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

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

Diagnosis of cancer Diagnostic plan includes Comprehensive Health History Identification of risk factors Physical examination Specific diagnostic studies Indicated diagnostic studies depend on site of

Classification of cancer Tumors can be classified by Anatomic site Histology Grading severity Extent of disease Staging Classification systems provide a standardized way to Communicate