Post on 03-Apr-2018
7/28/2019 Cancer Management.pptx
1/19
Prepared by: Agbulos, Cabanag, Castro, Fernandez,Lagos, Lavador, Quijano, Tugano
7/28/2019 Cancer Management.pptx
2/19
7/28/2019 Cancer Management.pptx
3/19
Prostate Cancer
Note: Prostate Cancers require testosterone to grow orspread.
Surgery
*Prostatectomy Surgically removing the prostate and isuseful for cancer that is confined to the prostate.
*Bilateral Orchiectomy The oldest form of hormonal
therapy by which both the testes are removed. It greatlyslows the growth of prostate cancer but produces theside effects of low testosterone.
7/28/2019 Cancer Management.pptx
4/19
Prostate Cancer
Medical
*Leuprolide and Goserelin drugs that prevent the
pituitary glands from stimulating the testes to make
testosterone
*Anti-androgens: Flutamide, Bicalutamide,
Nilutamide drugs that block testosterones effects.
7/28/2019 Cancer Management.pptx
5/19
Prostate Cancer
Radiation Therapy
*May cure cancers that are confined to the prostate,
as well as cancers that have invaded tissues around
the prostate ( but not cancer that has spread to
distant organs)
*It can relieve pain resulting from the spread of
prostate cancer to the bone but cannot cure thecancer itself
7/28/2019 Cancer Management.pptx
6/19
Cervical Cancer
Surgery
*Loop electrosurgical excision procedure (LEEP): A
treatment that uses electrical current passed through athin wire loop as a knife to remove abnormal tissue orcancer.
*Cryosurgery: A treatment that uses an instrument tofreeze and destroy abnormal tissue, such as carcinoma insitu. This type of treatment is also called cryotherapy.
*Radical trachelectomy . This removes the cervix, part ofthe vagina, and the pelvic lymph nodes (lymph nodedissection). But the uterus is left in place.
7/28/2019 Cancer Management.pptx
7/19
Cervical Cancer
*Hysterectomy with or without removal of the
ovaries. This removes the cervix and related organs
where recurrence would be most likely.
Radiation therapy
*Uses high energy x-rays to kill cancer cells. These x-
rays can be given externally in a procedure that is
much like having a diagnostic x-ray. This is called
external beam radiation therapy. This treatment
usually takes 6 to 7 weeks to complete.
7/28/2019 Cancer Management.pptx
8/19
Cervical Cancer
*Brachytherapy, or internal radiation therapy are used
to treat cervical cancer in women who have had a
hysterectomy, the radioactive material is placed in acylinder in the vagina.
Medical
*Alkylating Agent: These drugs modify the bases ofDNA, interfering with DNA replication and
transcription (Cisplatin, Mitomycin, Ifosfamide)
7/28/2019 Cancer Management.pptx
9/19
Cervical Cancer
*Antimetabolites: These drugs ultimately interfere
with DNA replication and therefore cell division.
(5-Fluorouracil)
7/28/2019 Cancer Management.pptx
10/19
7/28/2019 Cancer Management.pptx
11/19
Intervention:
* Encourage the patient to urinate every 2-4 hours and
when it suddenly felt.
* Observation of the flow of urine, note the size and
strength.
* Percussion / palpation of the suprapubic area.
*Encourage fluid intake to 3000 ml per day.
* Monitor vital signs closely
* Collaboration in the provision of drugs.
7/28/2019 Cancer Management.pptx
12/19
Intervention:
* Ensure adequate fluid hydration but limit fluids at
mealtime.* Necessary to eliminate wastes yet too much fluid can lead to early
satiety.
*Advise family to serve patients favourite foods.
* Enhances appetite.
*Encourage frequent oral hygiene.
* Reduces unpleasant mouth sensation after drug therapy.
*Provide pain relief measures as necessary.
* Increases comfort.
7/28/2019 Cancer Management.pptx
13/19
*Encourage nutritional supplements and high-proteinfoods.
*Adds protein and calories to meet nutritionalrequirements.
*Encourage family and friends not to nag or cajolepatient about eating.
*Pressuring patient may cause conflict and unnecessary
stress.*Administer appetite stimulants as prescribed.
* Improves appetite.
7/28/2019 Cancer Management.pptx
14/19
I: Promote good handwashing procedures by staff and visitors.Screen/limit visitors who may have infections. Place in reverseisolation as indicated.
R: Protects patient from sources of infection, such as visitors and staffwho may have an upper respiratory infection (URI).
I: Emphasize personal hygiene.
R: Limits potential sources of infection and/or secondary overgrowth
I: Reposition frequently; keep linens dry and wrinkle-free.R: Reduces pressure and irritation to tissues and may prevent skinbreakdown (potential site for bacterial growth)
7/28/2019 Cancer Management.pptx
15/19
I: Promote adequate rest/exercise periods
R: Limits fatigue, yet encourages sufficient movement to
prevent stasis complications, e.g., pneumonia, decubitus,and thrombus formation.
I: Monitor temperature.
R: Temperature elevation may occur because of various
factors, e.g.,chemotherapy side effects, disease process,or infection. Early identification of infectious processenables appropriate therapy to be started promptly.
7/28/2019 Cancer Management.pptx
16/19
I: Monitor CBC with differential WBC and granulocyte count, andplatelets as indicated.
R: Bone marrow activity may be inhibited by effects of chemotherapy,
the disease state, or radiation therapy.
I: Administer antibiotics as indicated.
R: May be used to treat identified infection or given prophylactically inimmunocompromised patient.
I: Promote adequate rest/exercise periodsR: Limits fatigue, yet encourages sufficient movement to preventstasis complications, e.g., pneumonia, decubitus, and thrombusformation.
7/28/2019 Cancer Management.pptx
17/19
*Encourage rest periods during the day especiallybefore and after physical exertion.
* Conserves energy.
*Promote patients normal sleep habits.
* Helps restore energy levels.
*Encourage patient to ask for others assistance withnecessary chores.
* Conserves energy.
*Encourage use of relaxation techniques such asmusic therapy and mental imagery.
* Decreases physical fatigue.
7/28/2019 Cancer Management.pptx
18/19
*Encourage adequate protein and caloric intake.
*Decreases activity intolerance.
*Instruct on how to do ROM exercises as
tolerated.
*To avoid joint stiffness and promote circulation.
*Assist in rearranging schedule and organizeactivities to conserve energy expenditure.
*Reduces energy loses and stressors.
7/28/2019 Cancer Management.pptx
19/19
I: Provide open, nonjudgmental environment. Use therapeuticcommunication skills of Active-Listening, acknowledgment,and so on.
R: Promotes and encourages realistic dialogue about feelingsand concerns.
I: Encourage verbalization of thoughts/concerns and acceptexpressions of sadness, anger, rejection.
R: Acknowledge normality of these feelings. Patient may feelsupported in expression of feelings by the understanding thatdeep and often conflicting emotions are normal andexperienced by others in this difficult situation.