terrorism and preparation

for chemical and biological attack, and increasing worry about the viability of

our public health systems. 1221

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