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Oncologic Nursing

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ONCOLOGIC NURSING Ma. Victoria J. Recinto RN, USRN University of the Philippines Manila Philippine General Hospital
NEOPLASIA DIFFERENCES BENIGN (Tumor) MALIGNANT (CA) Differentiation Well Poor Encapsulation (+) (-) Metastasis (-) (+) Prognosis Good Poor Tx Modalities Surgery Surgery, Irradiation, Chemotx, BM transplant
Predisposing Factors: Carcinogenesis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Grading of Cancer ,[object Object],[object Object],[object Object],[object Object],[object Object]
Staging of Cancer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
WARNING/DANGER SIGNS OF CANCER ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
EARLY DETECTION OF CANCER ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Breast Self-Examination (BSE) ,[object Object],[object Object],[object Object]
Breast Self-Examination (BSE) ,[object Object],[object Object],[object Object],[object Object]
Testicular Self-Examination (TSE) ,[object Object],[object Object],[object Object]
CANCER TX MODALITIES: Surgery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CANCER TX MODALITIES: Surgery ,[object Object],[object Object],[object Object],[object Object],[object Object]
CANCER TX MODALITIES: Chemotherapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CANCER TX MODALITIES: Chemotherapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CANCER TX MODALITIES: Chemotherapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CANCER TX MODALITIES: Chemotherapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Alkylating Meds ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Alkylating Meds ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anti-tumor Antibiotics ,[object Object],[object Object],[object Object],[object Object],[object Object]
Anti-tumor Antibiotics ,[object Object],[object Object],[object Object],[object Object],[object Object]
Antimetabolites ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Antimetabolites ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mitotic Inhibitors (Vinca Alkaloids) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Immunomodulator Agents ,[object Object],[object Object]
Immunomodulator Agents ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Colony-Stimulating Factors ,[object Object],[object Object],[object Object],[object Object]
CANCER TX MODALITIES: Radiation ,[object Object],[object Object],[object Object],[object Object],[object Object]
CANCER TX MODALITIES: Radiation ,[object Object],[object Object],[object Object],[object Object],[object Object]
CANCER TX MODALITIES: Radiation ,[object Object],[object Object],[object Object],[object Object],[object Object]
CANCER TX MODALITIES: Teletherapy/Beam Radiation ,[object Object],[object Object],[object Object],[object Object]
CANCER TX MODALITIES: Teletherapy/Beam Radiation ,[object Object],[object Object],[object Object],[object Object]
CANCER TX MODALITIES: Brachytherapy Radiation ,[object Object],[object Object]
CANCER TX MODALITIES: Brachytherapy Radiation ,[object Object],[object Object],[object Object]
CANCER TX MODALITIES: Brachytherapy Radiation ,[object Object],[object Object],[object Object],[object Object],[object Object]
CANCER TX MODALITIES: Brachytherapy Radiation ,[object Object],[object Object],[object Object],[object Object]
CANCER TX MODALITIES: Brachytherapy Radiation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CANCER TX MODALITIES: Brachytherapy Radiation ,[object Object],[object Object],[object Object]
CANCER TX MODALITIES: Brachytherapy Radiation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CANCER TX MODALITIES: Radiation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
LEUKEMIA ,[object Object],[object Object],[object Object]
LEUKEMIA
CLASSIFICATION OF LEUKEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Signs and Symptoms: LEUKEMIA ,[object Object],[object Object],[object Object],[object Object]
Signs and Symptoms: LEUKEMIA ,[object Object],[object Object],[object Object],[object Object]
LEUKEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
LEUKEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object]
LEUKEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object]
Nursing Management: LEUKEMIA ,[object Object]
Nursing Management: LEUKEMIA ,[object Object]
Nursing Management: LEUKEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object]
Nursing Management: LEUKEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nursing Management: LEUKEMIA ,[object Object],[object Object],[object Object],[object Object]
Nursing Management: LEUKEMIA ,[object Object],[object Object],[object Object]
HODGKIN’S DISEASE/LYMPHOMA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HODGKIN’S DISEASE/LYMPHOMA ,[object Object],[object Object],[object Object],[object Object],[object Object]
MULTIPLE MYELOMA ,[object Object],[object Object],[object Object]
S/Sx: MULTIPLE MYELOMA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nursing Interventions: MULTIPLE MYELOMA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TESTICULAR CANCER ,[object Object],[object Object],[object Object],[object Object],[object Object]
S/Sx: TESTICULAR CANCER ,[object Object],[object Object],[object Object],[object Object]
Tx: TESTICULAR CANCER ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nursing Interventions: s/p Testicular Surgery ,[object Object],[object Object],[object Object]
BREAST CANCER ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
S/Sx: BREAST CANCER ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
S/Sx: BREAST CANCER ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nonsurgical Tx: BREAST CANCER ,[object Object],[object Object],[object Object],[object Object]
Surgical Tx: BREAST CANCER ,[object Object],[object Object],[object Object],[object Object]
Surgical Tx: BREAST CANCER ,[object Object],[object Object]
Nursing Interventions: s/p Breast Surgery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Health Teaching: s/p Breast Surgery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Health Teaching: s/p Breast Surgery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CERVICAL CANCER ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
S/Sx: CERVICAL CANCER ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tx: CERVICAL CANCER ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CERVICAL CA: Laser Therapy ,[object Object],[object Object]
CERVICAL CA: Cryosurgery ,[object Object],[object Object],[object Object],[object Object],[object Object]
CERVICAL CA: Conization ,[object Object],[object Object],[object Object],[object Object]
CERVICAL CA: Hysterectomy ,[object Object],[object Object]
Nursing Interventions: s/p Hysterectomy ,[object Object],[object Object],[object Object],[object Object],[object Object]
CERVICAL CA: Pelvic exenteration ,[object Object],[object Object],[object Object]
CERVICAL CA: Types of Pelvic Exenteration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nursing Interventions: s/p Pelvic exenteration ,[object Object],[object Object],[object Object],[object Object],[object Object]
OVARIAN CANCER ,[object Object],[object Object],[object Object],[object Object]
S/Sx: OVARIAN CANCER ,[object Object],[object Object],[object Object],[object Object]
Tx: OVARIAN CANCER ,[object Object],[object Object],[object Object],[object Object],[object Object]
ENDOMETRIAL CANCER ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
S/Sx: ENDOMETRIAL CANCER ,[object Object],[object Object],[object Object],[object Object]
Tx: ENDOMETRIAL CANCER ,[object Object],[object Object],[object Object],[object Object],[object Object]
GASTRIC CANCER ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
S/Sx: GASTRIC CANCER ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tx: GASTRIC CANCER ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nursing Interventions: GASTRIC CANCER ,[object Object],[object Object],[object Object],[object Object],[object Object]
Nursing Interventions: GASTRIC CANCER ,[object Object],[object Object],[object Object]
PANCREATIC CANCER ,[object Object],[object Object],[object Object]
S/Sx: PANCREATIC CANCER ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tx: PANCREATIC CANCER ,[object Object],[object Object],[object Object]
INTESTINAL TUMORS ,[object Object],[object Object],[object Object]
S/Sx: INTESTINAL TUMORS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nursing Interventions: INTESTINAL TUMORS ,[object Object],[object Object],[object Object],[object Object],[object Object]
COLO/ILEOSTOMY PRE-OP CARE ,[object Object],[object Object],[object Object]
COLOSTOMY POST-OP CARE ,[object Object],[object Object],[object Object],[object Object],[object Object]
COLOSTOMY POST-OP CARE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
COLOSTOMY POST-OP CARE ,[object Object],[object Object],[object Object],[object Object]
ILEOSTOMY POST-OP CARE ,[object Object],[object Object],[object Object],[object Object]
LUNG CANCER ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
LUNG CANCER ,[object Object],[object Object],[object Object],[object Object]
S/Sx: LUNG CANCER ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nursing Interventions: LUNG CANCER ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tx: LUNG CANCER ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pre-op Care: LUNG CANCER ,[object Object],[object Object]
Post-op Care: LUNG CANCER ,[object Object],[object Object],[object Object],[object Object],[object Object]
PROSTATE CANCER ,[object Object],[object Object]
S/Sx: PROSTATE CANCER ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tx: PROSTATE CANCER ,[object Object],[object Object],[object Object],[object Object]
Tx: PROSTATE CANCER ,[object Object],[object Object],[object Object]
PROSTATE CA: TURP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PROSTATE CA: Prostatectomy Point of comparison Suprapubic Retropubic Perineal Technique Via abdominal & bladder incision Via low abdominal incision without opening the bladder Via incision bet. scrotum & anus Hemorrhage Yes No No Bladder spasms Yes Yes but less Urinary incontinence common
PROSTATE CA: Prostatectomy Point of comparison Suprapubic Retropubic Perineal CBI Yes Yes - Sterility Yes Yes Yes Remarks Abdominal dressing soaked frequently with urine, Longer healing time than TURP Minimal abdominal drainage WOF infection, (No rectal tubes, rectal temp. taking & enema) Teach perineal exercises
Nursing Interventions: s/p TURP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nursing Interventions: s/p TURP ,[object Object],[object Object],[object Object],[object Object],[object Object]
Discharge Health Teaching: s/p TURP ,[object Object],[object Object],[object Object],[object Object],[object Object]
Nursing Interventions: s/p Suprapubic Prostatectomy ,[object Object],[object Object],[object Object]

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Oncologic Nursing

  • 1. ONCOLOGIC NURSING Ma. Victoria J. Recinto RN, USRN University of the Philippines Manila Philippine General Hospital
  • 2. NEOPLASIA DIFFERENCES BENIGN (Tumor) MALIGNANT (CA) Differentiation Well Poor Encapsulation (+) (-) Metastasis (-) (+) Prognosis Good Poor Tx Modalities Surgery Surgery, Irradiation, Chemotx, BM transplant
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  • 117. PROSTATE CA: Prostatectomy Point of comparison Suprapubic Retropubic Perineal Technique Via abdominal & bladder incision Via low abdominal incision without opening the bladder Via incision bet. scrotum & anus Hemorrhage Yes No No Bladder spasms Yes Yes but less Urinary incontinence common
  • 118. PROSTATE CA: Prostatectomy Point of comparison Suprapubic Retropubic Perineal CBI Yes Yes - Sterility Yes Yes Yes Remarks Abdominal dressing soaked frequently with urine, Longer healing time than TURP Minimal abdominal drainage WOF infection, (No rectal tubes, rectal temp. taking & enema) Teach perineal exercises
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