培训资料--gastriccancer胃癌患者的护理查房ppt

Nursing Care of the Patient with Gastric Cancer Department of Digestive System Oncology Hu Yating Contents Gastric Cancer-Description Ga stric can cer, also call ed sto ma ch can cer, is a mali gna nt tum or arisi ng from the linin g of the sto ma ch Gastric cancer cells can spread by breaking away from the original tumor. They enter blood vessels, which branch into all the tissues of the body. Gastric cancer causes about 800,000 deaths worldwide per year. Men have more than double the risk of gastric cancer than women. Gastric Cancer-Causes and Risk Factors Gastric Cance r Smoked/ salted food Helicobacter pylori Family history Over weight Smoking and alcohol factors Precancerous conditions Gastric Cancer-Symptoms Abdominal fullness or pain Dark stools Difficulty in swallowing Excessive belching General decline in health Loss of appetite Nausea Vomiting, which may contain blood Weakness or fatigue Weight loss Gastric Cancer-Diagnosis & Treatment Surgery of stomach Chemo therapy Radiation therapy Multimodality therapy Treatment Case Management Cai Chuanyou, male, 69 years old Chief complaint: Gastric cancer with 2 circles of chemotherapy Case Management History of present illness: Case Management Medical history: No special condition Physical examination: KPS 80%, general vital signs have no special Assistant examination: Currently there are none Nursing Care Plans Related to worrying about the prognosis and lack of relevant knowledge Anxiety and fear Below the body requirement - Related to difficulty in swallowing, disorder of digestion and absorption, etc. Malnutrition Stomachache Related to the cancer invasion Pain Nursing Care Plans Related to the protracted course of this disease Activity intolerance Related to chemotherapy- induced vomiting Risk for fluid volume deficit Gastric bleeding, obstruction, etc. Potential complication Nursing Care Plans Anxiety and fear More communication and encouragement Meet the basic needs Introduce the relevant knowledge Examples of recover patients Deep breathing, music therapy, etc. Anxiety and fear reduced Nursing Care Plans Encourage the patient to eat Choose appropriate time to dine Multiple-meal-with- small-amount-for- each Malnutrition Nursing Care Plans Make a reasonable diet (according to the patients eating habits) high heat high in protein high in vitamin low fat easily digestible low-residue Malnutrition Nursing Care Plans Explain the important role of diet on disease recovery Regular monitoring weight change Strengthen the parenteral nutrition support, and give the digestive medicine Malnutrition Nursing Care Plans Pain Effectively controlled Nursing Care Plans Appropriate bed activities Assist patients with bedside activities Falls prevention Regular massage and maintain normal function Activity intolerance Physical strength has been enhanced and no fall occurred Nursing Care Plans Risk for fluid volume deficit Vomiti ng relieve d Nursing Care Plans Prevention first Observe the condition changes If happened, deal with the complication according to the doctors advice Potential complication No complications Health education Reasonable diet Healthy lifestyle Heal