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28 Cards in this Set

  • Front
  • Back
Signs of approaching death
weak, rapid pulse, low BP
dyspnea/apnea
bowel/bladder incontinence
elvated temp, cold extremities
decrease urin, slow pupil resp
Neoplasm
Abnormal mass or tumor
(maligant or begnign)
stages of death(kubler-ross)
denail
anger
bargianing
depression
acceptance
Signs and symptoms of cancer
(CAUTION from ACS)
Change in bowel/bladder
A sore that no heal
Unusual bleeding
Thickenig of lump/tissue
Indigestion difficulties
Obivious change of mole/wort
Nagging cough/hoarseness
physical care needs in hospice
pain control
resp distress
nutrition status
constipation
family, caregivers...support
oncologic problems
low WBC and platelets,
nutritional probs, pain, hypercalcemia, fatique, psychosocail issues,
alopecia
Surgery and Immunotherpay for treatment of cancer
-surgery palliative, curative or reconstructive
-immunotherapy stimulates bodys immune system (side effects less severe)
Cancer treatment options
chemotherapy
Radiation
Surgery
Immunotherapy
Supportive care(Palliative)
Cancerous tumors
carcinoma(tiss..skin,resp,GI)
sarcoma(connective tiss)
lympoma(lymph tiss)
melanoma(skin cells)
leukemia(bld, marrow)
External radiation
before or after surgery
use to palliate care
usually done as outpatient
painless, only 3 mn
radiation sickness can occur
Diagnostic test for cancer
complete history/physical
ultrasound
x-ray, CT, MRI
endoscopic exam
biopsy(only way for sure)
tumor markers
Nursing interventions for pt with chemotherapy
only specific RN give drugs
protective equip(gloves)
specail handeling(flush twice)
monitor site
Chemotherapy
drugs to treat
kills cancer cells
ALSO kills noncancerous cells
usually more then 1 at a time
Side effects of chemotherapy
vomiting/nausea
alopecia
stomatitis(inflam. of mouth)
fatigue
eletrolyte imbalance
Begnign
non-cancerous mass/tumor
Hospice care
(dying should be abele to live last days in comfort)
live how ever want to
control pain any way
spiritual support
family counseling
Treatment of cancer pain
WHO ladder
monitor and treat side effects
(nausea/vomiting, constipation, sedation, deprs., pyshcosocial issues)
Staging of tumors (to decide type and options of treatment)
TNM(tumors, nodes, metastasis)
T0=size
T1-T4=bigger size, more #)
N0-N3=more # and involvment
M0-M4=degree of metastasis
Radiation
uses alpha, beta or gamma rays
directly kills/injures
affects good and bad cells
internal or external
maligant
cancerous mass/tumor
extravasation
leakage into the tissue
Vesicants
irritation
cause blister or necrosis
Oncology
Branch of medicine dealing with tumors
Internal radiation
directly in body
use of radioisotopes
(ex.cesium,cobolt,radium)
foley catheter(keep empty)
awareness of exposure
necrosis
death of tissue
(can be caused by vesicants)
Tumor markers
CEA(carcinoembryoic antigen)
PSA(prostate specific anitgen)
CA-125(cancer antigen)
CA-19-9(cancer antigen)
Risk factors for cancer
family history,
diet (high fat..)
sunlight
smoking
alcohol
stages of death
denail
anger
bargianing
depression
acceptance