Nervous System : Cancer
Nervous System Intracranial Pressure May result from radiation edema in central nervous system. Monitor neurologic status. May be controlled with corticosteroids. Peripheral Neuropathy Paresthesias, arelexia, skeletal muscle weakness, and smooth muscle dysfunction can occur as a side effect of plant alkaloids, taxanes, and cisplatin Monitor for these manifestations in patients on these drugs. Consider temporary […]
Genitourinary Tract : Cancer
Genitourinary Tract Hemorrhagic Cystitis Cells lining bladder are destroyed by chemotherapy (e.g., cyclophosphamide, ifosfamide). Side effect of radiation when located in treatment field. Encourage increased fluid intake 24-72 hr after treatment as tolerated. Monitor manifestations such as urgency, frequency, and hematuria. Administer cytoprotectant agent (mesna [Mesnex]) and hydration. Administer supportive care agents to manage symptoms […]
Integumentary System : Cancer
Integumentary System Alopecia Destruction of hair follicles by chemotherapy or radiation to scalp. Hair loss usually is temporary with chemotherapy, but usually permanent in response to radiation. Suggest ways to cope with hair loss (e.g., hair pieces, scarves, wigs). Cut long hair before therapy. Avoid excessive shampooing, brushing, and combing of hair. Avoid use of […]
Hematologic System : Cancer
Hematologic System Anemia Bone marrow depressed secondary to therapy. Malignant infiltration of bone marrow by cancer. Monitor hemoglobin and hematocrit levels. Administer iron supplements and erythropoietin. Encourage intake of foods that promote RBC production Leukopenia Depression of bone marrow secondary to chemotherapy or radiation therapy. Infection most frequent cause of morbidity and death in cancer […]
Gastrointestinal System : Cancer
Etiology Effects Nursing managements Gastrointestinal System Stomatitis, Mucositis, Esophagitis Epithelial cells are destroyed by chemotherapy or radiation treatment when located in field (e.g., head and neck, stomach, esophagus). Inflammation and ulceration occur due to rapid cell destruction. Assess oral mucosa daily and teach patient to do this. Encourage nutritional supplements (e.g., Ensure, Carnation Instant Breakfast) […]
Chemotherapy
Chemotherapy Antineoplastic therapy Use of chemicals given as a systemic therapy for cancer Mainstay for most solid tumors and hematologic cancers Can offer cure, control, or palliative care Cure Burkitt’s lymphoma Wilms’ tumor Neuroblastoma Acute lymphocytic leukemia Hodgkin’s lymphoma Testicular cancer Control Breast cancer Non-Hodgkin’s lymphoma Small cell lung cancer Ovarian cancer Palliation Relieve pain […]
Cancer treatment
Cancer treatment Surgical therapy Oldest form of cancer treatment Meets a variety of goals Trend is toward less radical surgeries Role of surgery in cancer treatment Prevention Removal of non-vital organs to prevent cancer Diagnosis Biopsy Palliation of symptoms Relief of pain Obstruction Hemorrhage Rehabilitation Reconstructive surgery Determine the diagnostic and treatment plan Clinical staging […]
Cancer: Interprofessional Care and Complications
Cancer: Interprofessional Care and Complications Cancer treatment goals Goals Cure therapy Surgery alone or periods of adjunctive systemic therapy Timeframe to “cure” may differ according to the tumor and its characteristics Control therapy Initial course and maintenance therapy Palliation therapy Palliation goal Relief or control of symptoms Maintain quality of life Palliative care and treatment […]
Prevention and detection of cancer
Prevention and detection of cancer Cancer is a group of diseases characterized by uncontrolled and unregulated growth of cells. Cancer affects people of all ages and affects men more than women. It is the second most common cause of death in the United States after heart disease. More people are surviving cancer. Lifestyle habits to […]
Education is essential : Cancer
Education is essential Goals of public education Motivate people to recognize and modify behaviors that may negatively affect health Encourage awareness of and participation in health-promoting behaviors What you would tell the patient about cancer Cell proliferation, or growth, originates in the stem cell and begins when the stem cell enters the cell cycle. Normally, […]