Lecture #8 - Cancer Flashcards

1
Q

Viewing ovarian cancer as a chronic disease means?

A

Chronic refers to the pronged duration of this cancer which is rarely completely cured and fail to enter a complete remission, but pte live a long time with it.
We want to change the goal from complete cure to extended life.

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2
Q

Viewing ovarian cancer as a chronic disease changes what in management of the diseases?

A

This second-line therapy should:

1) optimize extended life;
2) Minimize toxicity
3) Individualize treatments

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3
Q

Role de l’infirmiere pivot en oncologie? + 4 fonctions cles?

A
  • Personne ressource depuis 2005
    1) Assessmen
    2) Teaching
    3) Support
    4) Coordination/continuity of care
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4
Q

Est-ce que infirmiere pivot = “pt navigator” ou inf. de liaison?

A

Non, car garde un contact constant avec le pt tout en etant aidant les pt avec tous leurs besoins.

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5
Q

What does the supportive care framework draws upon (Fitch, 1994)?

A

This is about the different “soins de soutien” that cancer pt will need.

1) Human needs: physical, psych, emo, spiritual
2) Cognitive appraisal: Characterizing an event
3) Coping and Adaptation

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6
Q

Women: Biggest occurence and mortality

A

Breast

Lung

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7
Q

Men: biggest occurence and mortality?

A

Prostate

Lung

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8
Q

Supportive care framework domains of health?

A

physical, psych, emo, spiritual, social

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9
Q

Breast cancer different trajectories?

A

1) No meta= aggressive treat. with goal of cure
2) With meta=goal to control, now chronic
3) Recurrence= goal to control, now chronic

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10
Q

Breast cancer common meta?

A

Brain, lymph nodes, lungs, bones, liver

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11
Q

Lytic vs blastic bone lesions?

A

1) Less bone

2) Fill bone with extra cells

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12
Q

Ovarian cancer prevalence and mortality?

A

Low pre and high mor.

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13
Q

Ovarian cancer medications?

A

Taxane (Taxol) + platinum

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14
Q

Ovarian cancer as chronic?

A

b/c 75% of pt recur and reccurent disease cannot be cured

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15
Q

Goal of supportive care?

A

Symptom management

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16
Q

What is Chemotherapy Induced Peripheral Neuropathy (CIPN)?

A

Inflammation/degeneration of peripheral nervous system from direct injury by chemotherapy agents.

17
Q

CIPN Sx?

A

Symmetrical, start distally, more dose = more Sx

18
Q

CIPN management?

A

1) Assessment before therapy to know baseline.
2) Remove triggers
3) treat-preexisting conditions
4) Mange pain
5) PT/OT

19
Q

CIPN grades?

A

grade 1: ASx

2: Some sensory alterations
3: Interferes with ADLs
4: Life threatning (paralysis)

20
Q

CIPN meds?

A

Gabapentin
Pregabalin
Opioids
Amitriptyline (TCA)

21
Q

Malignant Bowel Obstruction (MBO) caused by?

A

Ovarian cancer.

Sub-occlusion

22
Q

Unique characteristics of infirmiere pivot en oncologie (IPO)?

A

Availability
Continuity of care
Partnership
Expertise

23
Q

1) IPO vs
2) Outpatient Primary nurse vs
3) Acute Care Nurses

A

1) Present from Dx to death
2) Present during treatments
3) Present when admitted

24
Q

Emotions controlled by.. brain part?

A

Amygdala

25
Q

5 axes interventions of IPO?

A

1) Integrate cancer care organizations
2) Promote health, early cancer detection
3) Support pt/family
4) EBN
5) Evaluate outcomes