Cancer 2 Flashcards
Treatment options
Surgery Radiotherapy Chemotherapy Hormonal replacement therapy Targeted therapy Immunotherapy Stem transplant
Factors affecting treatment decision and response
Tumour type Pre-treatment co morbodities Tumour burden Rate of tumour growth Drug resistance Hormone receptor status
Surgery
And disadvantages
Surgical removal of the localised tumour
All or some tumour removed
Can be extensive and invasive that surrounding tissue dan be damaged
Radiotherapy
High dose x ray beam
15 min dialy appointment for 1 day to 5 weeks
Can be used concurrently with ct as a radiosensitiser or to control pain in palliative care
Radiotherapy disadvantages
Transport issues
Side effects
Nurse role radiotherapy
Education management of side effects
Pace maker monitoring
Handover admission to ward
Wound dressings
Tpye of radiotherapy
Internal
External
Internal
Brachytherapy Implantation of radioactive materials into or close to the tumour Reduces expose to healthy tissue Patrint is radioactive Limit the amount of time near patient
External and superficial
Most common
Ionizing radiation beam from a megavolt machine causes damage to cancer cells
Nusing implication
Education
What to expect
Intervention for side effects
Anaemia nausea and vomiting loss of appetite
Supportive care
Analgesics skin care mouth care
Common side effects
Bone marrow suppression Cardiovascular effects Gastrointestinal effect Fatigue Pulmonary effect Reproductive effect
Bone marrow suppression
common side of therapy of chemo
Treatment induced reduction in RBC and WBC can result inc
Infection
Haemmorrhange
Fatigue
Cardiovascular effect
Pre existing condition
Some ctx cause cardio toxicity
Gastrointestinal effect
Antiemetic
Antidiarrhoeals
Referral to dietician
Soft toothbrush
Fatigue
Encourage conversation strategies
Rest before activity
Get assistance
Maintain nutritional and hydration results
Assess for reversible causes if fatigue
