Factors influencing healing Factors influencing healing Displacement and site of fracture Blood supply to area Immobilization Internal fixation devices Infection or poor nutrition Age Smoking

Preparation and handling of chemotherapy agents May pose an occupational hazard Drugs may be absorbed through Skin Inhalation during preparation, transportation, and administration Only properly

Respiratory System Pneumonitis Radiation pneumonitis develops 2-3 months after start of treatment. After 6-12 months, fibrosis occurs and is evident on x-ray. Side effect of

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,

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

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

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

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

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,

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

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

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